Abebaw Eden, Tesfa Mulugeta, Gezimu Wubishet, Bekele Firomsa, Duguma Abdissa
Debre Markos Referral Hospital, Debre Markos, Ethiopia.
Department of Public Health, College of Health Science, Debre Markos University, Debre Markos, Ethiopia.
SAGE Open Med. 2022 May 12;10:20503121221095931. doi: 10.1177/20503121221095931. eCollection 2022.
Cervical cancer is the fourth most common gynaecological cancer in the world. Its incidence and burden are high in developing regions, especially in sub-Saharan Africa. The World Health Organization plans to increase vaccination, screening, and treatment of cases to 90%, 70%, and 90%, respectively, in developing countries by 2030. Therefore, the aim of this study was to assess knowledge, attitudes, and practices of cervical cancer screening and predictors among female healthcare providers.
Institution-based cross-sectional survey was done from 4 March to 20 April 2019. The data were collected using a structured questionnaire. The data were entered into EpiData version 3.1 and analysed with SPSS version 25. Logistic regression analysis was used to identify associations. After controlling for confounders, an independent association was declared at a p-value of 0.05 with a 95% confidence interval.
Of a total of 404 participants, half were nurses. One hundred seventy-seven (43.8%) had adequate knowledge, 124 (30.7%) had a favourable attitude, and 35 (8.7%) had regular screening practice. The availability of trained personnel in the health facility and regular screening were variables associated with knowledge. Participants' attitude was shown association with profession, level of education, and knowledge. Moreover, knowledge of the causes of cervical cancer and knowledge of screening were variables significantly associated with screening practice.
Unfortunately, there is low adequate knowledge, low favourable attitude, and irregular screening practice of cervical cancer in the study area. Despite their own effects, their knowledge and attitude may affect the vast majority of their clients. Therefore, this finding calls for prompt action, such as training for participants to increase awareness, to shape their attitudes, and to increase the uptake of screening services.
宫颈癌是全球第四大常见妇科癌症。其发病率和负担在发展中地区较高，尤其是在撒哈拉以南非洲。世界卫生组织计划到2030年在发展中国家将宫颈癌疫苗接种率、筛查率和治疗率分别提高到90%、70%和90%。因此，本研究的目的是评估女性医疗服务提供者对宫颈癌筛查的知识、态度和实践情况以及预测因素。
于2019年3月4日至4月20日进行了基于机构的横断面调查。使用结构化问卷收集数据。数据录入EpiData 3.1版本，并使用SPSS 25版本进行分析。采用逻辑回归分析来确定关联。在控制混杂因素后，p值为0.05且置信区间为95%时宣布存在独立关联。
在总共404名参与者中，一半是护士。177人（43.8%）具备足够的知识，124人（30.7%）态度积极，35人（8.7%）有定期筛查的实践。医疗机构中受过培训的人员的可获得性和定期筛查是与知识相关的变量。参与者的态度与职业、教育水平和知识有关联。此外，对宫颈癌病因的了解和筛查知识是与筛查实践显著相关的变量。
遗憾的是，研究区域内对宫颈癌的足够知识水平较低、积极态度较少且筛查实践不规律。尽管她们自身的影响有限，但她们的知识和态度可能会影响绝大多数客户。因此，这一发现呼吁立即采取行动，如对参与者进行培训以提高认识、塑造他们的态度并增加筛查服务的接受度。
