Department of Nursing, Kathmandu Medical College Pvt. Ltd., Kathmandu, Nepal.
Department of Nursing, Nepal Medical College Pvt. Ltd, Kathmandu, Nepal.
J Nepal Health Res Counc. 2020 Nov 14;18(3):529-534. doi: 10.33314/jnhrc.v18i3.2584.
Cervical cancer is preventable so awareness can be as effective as any other method to prevent it.The study aims to assess awareness and attitude regarding cervical cancer screening among reproductive age women in a tertiary level hospital, Kathmandu, Nepal.
A descriptive cross sectional study was carried out among 170 reproductive age women attending Nepal Medical College Teaching Hospital using purposive sampling technique. A semi structured interview schedule was used to collect data via face to face interview. Data was summarized using frequency, percentage, mean and standard deviation. Multiple logistic regression was used to determine the factors associated with awareness and attitude.
Among 170 reproductive age women, mean age was 31.49 ± 8.70 years. Majority 151 (88.8%) of the women had heard of cervical cancer while 119 (70%) of them had heard about cervical cancer screening. Among them, only 17 (11.3%) had adequate awareness regarding cervical cancer screening. Seventy five (46.6%) of the women had positive attitude towards cervical cancer screening. Employment status [95% CI (0.01-0.38), AOR=0.06, p=0.003] was associated with awareness whereas, ethnicity, employment status and marital status were associated with attitude.
Most of the women were unaware about the cervical cancer screening but nearly half of the respondents had positive attitude. Therefore it is very crucial to provide health education and awareness through supervised client education. Focused group discussion as an effective approach of awareness program can be conducted in order to include specific group such as unemployed and unmarried women.
宫颈癌是可预防的，因此意识可以像任何其他预防方法一样有效。本研究旨在评估尼泊尔加德满都一家三级医院生殖年龄段妇女对宫颈癌筛查的认识和态度。
采用描述性横断面研究，使用目的抽样技术对尼泊尔医学院教学医院的 170 名生殖年龄段妇女进行研究。使用半结构式访谈表通过面对面访谈收集数据。使用频率、百分比、均值和标准差对数据进行总结。使用多因素逻辑回归来确定与意识和态度相关的因素。
在 170 名生殖年龄段妇女中，平均年龄为 31.49 ± 8.70 岁。大多数 151 名（88.8%）妇女听说过宫颈癌，而 119 名（70%）妇女听说过宫颈癌筛查。其中，只有 17 名（11.3%）对宫颈癌筛查有足够的认识。75 名（46.6%）妇女对宫颈癌筛查持积极态度。就业状况[95%置信区间（0.01-0.38），优势比=0.06，p=0.003]与意识相关，而种族、就业状况和婚姻状况与态度相关。
大多数妇女对宫颈癌筛查缺乏认识，但近一半的受访者对宫颈癌筛查持积极态度。因此，通过监督的客户教育提供健康教育和意识非常重要。可以开展焦点小组讨论作为一种有效的宣传计划方法，以便包括失业和未婚妇女等特定群体。
