University of North Texas in Fort Worth.
Oncol Nurs Forum. 2023 Oct 19;50(6):679-691. doi: 10.1188/23.ONF.679-691.
To examine associations between a history of adverse childhood experiences (ACEs) and receiving preventive cervical cancer screening and to investigate whether number and type of ACE exposures were predictive of cervical cancer screening uptake.
SAMPLE & SETTING: Data were from 11,042 adults who completed the 2020 Texas Behavioral Risk Factor Surveillance System survey. The U.S. Preventive Services Task Force guidelines were used to indicate whether individuals had received cervical cancer screening at recommended intervals.
METHODS & VARIABLES: Multiple logistic regression analysis was used to predict the likelihood of not having received the recommended preventive cancer screening by number and type of ACE exposures. Chi-square analysis was used to determine associations among demographic characteristics, cancer screening uptake, and ACE number and type.
Individuals with one to three ACEs and those with six or more ACEs were statistically more likely not to have received the recommended cervical cancer screenings compared to those with zero ACEs. A history of physical ACEs was associated with 3.88 times the likelihood of not having received the recommended cervical cancer screening.
To promote timely cervical cancer screening and prevent retraumatization of patients with a history of ACEs, providers should implement trauma-informed care principles in their healthcare settings.
探讨不良童年经历（ACE）与接受预防性宫颈癌筛查之间的关联，并调查 ACE 暴露的数量和类型是否可预测宫颈癌筛查的接受率。
数据来自于 11042 名完成 2020 年德克萨斯州行为风险因素监测系统调查的成年人。使用美国预防服务工作组指南来指示个体是否在推荐的间隔内接受了宫颈癌筛查。
采用多项逻辑回归分析预测 ACE 暴露数量和类型与未接受推荐的预防性癌症筛查之间的可能性。卡方分析用于确定人口统计学特征、癌症筛查接受率以及 ACE 数量和类型之间的关联。
与无 ACE 者相比，有 1 至 3 个 ACE 者和有 6 个或更多 ACE 者不太可能接受推荐的宫颈癌筛查。身体 ACE 史与未接受推荐的宫颈癌筛查的可能性增加 3.88 倍相关。
为了促进及时的宫颈癌筛查并防止 ACE 史患者的再创伤，提供者应在其医疗保健环境中实施创伤知情护理原则。
