Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Front Public Health. 2023 Sep 15;11:1269393. doi: 10.3389/fpubh.2023.1269393. eCollection 2023.
Cervical cancer (CC) screening and prevention are crucial responsibilities of obstetrician-gynecologists (OB/GYNs). Our study aimed to investigate whether knowledge impacts OB/GYNs' ( = 42) adherence to CC prevention measures by comparing them to non-OB/GYN physicians ( = 80). An anonymous questionnaire collected demographic information, personal screening habits and evaluated their knowledge of CC prevention. Results revealed that OB/GYNs exhibited superior knowledge of CC risk factors and prevention compared to non-OB/GYNs. Of note, a lower percentage of OB/GYN residents correctly identified the recommended upper age limit for cervical screening and for HPV vaccination compared to attending OB/GYNs (50% vs. 83%, = 0.04 and 11% vs. 50%, = 0.01, respectively). Despite these findings, most physicians from both groups recommended HPV vaccination. Cervical screening rates were similar between OB/GYNs and non-OB/GYNs (75% vs. 83%, = 0.3). Half of OB/GYNs initiated their own cervical screening, similar to non-OB/GYNs. Interestingly, residents had higher HPV vaccination rates compared to attending physicians, irrespective of specialty (OB/GYNs - 38.89% vs. 4.76%, = 0.0149; non-OB/GYNs - 51.06% vs. 15.38%, = 0.0028). In conclusion, contrary to the assumption that physicians prioritize personal well-being, our study reveals the opposite. While skilled in guiding patients through CC screening and prevention, female OB/GYNs often neglect their own health. OB/GYNs must also be educated and supported in safeguarding their health, setting an essential example for patients.
宫颈癌（CC）筛查和预防是妇产科医生（OB/GYNs）的重要职责。我们的研究旨在通过比较妇产科医生（n=42）和非妇产科医生（n=80），来探讨知识是否会影响妇产科医生对 CC 预防措施的依从性。通过匿名问卷收集了人口统计学信息、个人筛查习惯，并评估了他们对 CC 预防的知识。结果表明，妇产科医生对 CC 危险因素和预防的知识优于非妇产科医生。值得注意的是，与妇产科医生相比，住院医师对推荐的宫颈筛查上限年龄和 HPV 疫苗接种年龄的正确识别率较低（50% vs. 83%，p=0.04 和 11% vs. 50%，p=0.01，分别）。尽管存在这些差异，但两组医生大多推荐 HPV 疫苗接种。妇产科医生和非妇产科医生的宫颈筛查率相似（75% vs. 83%，p=0.3）。一半的妇产科医生会进行自己的宫颈筛查，与非妇产科医生相似。有趣的是，与主治医生相比，住院医师的 HPV 疫苗接种率更高，且不论专业如何（妇产科医生 - 38.89% vs. 4.76%，p=0.0149；非妇产科医生 - 51.06% vs. 15.38%，p=0.0028）。总之，与人们认为医生会优先考虑自身健康的假设相反，我们的研究结果恰恰相反。虽然妇产科医生擅长指导患者进行 CC 筛查和预防，但她们往往忽视了自己的健康。妇产科医生也必须接受教育并得到支持，以保障自己的健康，为患者树立重要的榜样。
