Public Health Nursing Department, Gulhane Faculty of Nursing, University of Health Sciences, Ankara, Türkiye.
Somalia Mogadishu Recep Tayyip Erdoğan Faculty of Health Sciences, University of Health Sciences, Mogadishu, Somalia.
BMC Womens Health. 2022 Jun 13;22(1):228. doi: 10.1186/s12905-022-01808-9.
Despite the early diagnosis and treatment of cervical cancer, it is still a significant public health problem in Somalia. This study was conducted to evaluate the knowledge and attitudes of healthcare professionals towards the early diagnosis of cervical cancer.
This study was conducted in Mogadishu, the capital of Somalia, between December 2020 and February 2021. The cross-sectional study consisted of a total of 280 healthcare professionals. The study data was collected using a questionnaire consisting of 38 questions evaluating the knowledge and attitudes of all healthcare professionals towards the early diagnosis of cervical cancer, an additional 15 questions for women only, and a total of 43 questions.
22.1% of the participants received cervical cancer training during vocational education and training. Cervical cancer education after graduation is 16.8%, and the rate of providing education to patients is only 29.6%. The rate of female healthcare professionals having a Pap smear test is 2%. The participants' cervical cancer total knowledge score was 16.5 ± 6.69, and the success rate was 63.46. The highest success rate in knowledge subgroup questions was HPV questions with 69.6. A statistically significant difference was found between the participants' profession, training on the subject during their vocational education, and total knowledge scores (p < 0.001). When the knowledge question subscales were compared, a significant difference was found between participants' gender and HPV questions subscale score (p = 0.028). A statistically significant difference was found between the participants' professions, receiving training on the subject during vocational training, and all subscales (p < 0.05). A statistically significant difference was found between the participants' income status and risk factors questions scores (p = 0.026).
This study shows that the knowledge and training of healthcare professionals working in a training and research hospital in Somalia for early cervical cancer diagnosis are not sufficient. In addition, it reveals that female healthcare professionals have almost no Pap smears. Therefore, studies and training should be planned to train all healthcare professionals, especially female healthcare professionals, and overcome all possible obstacles to the acceptance of the screening tests by women.
尽管宫颈癌的早期诊断和治疗已经取得了一定的进展，但在索马里，它仍然是一个严重的公共卫生问题。本研究旨在评估医疗保健专业人员对宫颈癌早期诊断的知识和态度。
本研究于 2020 年 12 月至 2021 年 2 月在索马里首都摩加迪沙进行。这项横断面研究共纳入了 280 名医疗保健专业人员。研究数据通过一份问卷收集，该问卷包含 38 个问题，评估所有医疗保健专业人员对宫颈癌早期诊断的知识和态度，另有 15 个问题仅针对女性，共计 43 个问题。
22.1%的参与者在职业教育培训中接受过宫颈癌培训。毕业后接受宫颈癌教育的比例为 16.8%，而向患者提供教育的比例仅为 29.6%。女性医疗保健专业人员进行巴氏涂片检查的比例为 2%。参与者的宫颈癌总知识得分为 16.5±6.69，成功率为 63.46%。在知识子问题中，HPV 问题的成功率最高，为 69.6%。参与者的职业、职业教育培训中该主题的培训以及总知识得分之间存在统计学显著差异（p<0.001）。当比较知识问题子量表时，参与者的性别和 HPV 问题子量表得分之间存在统计学显著差异（p=0.028）。参与者的职业、职业培训中该主题的培训以及所有子量表之间存在统计学显著差异（p<0.05）。参与者的收入状况和危险因素问题得分之间存在统计学显著差异（p=0.026）。
本研究表明，在索马里一所培训和研究医院工作的医疗保健专业人员对早期宫颈癌诊断的知识和培训不足。此外，研究还表明，女性医疗保健专业人员几乎没有进行巴氏涂片检查。因此，应计划开展研究和培训，对所有医疗保健专业人员，特别是女性医疗保健专业人员进行培训，并克服妇女接受筛查测试的所有可能障碍。
