生殖年龄段妇女宫颈癌筛查的流行率及其预测因素：罗塔克和德里的横断面研究证据。
Prevalence and Predictors of Cervical Cancer Screening among Reproductive Age Group Women: Evidence from Cross-Sectional Study in Rohtak and Delhi.
机构信息
MAMTA Health Institute for Mother and Child, B-5, Greater Kailash Enclave II, New Delhi, India.
出版信息
Asian Pac J Cancer Prev. 2022 Aug 1;23(8):2771-2777. doi: 10.31557/APJCP.2022.23.8.2771.
BACKGROUND
The present study aims to estimate the prevalence and determine the factors for cervical cancer screening among women in the reproductive age group in Delhi and Rohtak, India.
METHODS
The data were utilized from a survey conducted as part of a larger study to increase the access to cervical cancer screening and care by MAMTA-Health Institute for Mother and Child in collaboration with the Health Departments of Palam, New Delhi, and Rohtak, Haryana between 2015 and 2017. Data pertaining to the socio-economic and demographic information along with the information related to cervical cancer screening were utilized for the present study. The sample size was 1020 women in reproductive age group. Descriptive statistics (percentage and frequency distribution), bivariate analysis along with multivariable analysis were done to represent the results. The Fisher exact test was used to test the level of significance during bivariate analysis.
RESULTS
About 35.2% [Delhi: 44.9% and Rohtak: 23.8%] of the respondents had heard about cervical cancer screening. Further about 3.9% [Delhi-2.9% and Haryana-5.1%] had screened for cervical cancer. Women who had heard about cervical cancer were five times more likely to go for screening [aOR: 5.27; CI: 2.53,10.96]. It was found that women over 30 years of age had 12.04 significantly higher odds of going for cervical cancer screening in reference to women aged 30 years and less [aOR: 12.04; CI: 3.01,53.20]. Women from households with a monthly income of more than 15000 had 2.98 significantly higher odds of going for cervical cancer screening in reference to women from households with an income of 5000 and less [aOR : 2.98; CI: 1.12,9.09].
CONCLUSION
Findings suggest that awareness about cervical cancer screening test along with its thorough knowledge about its benefits would be an effective intervention to increase the uptake of cervical cancer screening.
背景
本研究旨在估计德里和罗塔克（印度哈里亚纳邦）育龄妇女宫颈癌筛查的流行率，并确定相关因素。
方法
本研究的数据来源于 2015 年至 2017 年期间，MAMTA-Health Institute for Mother and Child 与新德里 Palam 区和哈里亚纳邦罗塔克区卫生部门合作开展的一项更大规模研究中的一项调查。本研究使用了与社会经济和人口统计信息以及宫颈癌筛查信息相关的数据。样本量为 1020 名育龄妇女。采用描述性统计（百分比和频数分布）、单变量分析和多变量分析来表示结果。在单变量分析中使用 Fisher 确切检验来检验显著性水平。
结果
约 35.2%[德里：44.9%和罗塔克：23.8%]的受访者听说过宫颈癌筛查。此外，约 3.9%[德里：2.9%和哈里亚纳邦：5.1%]的受访者进行了宫颈癌筛查。听说过宫颈癌的女性进行筛查的可能性是未听说过的女性的五倍[aOR：5.27；95%CI：2.53,10.96]。结果发现，与 30 岁以下的女性相比，30 岁以上的女性进行宫颈癌筛查的可能性高 12.04 倍[aOR：12.04；95%CI：3.01,53.20]。家庭月收入超过 15000 卢比的女性进行宫颈癌筛查的可能性比家庭月收入低于 5000 卢比的女性高 2.98 倍[aOR：2.98；95%CI：1.12,9.09]。
结论
研究结果表明，提高对宫颈癌筛查的认识以及对其益处的深入了解，将是增加宫颈癌筛查率的有效干预措施。
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