Department of Gynecologic Oncology, National Cancer Institute, Bangkok, Thailand.
Department of Obstetrics and Gynecology, Phramongkutklao Hospital, Bangkok, Thailand.
PLoS One. 2023 May 18;18(5):e0286011. doi: 10.1371/journal.pone.0286011. eCollection 2023.
Knowledge about cervical cancer screening and Human papilloma virus (HPV) influence on their awareness to the cervical cancer screening program. Most previous studies found inadequate knowledge and attitude among healthy women affect the low rate of screening. This study aimed to assess knowledge of cervical cancer screening and HPV in women who had abnormal cervical cancer screening in Bangkok. Thai women, aged ≥ 18 years old, who had abnormal cervical cancer screening and scheduled to colposcopy clinics of 10 participating hospitals were invited to participate in this cross-sectional study. The participants were asked to complete a self-answer questionnaire (Thai language). The questionnaire composed of 3 parts: (I) demographic data, (II) knowledge about cervical cancer screening and (III) knowledge about HPV. Among 499 women who answered the questionnaires, 2 had missing demographic data. The mean age of the participants was 39.28 ± 11.36 years. 70% of them had experience of cervical cancer screening, with 22.7% had previous abnormal cytologic results. Out of 14 questions, the mean score of knowledge about cervical cancer screening was 10.04 ± 2.37. Only 26.9% had good knowledge about cervical cancer screening. Nearly 96% of woman did not know that screening should be done. After excluding 110 women who had never known about HPV, 25.2% had good knowledge about HPV. From multivariable analysis, only younger age (≤ 40 years) was associated with good knowledge of cervical cancer screening and HPV. In the conclusion, only 26.9% of women in this study had good knowledge regarding cervical cancer screening. Likewise, 20.1% of women who had ever heard about HPV has good knowledge about HPV. Providing information about cervical cancer screening and HPV should improve the women's knowledge and better adherence to the screening procedure.
关于宫颈癌筛查和人乳头瘤病毒（HPV）的知识会影响她们对宫颈癌筛查计划的认知。大多数先前的研究发现，健康女性的知识和态度不足会导致筛查率低。本研究旨在评估曼谷接受异常宫颈癌筛查的女性对宫颈癌筛查和 HPV 的认知。邀请年龄≥18 岁、接受异常宫颈癌筛查并计划到 10 家参与医院的阴道镜诊所就诊的泰国女性参加这项横断面研究。要求参与者完成一份自我回答问卷（泰语）。问卷由三部分组成：（I）人口统计学数据，（II）宫颈癌筛查知识和（III）HPV 知识。在 499 名回答问卷的女性中，有 2 名女性的人口统计学数据缺失。参与者的平均年龄为 39.28 ± 11.36 岁。70%的人有过宫颈癌筛查的经历，其中 22.7%有过异常细胞学结果。在 14 个问题中，宫颈癌筛查知识的平均得分为 10.04 ± 2.37。只有 26.9%的人对宫颈癌筛查有很好的了解。近 96%的女性不知道应该进行筛查。排除从未听说过 HPV 的 110 名女性后，25.2%的人对 HPV 有很好的了解。多变量分析显示，只有年龄较小（≤40 岁）与宫颈癌筛查和 HPV 的良好知识相关。总之，本研究中只有 26.9%的女性对宫颈癌筛查有很好的了解。同样，20.1%听说过 HPV 的女性对 HPV 有很好的了解。提供有关宫颈癌筛查和 HPV 的信息可以提高女性的知识水平，从而更好地遵守筛查程序。
