Songsiriphan Athiwat, Salang Lingling, Somboonpha Woraluk, Eamudomkarn Nuntasiri, Nhokaew Wilasinee, Kuchaisit Chusri, Harnlakorn Pornnipa
Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Retired Government Official, Nursing Division, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Asian Pac J Cancer Prev. 2020 Oct 1;21(10):2979-2986. doi: 10.31557/APJCP.2020.21.10.2979.
In recent years, the lives of HIV-infected patients in Thailand have improved significantly due to continuous advances in treatment. However, the rate of cancer related to HIV infection (especially cervical cancer) is likely to increase. Although the World Health Organization (WHO) recommends Papanicolaou testing in all HIV-infected women, few of these patients receive this kind of screening in Thailand. Therefore, we conducted this study to evaluate the knowledge, attitudes, and practices of these patients with regard to cervical cancer screening.
This cross-sectional study was conducted in HIV-infected women aged 18-65 years from April to November 2019 via a self-administered cervical cancer screening questionnaire, which consisted of four parts: demographic data, knowledge, attitudes, and practices.
Three hundred HIV-infected women were recruited. Most of the participants had good attitudes toward screening and practiced adequate screening (75.3% and 71.3%, respectively). However, only 62 participants (20.7%) demonstrated adequate knowledge. The crucial factors that were associated with adequate screening practice were age 40-49 years-old (AOR =3.26, 95%CI=1.02-10.37), CD4 cell count (AOR = 3.41, 95%CI = 1.29-8.99), having been advised about cervical cancer screening (AOR= 6.23, 95%CI 1.84-21.07), and attitude toward screening (AOR= 5.7, 95%CI = 2.23-14.55). The major reasons for not undergoing screening were embarrassment (41.86%), lack of symptoms (41.86%), fear of the results (36.04%), and fear of pain (36.04%).
The reasons for inadequate testing were disregard and misconceptions about the procedure. To prevent invasive cervical lesions in HIV-infected women, health care providers should inform these patients about the importance of regular cervical cancer screening.
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近年来，由于治疗的不断进步，泰国艾滋病毒感染患者的生活有了显著改善。然而，与艾滋病毒感染相关的癌症（尤其是宫颈癌）发病率可能会上升。尽管世界卫生组织（WHO）建议对所有感染艾滋病毒的女性进行巴氏试验，但在泰国，很少有此类患者接受这种筛查。因此，我们开展了这项研究，以评估这些患者在宫颈癌筛查方面的知识、态度和行为。
这项横断面研究于2019年4月至11月对18至65岁的艾滋病毒感染女性进行，通过一份自我管理的宫颈癌筛查问卷进行，该问卷包括四个部分：人口统计学数据、知识、态度和行为。
招募了300名艾滋病毒感染女性。大多数参与者对筛查态度良好且进行了充分的筛查（分别为75.3%和71.3%）。然而，只有62名参与者（20.7%）具备充分的知识。与充分筛查行为相关的关键因素包括年龄在40 - 49岁（比值比[AOR]=3.26，95%置信区间[CI]=1.02 - 10.37）、CD4细胞计数（AOR = 3.41，95%CI = 1.29 - 8.99）、曾被建议进行宫颈癌筛查（AOR= 6.23，95%CI 1.84 - 21.07）以及对筛查的态度（AOR= 5.7，95%CI = 2.23 - 14.55）。未进行筛查的主要原因是尴尬（41.86%）、无症状（41.86%）、害怕结果（36.04%）和害怕疼痛（36.04%）。
检测不足的原因是对该程序的忽视和误解。为预防艾滋病毒感染女性的浸润性宫颈病变，医疗保健提供者应告知这些患者定期进行宫颈癌筛查的重要性。
