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基于社区的横断面研究设计:女性宫颈癌筛查实践。

Cervical Cancer Screening Practice Among Women: A Community Based Cross-Sectional Study Design.

机构信息

Negelle Health Science College, Oromia, Ethiopia.

Adama Hospital Medical College, Adama, Ethiopia.

出版信息

Inquiry. 2023 Jan-Dec;60:469580231159743. doi: 10.1177/00469580231159743.

Abstract

Early detection of cervical cancer through screening practice in developing countries is still low. The study is aimed to determine cervical cancer screening practice and associated factors among women of age 25 to 59 years old. Community-based study design was employed and systematic sampling was used to get 458 samples. The data were entered into Epi info version 7.2.1.0 and exported to SPSS version 20 for cleaning and analysis. Binary and Multivariable Logistic regression was used and adjusted odds ratio with 95% CI at value <.05 was reported as significant value. Cervical screening practice among the study participants was 15.5%. Women's age 40 to 49 (AOR = 2.95, 95% CI = 0.94, 9.28), educational status (AOR = 4.19, 95% CI = 1.31, 13.37), employed women (AOR = 2.59, 95% CI = 1.01, 6.68), parity above 4 (AOR = 3.09, CI = 1.03, 9.31), sexual partners 2 to 3 (AOR = 5.32, CI = 2.33, 12.14), good knowledge about cervical cancer (AOR = 3.88; 95% CI = 1.83, 8.23) and positive attitude toward cervical cancer (AOR = 5.92, CI = 2.53, 13.87) were independently associated with cervical cancer screening practices. The study revealed that the utilization of cervical cancer screening was very low. Educational status, Women's age, number of sexual partners, knowledge, and attitude were significantly associated with cervical cancer screening practice. Therefore, intervention programs intended at improving cervical cancer screening practice among women should focus on the significant factors.

摘要

在发展中国家,通过筛查实践来早期发现宫颈癌的比例仍然较低。本研究旨在确定 25 至 59 岁女性的宫颈癌筛查实践和相关因素。采用基于社区的研究设计,并使用系统抽样获得 458 个样本。将数据输入 Epi info 版本 7.2.1.0 并导出到 SPSS 版本 20 进行清理和分析。使用二项和多变量逻辑回归,并报告具有 95%CI 的调整比值<.05 为显著值。研究参与者的宫颈癌筛查实践率为 15.5%。年龄在 40 至 49 岁的女性(AOR=2.95,95%CI=0.94,9.28)、教育程度(AOR=4.19,95%CI=1.31,13.37)、职业女性(AOR=2.59,95%CI=1.01,6.68)、产次大于 4 次(AOR=3.09,CI=1.03,9.31)、性伴侣 2 至 3 个(AOR=5.32,CI=2.33,12.14)、对宫颈癌有较好的了解(AOR=3.88;95%CI=1.83,8.23)和对宫颈癌的积极态度(AOR=5.92,CI=2.53,13.87)与宫颈癌筛查实践独立相关。研究表明,宫颈癌筛查的利用率非常低。教育程度、年龄、性伴侣数量、知识和态度与宫颈癌筛查实践显著相关。因此,旨在提高女性宫颈癌筛查实践的干预计划应重点关注这些重要因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d5d/10009050/a69a5a0a5d2b/10.1177_00469580231159743-fig1.jpg

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