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埃塞俄比亚南部杜拉梅镇女性对宫颈癌及相关因素的综合认知

Comprehensive Knowledge towards Cervical Cancer and Associated Factors among Women in Durame Town, Southern Ethiopia.

作者信息

Woldu Biruktawit F, Lemu Lidiya G, Mandaro Debiso E

机构信息

Department of Midwifery, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia.

Department of Midwifery, College of Health Sciences, Mizan Tepi University, Mizan, Ethiopia.

出版信息

J Cancer Epidemiol. 2020 Dec 29;2020:4263439. doi: 10.1155/2020/4263439. eCollection 2020.

Abstract

Low awareness about cervical cancer and poor screening practice are some of the contributing factors for the high burden of cervical cancer in sub-Saharan Africa. The aim of this study was to assess comprehensive knowledge towards cervical cancer and associated factors among reproductive age women visiting Durame General Hospital. Institution-based cross-sectional study was conducted in April 2019. Systematic random sampling technique was employed to select study participants. Pretested interviewer administered questionnaire was used for data collection. Binary and multiple logistic regression analysis was done. Adjusted odds ratio with a 95% CI was used to determine the presence and strength of associations between independent and outcome variable. Variables with value less than 0.05 were considered as statistically significant. Among the 237 women enrolled, more than half (55.7%) have ever heard about cervical cancer. Health professionals were major source of information. Half of respondents (51.5%) had good knowledge towards cervical cancer. Urban residence (AOR = 2.28, 95% CI (1.19-4.35)), having formal employment (AOR = 2.92, 95% CI (1.53-5.59)), and knowing someone with cervical cancer (AOR = 5.21, 95% CI (2.32-11.71)) were found to have significant association with good knowledge towards cervical cancer. The comprehensive knowledge of women towards cervical cancer was found to be insufficient. Provision of community-based health education with health professionals needs to be emphasized.

摘要

对宫颈癌的认知不足以及筛查做法不佳是撒哈拉以南非洲地区宫颈癌负担沉重的部分促成因素。本研究的目的是评估前往杜拉姆综合医院就诊的育龄妇女对宫颈癌的全面知识及相关因素。2019年4月开展了一项基于机构的横断面研究。采用系统随机抽样技术选取研究参与者。使用经过预测试的访谈员管理问卷进行数据收集。进行了二元和多元逻辑回归分析。采用95%置信区间的调整优势比来确定自变量与结果变量之间关联的存在及强度。p值小于0.05的变量被视为具有统计学意义。在纳入的237名女性中,超过一半(55.7%)听说过宫颈癌。卫生专业人员是主要信息来源。一半的受访者(51.5%)对宫颈癌有良好的认知。城市居住(调整优势比=2.28,95%置信区间(1.19 - 4.35))、有正式工作(调整优势比=2.92,95%置信区间(1.53 - 5.59))以及认识患宫颈癌的人(调整优势比=5.21,95%置信区间(2.32 - 11.71))被发现与对宫颈癌的良好认知有显著关联。发现女性对宫颈癌的全面知识不足。需要强调由卫生专业人员提供基于社区的健康教育。

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