Besó Delgado María, Ibáñez Cabanell Josefa, Molina-Barceló Ana, Zurriaga Llorens Oscar, Salas Trejo Dolores
Servicio de Prevención y Promoción en el Entorno Sanitario. Dirección General de Salud Pública. Valencia. España.
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana, FISABIO. Área de Cáncer y Salud Pública. Valencia. España.
Rev Esp Salud Publica. 2021 Jan 26;95:e202101023.
The use of new devices such as the self-sampling for the determination of the Human Papilloma Virus (HPV), could facilitate the implementation of population screening programs and increase the participation of women. The objective of the study was to find out the women´s knowledge and attitudes towards cervical cancer screening as well as the acceptability of self-sampling.
Analytical cross-sectional study by telephone survey carried out on a random sample of 389 women from 35 to 65 years of age. The women were asked about their attitudes and knowledge of the screening and preference for HPV determination by self-sampling or by a healthcare professional.
86.9% of the women preferred self-sampling as a screening method and 93.3% had undergone a previous cervical cytology. 51.4% of the women had a high level of knowledge about cervical cancer screening. Younger women (POR 9.26; 95% CI 1.04-24.38), higher level of education (POR 4.6; 95% CI: 1.92-11.00), and higher level of knowledge (POR 2.78; 95% CI: 1.69-9.29), presented higher preferences for the determination of HPV by self-sampling. The trend in age, educational level and knowledge was the same for the prevalence of previous cervical cytology.
The acceptance of self-testing as a method of cervical cancer screening is high among women. Efforts should be made to raise awareness among women to reduce possible inequalities in access and to encourage informed participation.
使用新型设备（如用于检测人乳头瘤病毒（HPV）的自我采样），可促进人群筛查项目的实施并提高女性参与度。本研究的目的是了解女性对宫颈癌筛查的知识和态度以及自我采样的可接受性。
通过电话调查对389名年龄在35至65岁之间的女性随机样本进行分析性横断面研究。询问这些女性对筛查的态度和知识，以及对通过自我采样或医疗专业人员进行HPV检测的偏好。
86.9%的女性更倾向于将自我采样作为筛查方法，93.3%的女性之前接受过宫颈细胞学检查。51.4%的女性对宫颈癌筛查有较高的知识水平。年轻女性（优势比9.26；95%置信区间1.04 - 24.38）、较高的教育水平（优势比4.6；95%置信区间：1.92 - 11.00）和较高的知识水平（优势比2.78；95%置信区间：1.69 - 9.29），对通过自我采样检测HPV表现出更高的偏好。对于既往宫颈细胞学检查的患病率，年龄、教育水平和知识的趋势相同。
女性对自我检测作为宫颈癌筛查方法的接受度较高。应努力提高女性的认识，以减少可能存在的获取方面的不平等，并鼓励她们做出明智的参与。
