School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.
Department of Community-based Rehabilitation Sciences, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan.
Asian Pac J Cancer Prev. 2020 Nov 1;21(11):3145-3151. doi: 10.31557/APJCP.2020.21.11.3145.
Cervical cancer is the second most common cancer among women in the Philippines. Cervical cancer screening is an effective method to reduce incidence. However, screening utilization is limited. This study aims to assess human papillomavirus (HPV) and cervical cancer knowledge, perceptions, and screening utilization, and to investigate factors influencing screening utilization among rural women in the Philippines.
This cross-sectional community-based study was conducted among 338 rural women aged 20-50 years, with a child under 5 years old registered in one of four public rural health centers in Tacao Island, Masbate Province in October 2017. A questionnaire administered via face-to-face interviews elicited information about demographic characteristics, knowledge, perceived susceptibility and perceived severity of HPV and cervical cancer, and cervical cancer screening utilization.
Mean age of participants was 32.5 years. Only 13.9% of participants had ever had cervical cancer screening. Although most women had heard of cervical cancer screening, their knowledge about the cause, risk factors, and preventive measures of HPV and cervical cancer was limited. Older age and higher education status were significantly associated with screening utilization. However, knowledge and perceived susceptibility and severity showed no association. The main reason for having screening was due to a health professional's request or recommendation, and the reasons for not having screening were cost, not having symptoms, and fear of pain or discomfort and/or embarrassment during the procedure. Conclusions: Health education must increase knowledge about HPV and cervical cancer and screening among women, including the nature and progression of cervical cancer, benefits of screening, screening cost, and screening procedure. Health care providers have an important role in educating and motivating women to undergo screening.
在菲律宾，宫颈癌是女性中第二大常见癌症。宫颈癌筛查是降低发病率的有效方法。然而，筛查的利用率有限。本研究旨在评估菲律宾农村妇女的人乳头瘤病毒（HPV）和宫颈癌知识、认知和筛查利用情况，并调查影响筛查利用的因素。
这是一项横断面社区基础研究，于 2017 年 10 月在马斯巴特省塔考岛的四个公共农村卫生中心之一，对 338 名年龄在 20-50 岁、有 5 岁以下儿童的农村妇女进行。通过面对面访谈管理的问卷收集了有关人口统计学特征、知识、对 HPV 和宫颈癌的易感性和严重性的认知以及宫颈癌筛查利用情况的信息。
参与者的平均年龄为 32.5 岁。只有 13.9%的参与者曾接受过宫颈癌筛查。尽管大多数妇女听说过宫颈癌筛查，但她们对 HPV 和宫颈癌的病因、危险因素和预防措施的了解有限。年龄较大和受教育程度较高与筛查利用显著相关。然而，知识和易感性及严重性没有关联。进行筛查的主要原因是由于健康专业人员的要求或建议，而不进行筛查的原因是费用、无症状以及对疼痛或不适和/或尴尬的恐惧和/或在程序过程中。
必须对妇女进行有关 HPV 和宫颈癌以及筛查的健康教育，包括宫颈癌的性质和进展、筛查的益处、筛查费用以及筛查程序。卫生保健提供者在教育和激励妇女进行筛查方面发挥着重要作用。
