Gochenaur Lauren, Peterson Sara, Vasquez Luis, Adler David
School of Medicine and Dentistry, University of Rochester, Rochester, New York, USA.
Yantalo Peru Foundation, Yantalo, Peru.
Womens Health Rep (New Rochelle). 2020 Aug 17;1(1):270-278. doi: 10.1089/whr.2020.0051. eCollection 2020.
Survey-based research was conducted in Yantalo, Peru, a rural Amazonian community, to assess the knowledge base among women surrounding cervical cancer, human papilloma virus (HPV), and preventative health practices as well as to gain a better understanding of barriers to accessing care. A total of 217 women were interviewed out of the 1612 female inhabitants of Yantalo utilizing a structured interview-style questionnaire with both closed and open-ended questions. Our average respondent was 41.6 years old with the equivalent of some high school education. Approximately 75% of respondents reported that they had heard of HPV and/or cervical cancer, with 44.4% reporting they had received a test to check for cervical cancer within their lifetime. When given a 10-question knowledge assessment regarding safe sex practices and cervical cancer, women obtained an average score of 57.3%. When asked about receiving the HPV vaccine, 29% reported "Yes", 59.4% reported "No", and 11.6% reported "I don't know." Although 62.6% of women indicated that they have "easy access to cervical cancer screening," 37.4% of women reported experiencing at least one barrier to accessing care. The highest reported barriers include fear of the test causing them pain and/or lack of knowledge of the necessity cervical cancer testing. Cervical cancer rates in Peru are approximately three times that in developed countries. Gathering data surrounding knowledge and the barriers among the female population in rural communities is essential to developing targeted initiatives that address pertinent obstacles within these and other vulnerable communities.
在秘鲁亚马逊地区的农村社区扬塔罗开展了一项基于调查的研究，以评估女性对宫颈癌、人乳头瘤病毒（HPV）的知识储备以及预防性健康措施，同时更好地了解获得医疗服务的障碍。在扬塔罗的1612名女性居民中，共采访了217名女性，采用了包含封闭式和开放式问题的结构化访谈式问卷。我们的受访者平均年龄为41.6岁，接受过相当于高中的教育。约75%的受访者表示听说过HPV和/或宫颈癌，44.4%的受访者称她们一生中接受过宫颈癌检查。在接受关于安全性行为和宫颈癌的10道知识评估题时，女性的平均得分是57.3%。当被问及是否接种过HPV疫苗时，29%的人回答“是”，59.4%的人回答“否”，11.6%的人回答“我不知道”。尽管62.6%的女性表示“容易获得宫颈癌筛查服务”，但37.4%的女性报告称在获得医疗服务方面至少遇到过一个障碍。报告最多的障碍包括担心检查会带来疼痛和/或对宫颈癌检查的必要性缺乏了解。秘鲁的宫颈癌发病率约为发达国家的三倍。收集农村社区女性人群的知识和障碍方面的数据，对于制定有针对性的举措以解决这些及其他弱势群体中的相关障碍至关重要。
