Yadav Akanksha, Dobe Madhumita, Paul Bobby, Taklikar Chandrashekhar
Department of Preventive and Social Medicine, All India Institute of Hygiene and Public Health, Kolkata, West Bengal, India.
Department of Health Promotion and Education, All India Institute of Hygiene and Public Health, Kolkata, West Bengal, India.
J Educ Health Promot. 2022 Apr 28;11:124. doi: 10.4103/jehp.jehp_392_21. eCollection 2022.
Despite the implementation of various cervical cancer preventive strategies by the Government of India, there is a scarcity of knowledge and consequent low utilization of cervical cancer screening services among women in India. This contributes to the burden of cervical cancer among Indian women. This study was conducted to assess perceived threat-regarding cervical cancer among women and to identify its explanatory factors in a slum area of Kolkata.
A cross-sectional study was conducted among 192 adult women from May to September 2019 in Kolkata. The multistage sampling technique was used using a structured schedule. Perceived threat to cervical cancer was measured using a composite score including perceived susceptibility and perceived severity constructs of the health belief model. Data were analyzed by descriptive statistics and multivariable logistic regression model using SPSS software version 16.
Overall, 22.9% of the participants had satisfactory levels of perceived threat to cervical cancer. Statistically significant association was found between unsatisfactory levels of perceived threat with reproductive age group (adjusted odds ratio [AOR] = 3.01; = 0.036), education level up to primary (AOR = 2.89; = 0.026), and unsatisfactory knowledge (AOR = 2.94; < 0.001) among respondents. The multivariable regression model was of good fit.
The study population had very unsatisfactory levels of perceived threat to cervical cancer. Thus, to increase cervical cancer screening uptake among women, it is necessary to tailor robust behavior change communication campaigns to increase the perception of susceptibility and severity, thereby increasing the perception of threat of cervical cancer among women.
尽管印度政府实施了各种宫颈癌预防策略，但印度女性对宫颈癌筛查服务的知识匮乏，导致其利用率较低。这加重了印度女性宫颈癌的负担。本研究旨在评估加尔各答一个贫民窟地区女性对宫颈癌的感知威胁，并确定其解释因素。
2019年5月至9月，在加尔各答对192名成年女性进行了一项横断面研究。采用多阶段抽样技术，使用结构化问卷。使用包括健康信念模型的感知易感性和感知严重性结构的综合评分来衡量对宫颈癌的感知威胁。使用SPSS软件版本16通过描述性统计和多变量逻辑回归模型对数据进行分析。
总体而言，22.9%的参与者对宫颈癌的感知威胁水平令人满意。在受访者中，发现感知威胁水平不满意与育龄组（调整比值比[AOR]=3.01；P=0.036）、小学及以下教育水平（AOR=2.89；P=0.026）以及知识不满意（AOR=2.94；P<0.001）之间存在统计学显著关联。多变量回归模型拟合良好。
研究人群对宫颈癌的感知威胁水平非常不理想。因此，为了提高女性宫颈癌筛查的接受率，有必要开展强有力的行为改变宣传活动，以提高对易感性和严重性的认识，从而增加女性对宫颈癌威胁的认识。
