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知识水平对 30-49 岁女性宫颈癌的影响及其决定因素——来自埃塞俄比亚西南部 Jimma 镇的研究。

Knowledge Toward Cervical Cancer and Its Determinants Among Women Aged 30-49 in Jimma Town, Southwest Ethiopia.

机构信息

Department of Public Health, Mizan-Tepi University College of Health Science, Mizan Aman, Ethiopia.

Department of Population and Family Health, Faculty of Public Health, Jimma University Institution of Health Science, Ethiopia.

出版信息

Cancer Control. 2020 Jan-Dec;27(1):1073274820983027. doi: 10.1177/1073274820983027.

Abstract

BACKGROUND

Cervical cancer is one of the common causes of premature death and disability in women worldwide. It is preventable through vaccination, and screening for precancerous lesions and early treatment. However, screening service uptake and treatment for cervical cancer face significant challenges in low-income countries due to poor information systems. The aim of this study was to assess knowledge of cervical cancer and its determinants among women aged 30-49 years living in Jimma Town, Southwest Ethiopia.

METHODS

A community-based cross-sectional study was undertaken from March 20 to April 15, 2017. The data were collected using a structured interviewer-administered questionnaire and analyzed by SPSS version 21. Multivariable logistic regression anaysis was done and variables with a p-value < 0.05 were considered statistically significant.

RESULTS

Of the interviewed women, only 321(43.6%) had adequate knowledge about cervical cancer and screening. Attending secondary school or above (AOR = 2.42, 95% CI: 1.24-4.74), using modern contraceptives (AOR = 6.31, 95% CI: 2.86-13.89), knowing somebody with cervical cancer (AOR = 2.24, 95% CI: 1.35-3.71) and knowing someone screened for cervical cancer (AOR = 2.23, 95% CI: 1.30-3.80) were associated with knowledge of cervical cancer.

CONCLUSION

Knowledge of cervical cancer is low in the current study area even if appropriate knowledge regarding the disease is important in decreasing the incidence and prevalence of cervical cancer through screening and human pappiloma virus vaccination. Increasing awereness regarding the disease and prevention strategies are the key issue.

摘要

背景

宫颈癌是全球导致女性早逝和残疾的常见原因之一。通过接种疫苗、筛查癌前病变和早期治疗,宫颈癌是可以预防的。然而,由于信息系统不完善,低收入国家的筛查服务利用率和宫颈癌治疗面临重大挑战。本研究旨在评估居住在埃塞俄比亚西南部 Jimma 镇的 30-49 岁妇女对宫颈癌及其决定因素的认识。

方法

这是一项 2017 年 3 月 20 日至 4 月 15 日进行的基于社区的横断面研究。使用结构化访谈者管理的问卷收集数据,并使用 SPSS 版本 21 进行分析。进行多变量逻辑回归分析,将 p 值 < 0.05 的变量视为具有统计学意义。

结果

在所调查的妇女中,仅有 321 人(43.6%)对宫颈癌和筛查有足够的认识。接受过中学或以上教育(AOR = 2.42,95% CI:1.24-4.74)、使用现代避孕药具(AOR = 6.31,95% CI:2.86-13.89)、认识患有宫颈癌的人(AOR = 2.24,95% CI:1.35-3.71)和认识接受过宫颈癌筛查的人(AOR = 2.23,95% CI:1.30-3.80)与对宫颈癌的认识有关。

结论

即使了解疾病对于通过筛查和人乳头瘤病毒疫苗接种来降低宫颈癌的发病率和患病率非常重要,但在当前研究地区,宫颈癌的知识仍然很低。提高对该疾病和预防策略的认识是关键问题。

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