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撒哈拉以南非洲和中东难民对宫颈癌预防措施的误解及其影响研究。

An Examination of Misconceptions and Their Impact on Cervical Cancer Prevention Practices among Sub-Saharan African and Middle Eastern Refugees.

作者信息

Ghebrendrias Selemawit, Pfeil Sarah, Crouthamel Bonnie, Chalmiers Morgen, Kully Gennifer, Mody Sheila

机构信息

Division of Family Planning, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Diego, San Diego, California, USA.

Department of Obstetrics and Gynecology, University of California, San Diego, San Diego, California, USA.

出版信息

Health Equity. 2021 Jun 1;5(1):382-389. doi: 10.1089/heq.2020.0125. eCollection 2021.

DOI:10.1089/heq.2020.0125
PMID:34095709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8175255/
Abstract

The purpose of the study was to understand cervical cancer screening and prevention practices of refugee women in San Diego, California and identify desired components of a cervical cancer screening toolkit. We conducted a qualitative study utilizing semi-structured focus groups and identified common themes via grounded theory analysis. There were 53 female refugee participants from Sub-Saharan Africa and the Middle East. Over half of all women surveyed expressed a fear of pelvic exams and loss of modesty as barriers to seeking gynecologic care, with nearly 34% avoiding routine pap tests. Of the 18 participants who were asked if they were aware of the Human Papilloma Virus (HPV) vaccination, only one had heard of the vaccine and none had received it for themselves or their children. Over 60% of participants were interested in educational materials surrounding HPV and pap tests. There is a significant lack of knowledge regarding cervical cancer screening and HPV vaccination among refugee women in San Diego, California. Refugee women in this study were interested in multi-modal educational materials as part of a cervical cancer screening toolkit.

摘要

该研究的目的是了解加利福尼亚州圣地亚哥市难民妇女的宫颈癌筛查与预防措施,并确定宫颈癌筛查工具包中所需的组成部分。我们利用半结构化焦点小组进行了一项定性研究,并通过扎根理论分析确定了共同主题。共有53名来自撒哈拉以南非洲和中东的女性难民参与者。在所有接受调查的女性中,超过一半表示担心盆腔检查以及失去端庄感,这成为她们寻求妇科护理的障碍,近34%的人避免进行常规巴氏试验。在被问及是否知晓人乳头瘤病毒(HPV)疫苗接种的18名参与者中,只有一人听说过该疫苗,且没有人自己或为孩子接种过。超过60%的参与者对有关HPV和巴氏试验的教育材料感兴趣。加利福尼亚州圣地亚哥市的难民妇女对宫颈癌筛查和HPV疫苗接种的知识严重匮乏。本研究中的难民妇女对作为宫颈癌筛查工具包一部分的多模式教育材料感兴趣。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74a3/8175255/ee36220c58ac/heq.2020.0125_figure1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74a3/8175255/ee36220c58ac/heq.2020.0125_figure1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74a3/8175255/ee36220c58ac/heq.2020.0125_figure1.jpg

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Prevention of Cervical Cancer in Sub-Saharan Africa: The Advantages and Challenges of HPV Vaccination.撒哈拉以南非洲地区宫颈癌的预防:人乳头瘤病毒疫苗接种的优势与挑战
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