埃塞俄比亚西南部吉马镇公共卫生设施中产妇保健诊所女性对宫颈癌筛查服务的满意度及相关因素
Women's Satisfaction with Cervical Cancer Screening Services and Associated Factors in Maternal Health Clinics of Jimma Town Public Health Facilities, Southwest Ethiopia.
作者信息
Atnafu Tigist, Daka Dawit Wolde, Debela Tilahun Fufa, Ergiba Meskerem Seboka
机构信息
Department of Planning, Monitoring and Evaluation, Jimma Medical Center, Jimma, Ethiopia.
Department of Health Policy and Management, Jimma University, Jimma, Ethiopia.
出版信息
Cancer Manag Res. 2021 Oct 7;13:7685-7696. doi: 10.2147/CMAR.S327369. eCollection 2021.
BACKGROUND
Despite the existence of proven interventions for cervical cancer, low coverage and uptake of existing screening and treatment services remains the main challenge to prevention and control of cervical cancer in developing countries. This study aimed to assess women's satisfaction with cervical cancer screening services and factors associated with it in public health facilities of Jimma town, Southwest Ethiopia.
METHODS
A facility-based cross-sectional study was conducted from March 20 to May 20, 2020. All women aged between 30 and 49 years who visited health facilities during the data collection period were interviewed consecutively. Composite variables were computed from existing data for satisfaction, knowledge, and attitude. A 95% confidence interval was constructed for all outcome variables and multivariate logistic regression was used to identify predictors of satisfaction.
RESULTS
Out of 205 interviewed women, 41% (95% CI: 34-47) were satisfied with cervical cancer screening services. One-hundred and seventeen (57%, 95% CI: 50-64) women had good comprehensive knowledge of cervical cancer screening and 121 (59%, 95% CI: 52-66) had favorable attitude. Satisfaction with cervical cancer screening service was statistically associated with occupational status, religion, perceived length of waiting time to see a provider, and knowledge of cervical cancer.
CONCLUSION
Satisfaction with cervical cancer screening services was low in public health facilities of Jimma town. Slightly more than half of women had good knowledge and favorable attitude regarding cervical cancer screening. Among the clinical factors, only perceived length of waiting time to see a provider and women's knowledge of cervical cancer were statistically associated with satisfaction with screening services. Therefore, efforts should be made to improve level of satisfaction, knowledge and attitude of women toward cervical cancer and screening services.
背景
尽管存在已证实的宫颈癌干预措施，但在发展中国家，现有筛查和治疗服务的低覆盖率和利用率仍然是宫颈癌预防和控制的主要挑战。本研究旨在评估埃塞俄比亚西南部吉马镇公共卫生机构中妇女对宫颈癌筛查服务的满意度及其相关因素。
方法
于2020年3月20日至5月20日进行了一项基于机构的横断面研究。在数据收集期间到卫生机构就诊的所有30至49岁女性均接受了连续访谈。从现有数据中计算出关于满意度、知识和态度的复合变量。为所有结果变量构建95%置信区间，并使用多因素逻辑回归来确定满意度的预测因素。
结果
在205名接受访谈的女性中，41%（95%置信区间：34 - 47）对宫颈癌筛查服务感到满意。117名（57%，95%置信区间：50 - 64）女性对宫颈癌筛查有良好的综合知识，121名（59%，95%置信区间：52 - 66）态度积极。对宫颈癌筛查服务的满意度与职业状况、宗教信仰、感知到的等待看诊时间以及宫颈癌知识在统计学上相关。
结论
吉马镇公共卫生机构中对宫颈癌筛查服务的满意度较低。略多于一半的女性对宫颈癌筛查有良好的知识和积极的态度。在临床因素中，只有感知到的等待看诊时间和女性对宫颈癌的知识与筛查服务满意度在统计学上相关。因此，应努力提高女性对宫颈癌及筛查服务的满意度、知识水平和态度。
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