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基于社区的多媒体干预对南亚女性新的和重复宫颈癌筛查参与的影响。

The impact of community-based multimedia intervention on the new and repeated cervical cancer screening participation among South Asian women.

机构信息

The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, China.

The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, China.

出版信息

Public Health. 2020 Jan;178:1-4. doi: 10.1016/j.puhe.2019.08.015. Epub 2019 Oct 5.

DOI:10.1016/j.puhe.2019.08.015
PMID:31593783
Abstract

OBJECTIVES

The objectives of this study were to reveal the screening uptake of South Asian women who had participated in the community-based multimedia intervention and to identify the reasons among those women who remained unscreened after receiving the intervention.

STUDY DESIGN

This was a cross-sectional study.

METHODS

South Asian women (Indian, Pakistani and Nepalese) who had attended a community-based multimedia intervention and who agreed to participate in a follow-up telephone survey were contacted. A structured telephone survey was conducted to collect data on their screening uptake status.

RESULTS

There were altogether 371 women who completed the survey. Before attending the intervention, 220 of them had never had a Pap test. After the intervention, 75 of those 220 women (34.1%) decided to attend screening, of which 43 underwent their first Pap test, while 32 made their first Pap test appointment. Among those 151 women who previously underwent screening, 76 of them completed the screening or had scheduled a repeated test. Perceived barriers to screening such as lack of time, language barriers and perception that it was unnecessary to attend screening remained the major reasons for women who were not screened.

CONCLUSION

Some South Asian women started to have their first Pap test, while some continued to attend screening after the intervention. As barriers that affect women's screening participation still exist, continuous and sustainable efforts should be made to improve the overall screening uptake.

摘要

目的

本研究旨在揭示参与社区多媒体干预的南亚女性的筛查参与情况,并确定在接受干预后仍未接受筛查的女性的原因。

研究设计

这是一项横断面研究。

方法

联系了参加社区多媒体干预并同意参加后续电话调查的南亚女性(印度人、巴基斯坦人和尼泊尔人)。进行了一项结构化的电话调查,以收集有关她们筛查参与情况的数据。

结果

共有 371 名女性完成了调查。在参加干预之前,其中 220 名从未进行过巴氏涂片检查。干预后,这 220 名女性中有 75 名(34.1%)决定进行筛查,其中 43 名进行了第一次巴氏涂片检查,32 名预约了第一次巴氏涂片检查。在之前接受过筛查的 151 名女性中,有 76 名完成了筛查或预约了重复检查。筛查的障碍,如缺乏时间、语言障碍以及认为没有必要接受筛查等,仍然是女性未接受筛查的主要原因。

结论

一些南亚女性开始进行第一次巴氏涂片检查,而一些女性在干预后继续接受筛查。由于影响女性筛查参与的障碍仍然存在,应持续做出努力,以提高整体筛查参与率。

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