School of Nursing, Birat Medical College Teaching Hospital, Morang, Nepal.
Department of Nursing, Birat Health College, Purbanchal University, Biratnagar, Nepal.
J Nepal Health Res Counc. 2023 Mar 10;20(3):755-760. doi: 10.33314/jnhrc.v20i3.4062.
Cervical cancer is a most common preventable public health problem. Despite availability of various screening services at Biratnagar, many barriers restrict its utilization. So, we aimed to assess the knowledge, practice and barriers of cervical cancer screening among 30-60 years married women in Biratnagar, Morang, Nepal.
We conducted a community based cross sectional study in Biratnagar Morang from December 2020 to December 2021. Consecutive sampling technique was used to collect data from 280 married women of 30-60 years. Ethical approval was obtained from Nepal Health Research Council and informed consent was taken from study participants. Data was collected by face to face interview using a semi structured questionnaire.
All participants had heard of cervical cancer. Most (93.9%) responded to multiple sexual partners as a risk factor and 97.9% responded to excessive vaginal bleeding as a symptom. Most (97.1%) responded that cervical cancer is preventable and 44.1% were aware of pap smear test. Eighty-four (30%) participants had ever been screened for cervical cancer. Unavailability of health insurance (85.2%), high cost of treatment (83.1%), lack of nearby service availability (70.9%), embarrassment (44.8%), presence of male doctors (43.8%), problems in time management (28.01%), no advice from health care providers (22.9%), unaware of screening (15.8%) and beliefs on traditional healers (7.1%) were barriers.
In comparison to knowledge, practice of cervical cancer screening is low suggesting existence of know-do gap. Various barriers that prevent cervical cancer screening were evident.
宫颈癌是最常见的可预防的公共卫生问题之一。尽管比拉德讷格尔有各种筛查服务，但许多障碍限制了其利用。因此，我们旨在评估比拉德讷格尔、莫朗的 30-60 岁已婚妇女对宫颈癌筛查的知识、实践和障碍。
我们于 2020 年 12 月至 2021 年 12 月在比拉德讷格尔莫朗进行了一项基于社区的横断面研究。采用连续抽样技术从 30-60 岁的 280 名已婚妇女中收集数据。本研究获得了尼泊尔健康研究委员会的伦理批准，并获得了研究参与者的知情同意。使用半结构式问卷通过面对面访谈收集数据。
所有参与者都听说过宫颈癌。大多数（93.9%）人认为多个性伴侣是一个风险因素，97.9%的人认为阴道出血过多是一种症状。大多数（97.1%）人认为宫颈癌是可以预防的，44.1%的人知道巴氏涂片检查。84（30%）名参与者曾接受过宫颈癌筛查。医疗保险不可用（85.2%）、治疗费用高（83.1%）、附近服务缺乏（70.9%）、尴尬（44.8%）、男医生在场（43.8%）、时间管理问题（28.01%）、缺乏医疗保健提供者的建议（22.9%）、不知道筛查（15.8%）和对传统治疗师的信仰（7.1%）是障碍。
与知识相比，宫颈癌筛查的实践率较低，表明存在知识-实践差距。存在各种阻碍宫颈癌筛查的障碍。
