Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Niger Postgrad Med J. 2022 Jan-Mar;29(1):63-69. doi: 10.4103/npmj.npmj_760_21.
Breast and cervical cancers are the two leading causes of cancer-specific mortality and morbidity amongst Indian women. Screening methods are cost-effective. However, the uptake of screening methods in India is very low. Knowledge and attitude of healthcare professionals (HCPs) play an important role in reducing the mortality related to cancer.
This study aimed to assess the knowledge and utilisation of screening methods for cervical and breast cancer and to elaborate barriers for non-utilisation amongst female HCPs, both doctors and nurses. A cross-sectional study was carried out from April to July 2017 in a tertiary healthcare hospital of eastern India amongst 200 female HCPs using a pre-designed, pre-tested, self-administered questionnaire. Data were analysed using the Statistical Package for the Social Sciences version 20.0. Statistical tests such as proportion and mean were calculated and the Chi-square test was used as a test of significance for categorical variables.
Clinical breast examination and mammography were practiced by only 26.5% and 7% of respondents, respectively. Only seven doctors and one nurse had ever undergone Pap smear. More than 90% of respondents knew risk factors, signs and symptoms and the availability of screening tools for the detection of cervical and breast carcinoma.
The utilisation of breast and cervical cancer screening was unsatisfactory despite having good knowledge of the preventable cancers and screening methods amongst HCPs. There is a need for attitudinal change amongst HCPs by continuous sensitisation programmes.
乳腺癌和宫颈癌是印度女性癌症相关死亡率和发病率的两个主要原因。筛查方法具有成本效益。然而，印度的筛查方法利用率非常低。医疗保健专业人员（HCPs）的知识和态度在降低癌症相关死亡率方面起着重要作用。
本研究旨在评估印度女性 HCP（医生和护士）对宫颈癌和乳腺癌筛查方法的了解和使用情况，并详细阐述其未使用的障碍。2017 年 4 月至 7 月，在印度东部的一家三级保健医院，采用预先设计、预先测试的自我管理问卷，对 200 名女性 HCP 进行了横断面研究。使用社会科学统计软件包 20.0 分析数据。计算了比例和平均值等统计数据，并使用卡方检验作为分类变量的显著性检验。
只有 26.5%和 7%的受访者分别进行了临床乳房检查和乳房 X 光检查。只有 7 名医生和 1 名护士曾做过巴氏涂片检查。超过 90%的受访者知道宫颈癌和乳腺癌筛查工具的可检测风险因素、体征和症状。
尽管 HCPs 对可预防的癌症和筛查方法有很好的了解，但乳腺癌和宫颈癌的筛查利用率并不令人满意。需要通过持续的宣传计划来改变 HCP 的态度。
