Zhao Ran, Liang Shujia, Teoh Deanna, Fei Yunqing, Pang Xianwu, Kulasingam Shalini
Division of Epidemiology and Community Health, University of Minnesota School of Public Health, 300 West Bank Office Building, 1300 S 2nd St, Minneapolis, MN, 55454, USA.
Institute of HIV Prevention and Control, Guangxi Zhuang Autonomous Region Center for Disease Control and Prevention, 18 Jinzhou Road, Nanning, 530028, Guangxi, China.
Infect Agent Cancer. 2022 Mar 24;17(1):12. doi: 10.1186/s13027-022-00426-2.
Co-infection with HIV is a strong risk factor for cervical cancer development. It is unknown whether women with HIV in Guangxi, China are utilizing currently available cervical cancer screening services, what barriers they face, and if they are aware of their increased risk of developing cervical cancer.
Using a cross-sectional design, we administered a survey to women with HIV aged 21-65 years from August to October 2019 in Guangxi, China. A 100-item survey was designed in English and translated into Chinese. We assessed knowledge, attitudes, and beliefs about cervical cancer and cervical cancer screening, identified potential barriers and facilitators of cervical cancer screening programs for women with HIV, and assessed potential risk factors for cervical cancer.
A total of 101 participants completed the survey. The median age of participants was 38 years (IQR 34.5-44 years). Forty-seven percent of the women had been screened for cervical cancer at least once. The mean score was 5.6 out of 9 (95% CI 5.3-6.0) on the knowledge about cervical cancer and screening and 6.3 out of 10 (95% CI 5.9-6.6) for cervical cancer risk factors, respectively. Facilitators of participating in cervical cancer screening included trust and openness to healthcare workers having conversations about female health concerns. Barriers identified in our study included knowledge gaps in cervical cancer risk awareness and cervical cancer screening awareness, including the lack of knowledge of available cervical cancer screening services. Women with HIV in Guangxi are under-screened for cervical cancer.
When designing tailored cervical cancer screening programs for women with HIV in Guangxi, educational programs to address existing knowledge gaps will be needed to increase screening uptake in this high-risk population.
合并感染艾滋病毒是宫颈癌发生的一个重要危险因素。中国广西感染艾滋病毒的女性是否正在利用现有的宫颈癌筛查服务、她们面临哪些障碍以及是否意识到自己患宫颈癌的风险增加尚不清楚。
采用横断面设计，于2019年8月至10月对中国广西21至65岁感染艾滋病毒的女性进行了一项调查。设计了一份100项的调查问卷，先用英文编写，然后翻译成中文。我们评估了对宫颈癌和宫颈癌筛查的知识、态度和信念，确定了针对感染艾滋病毒女性的宫颈癌筛查项目的潜在障碍和促进因素，并评估了宫颈癌的潜在危险因素。
共有101名参与者完成了调查。参与者的中位年龄为38岁（四分位间距34.5 - 44岁）。47%的女性至少接受过一次宫颈癌筛查。关于宫颈癌及筛查的知识平均得分为9分中的5.6分（95%置信区间5.3 - 6.0），关于宫颈癌危险因素的平均得分为10分中的6.3分（95%置信区间5.9 - 6.6）。参与宫颈癌筛查的促进因素包括信任医护人员并愿意与其谈论女性健康问题。我们研究中确定的障碍包括宫颈癌风险意识和宫颈癌筛查意识方面的知识差距，包括对现有宫颈癌筛查服务缺乏了解。广西感染艾滋病毒的女性宫颈癌筛查不足。
在为广西感染艾滋病毒的女性设计量身定制的宫颈癌筛查项目时，需要开展教育项目来填补现有的知识空白，以提高这一高危人群的筛查接受率。
