Department of Global Health, University of Washington, Seattle, WA, USA.
Department of Obstetrics & Gynecology, University of Washington, Seattle, WA, USA.
Int J Gynaecol Obstet. 2022 Jan;156(1):151-158. doi: 10.1002/ijgo.13690. Epub 2021 Apr 18.
Cervical cancer is the leading cause of cancer-related death among Kenyan women. It is important to identify how demographics and knowledge of cervical cancer are associated with screening to determine best practices for targeted screening efforts.
We conducted a sub-analysis of women who were asked about cervical cancer from a cross-sectional study of women attending large HIV care and treatment programs across Kenya between June and September 2016.
1671 of 3007 (56%) women reported ever being screened, 804 (48%) of whom were screened within the last 12 months. Prevalence of screening was highest among women who were older (adjusted prevalence ratio [APR] age 35-49 vs. 18-24: 2.26, 95% CI: 1.68-3.05, P < 0.001), employed (APR: 1.55, 95% CI: 1.24-1.93, P < 0.001), married (APR: 1.27, 95% CI: 1.01-1.59, P = 0.047), had at least secondary education (APR: 1.45, 95% CI: 1.19-1.77, P < 0.001), with longer time since HIV diagnosis (APR: 1.09/year average increase, 95% CI: 1.04-1.13, P < 0.001). 36% knew cervical cancer is treatable.
Characteristics linked to social or economic capital are correlated with cervical cancer screening. Integrating cervical cancer screening into HIV care and educating patients on the need for annual screening and potential treatment are important strategies for increasing screening uptake.
宫颈癌是肯尼亚女性癌症相关死亡的主要原因。了解人口统计学特征和宫颈癌知识与筛查之间的关系对于确定最佳的靶向筛查实践至关重要。
我们对 2016 年 6 月至 9 月期间在肯尼亚参加大型艾滋病毒护理和治疗项目的女性进行的横断面研究中询问了宫颈癌的女性进行了一项子分析。
在 3007 名女性中，有 1671 名（56%）报告曾接受过筛查，其中 804 名（48%）在过去 12 个月内接受过筛查。在年龄较大（调整后患病率比[APR]年龄 35-49 与 18-24 岁：2.26，95%CI：1.68-3.05，P<0.001）、有工作（APR：1.55，95%CI：1.24-1.93，P<0.001）、已婚（APR：1.27，95%CI：1.01-1.59，P=0.047）、至少接受过中等教育（APR：1.45，95%CI：1.19-1.77，P<0.001）、艾滋病毒诊断时间较长（APR：1.09/年平均增加，95%CI：1.04-1.13，P<0.001）的女性中，筛查率较高。36%的人知道宫颈癌是可以治疗的。
与社会或经济资本相关的特征与宫颈癌筛查相关。将宫颈癌筛查纳入艾滋病毒护理，并教育患者需要每年进行筛查和潜在治疗，是提高筛查率的重要策略。
