Department of Epidemiology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 540139 Târgu Mureș, Romania.
Department of Obstetrics Gynecology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Târgu Mureș, 540139 Târgu Mureș, Romania.
Medicina (Kaunas). 2023 Oct 23;59(10):1885. doi: 10.3390/medicina59101885.
: Romania ranks among the countries with a particularly high rate of mortality that can be prevented through prevention programs, screening, early detection, and prompt care. Cervical cancer (CC) is a major cause of these preventable deaths, affecting individuals from marginalized and rural regions, as well as the Roma population. The purpose of this article was to identify accurate and consistent information about the Roma population on the risk of CC, as well as the importance of understanding the causes of the disease and awareness of the available prevention methods. : A cross-sectional study was conducted using a self-administered questionnaire applied only to Roma women in Romania. : We enrolled 759 patients in this study. These were divided into two groups: Group 1 comprised 289 (38.1%) women who had been tested for HPV infection, while Group 2 included 470 (61.9%) women who had never been tested for HPV infection. Characterization of women in Group 1: mostly aged between 25 and 54 years, with high school education, married, who started sexual activity under the age of 18 years, with only one sexual partner, and had over five pregnancies. Regarding contraceptive methods, 35.7% of women do not know or use any contraceptive method, and 32.2% use hormonal contraceptives. Two thirds of the women tested had heard of HPV, and 19.7% were vaccinated against HPV with at least 2-3 doses. A percentage of 8.7 had a diagnosis of CC, compared to those who were not tested (-0.0001), whereas 63% of the tested women did not know much about CC, as opposed to 85.7% of the group of untested women. : Cervical cancer (CC) continues to be a public health concern in Romania, particularly among vulnerable groups. Promoting campaigns to raise awareness for HPV vaccination and CC screening are necessary to reduce the associated mortality and morbidity.
罗马尼亚属于死亡率较高的国家之列，这些死亡率可以通过预防计划、筛查、早期发现和及时治疗来预防。宫颈癌（CC）是这些可预防死亡的主要原因，影响到来自边缘化和农村地区以及罗姆人群体的个人。本文的目的是确定有关罗姆人群体患 CC 风险的准确和一致信息，以及了解疾病原因和认识可用预防方法的重要性。
这是一项使用仅在罗马尼亚罗姆妇女中应用的自我管理问卷进行的横断面研究。
我们在这项研究中招募了 759 名患者。这些患者被分为两组：第 1 组包括 289 名（38.1%）接受过 HPV 感染检测的妇女，而第 2 组包括 470 名（61.9%）从未接受过 HPV 感染检测的妇女。第 1 组妇女的特征：年龄主要在 25 至 54 岁之间，受过高中教育，已婚，初次性行为年龄在 18 岁以下，性伴侣单一，怀孕超过五次。关于避孕方法，35.7%的妇女不知道或使用任何避孕方法，32.2%使用激素避孕药。三分之二接受过 HPV 检测的妇女听说过 HPV，19.7%的妇女接种了至少 2-3 剂 HPV 疫苗。与未接受检测的妇女相比，接受过检测的妇女中有 8.7%被诊断出患有 CC（-0.0001），而 63%的接受过检测的妇女对 CC 了解不多，而 85.7%的未接受过检测的妇女则对 CC 了解较多。
宫颈癌（CC）在罗马尼亚仍然是一个公共卫生问题，特别是在弱势群体中。有必要开展提高 HPV 疫苗接种和 CC 筛查意识的宣传活动，以降低相关死亡率和发病率。
