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在埃塞俄比亚圣保禄教学和转诊医院就诊的妇女中,影响宫颈癌筛查的社会人口统计学特征及相关因素。

Socio-demographic characteristics and associated factors influencing cervical cancer screening among women attending in St. Paul's Teaching and Referral Hospital, Ethiopia.

机构信息

School of Public Health, Xi'an Jiaotong University, Health Science Center, Xi'an, 710061, Shaanxi, China.

Shenzhen Institute, Xi'an Jiaotong University, Shenzhen, Guangzhou, 518057, People's Republic of China.

出版信息

BMC Womens Health. 2020 Apr 6;20(1):70. doi: 10.1186/s12905-020-00927-5.

Abstract

BACKGROUND

In Ethiopia, cervical cancer is the second most frequent cancer among women aged 15 to 44 years old. Cervical cancer screening is an effective measure to enhance the early detection of cervical cancer for prevention. However, the magnitude of cervical cancer screening is less than 1%. This study aimed to determine the influence of sociodemographic characteristics and related factors on screening.

METHOD

A hospital-based cross-sectional study has been conducted from July to September 2017. Data have been collected using interviewer-administered questioner among 425 women (18-49 years age) who visited the family health department at St. Paul's Hospital. Descriptive statistics, chi-square, univariate and multivariate logistic regression were used for data analysis.

RESULT

Of the 425 study participants, only 12.2% of women have been screened within the past 3 years. Women in the age range of 40-49 years old were more likely to be screened (36.1%) than women age 18-29 years (8%). Women living in urban were more likely to be screened (15.9%) than women living in rural (3.9%). Other factors including low monthly income, unlikely chance of having cancer, lack of knowledge, and fear test outcome were significantly associated with the low uptake of screening.

CONCLUSION

This study revealed that the uptake of cervical cancer screening was low. Women in the potential target population of cervical cancer screening were just a proportion of all studied age groups and screening in them was more common than in younger women. Besides, rural residence, low monthly income, and lack of knowledge were important predictors for low utilization of cervical cancer screening practice.

摘要

背景

在埃塞俄比亚,宫颈癌是 15 至 44 岁女性中第二常见的癌症。宫颈癌筛查是提高宫颈癌早期检测的有效措施,从而达到预防的目的。然而,宫颈癌筛查的比例还不到 1%。本研究旨在确定社会人口特征和相关因素对筛查的影响。

方法

这是一项 2017 年 7 月至 9 月在 St. Paul's 医院家庭健康科进行的基于医院的横断面研究。通过访谈员管理的问卷,对 425 名(18-49 岁)就诊于家庭健康科的女性收集数据。采用描述性统计、卡方检验、单变量和多变量逻辑回归进行数据分析。

结果

在 425 名研究参与者中,只有 12.2%的女性在过去 3 年内接受过筛查。40-49 岁的女性比 18-29 岁的女性更有可能接受筛查(36.1%比 8%)。居住在城市的女性比居住在农村的女性更有可能接受筛查(15.9%比 3.9%)。其他因素,包括月收入低、不太可能患癌症、缺乏知识和担心检查结果,与筛查利用率低显著相关。

结论

本研究表明,宫颈癌筛查的参与率较低。在宫颈癌筛查的潜在目标人群中,只有一部分属于所有研究年龄组,而这些人群中的筛查比例高于年轻女性。此外,农村居民、月收入低和缺乏知识是宫颈癌筛查利用率低的重要预测因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2714/7137499/b269fedca90a/12905_2020_927_Fig1_HTML.jpg

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