文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

乌干达中部 Kyotera 区成年女性宫颈癌筛查意愿的相关因素:一项基于社区的横断面研究。

Correlates of intention to screen for cervical cancer among adult women in Kyotera District, Central Uganda: a community based cross-sectional study.

机构信息

Institute for Health and Equity, Medical College of Wisconsin, Milwaukee, WI, 53226, USA.

Uganda Martyrs University, Nkozi, Uganda.

出版信息

BMC Womens Health. 2024 May 18;24(1):296. doi: 10.1186/s12905-024-03129-5.


DOI:10.1186/s12905-024-03129-5
PMID:38762723
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11102156/
Abstract

INTRODUCTION: Cervical cancer continues to pose a major public health challenge in low-income countries. Cervical cancer screening programs enable early detection and effectively reduce the incidence of cervical cancer as well as late-stage diagnosis and mortality. However, screening uptake remains suboptimal in Uganda. This study assessed correlates of intention to screen for cervical cancer among women in the Kyotera district of Central Uganda. METHODS: We analyzed cross-sectional data collected to determine the effectiveness of community audio towers (CATs) as a modality of health communication to support cervical cancer prevention. Women (n = 430) aged 21-60 years without a prior history of cervical cancer screening were surveyed about demographics, sources of health information and cervical cancer screening intentions in 2020. We used generalized linear modelling with modified Poisson regression and backwards variable elimination to identify adjusted prevalence ratios and 95% confidence intervals (CI) to determine factors associated with intention to screen for cervical cancer. RESULTS: Half (50.2%) of the participants had intentions to screen for cervical cancer within twelve months and 26.5% had moderate knowledge about cervical cancer. Nearly half (46.0%) considered themselves at risk of cervical cancer. Compared to residents who primarily received their health information from social media and radio, participants who received health information primarily from CATs (aPR:0.64, 95% CI:0.52-0.80, p < 0.001) and TV (aPR:0.52, 95% CI:0.34-0.82, p = 0.005) had a lower prevalence of intention to screen for cervical cancer. The prevalence of intentions to screen for cervical cancer in twelve months was higher among those resided in town councils (aPR:1.44, 95% CI:1.12-1.86, p = 0.004) compared to rural areas, and higher among those who considered themselves to be at risk of cervical cancer (aPR:1.74, 95% CI:1.28-2.36, p < 0.001) compared to those who did not. CONCLUSIONS: We found suboptimal prevalence of intentions to screen for cervical cancer among women in central Uganda. Additional research and implementation projects are needed to increase cervical cancer screening. Targeting risk perceptions and behavioral approaches to increase intentions could be effective in future intervention work. Based on urban-rural differences, additional work is needed to support equitable sharing of information to support cancer prevention messaging; CATs and TV may best help reach those with lower intentions to screen based on our research.

摘要

简介:在低收入国家,宫颈癌仍然是一个重大的公共卫生挑战。宫颈癌筛查计划能够实现早期发现,并有效降低宫颈癌的发病率和晚期诊断及死亡率。然而,在乌干达,筛查的参与率仍然不理想。本研究评估了乌干达中部 Kyotera 区妇女进行宫颈癌筛查的意向相关因素。

方法:我们分析了为确定社区音频塔(CAT)作为支持宫颈癌预防的一种健康传播模式的有效性而收集的横断面数据。2020 年,对 430 名年龄在 21-60 岁之间、无宫颈癌筛查既往史的妇女进行了人口统计学、健康信息来源和宫颈癌筛查意向调查。我们使用广义线性模型进行分析,采用改良泊松回归和向后变量消除法,确定调整后的患病率比和 95%置信区间(CI),以确定与宫颈癌筛查意向相关的因素。

结果:有一半(50.2%)的参与者在 12 个月内有进行宫颈癌筛查的意向,26.5%的人对宫颈癌有中等程度的了解。近一半(46.0%)的人认为自己有患宫颈癌的风险。与主要通过社交媒体和广播获取健康信息的居民相比,主要通过 CAT(调整后患病率比:0.64,95%CI:0.52-0.80,p<0.001)和电视(调整后患病率比:0.52,95%CI:0.34-0.82,p=0.005)获取健康信息的参与者,其宫颈癌筛查意向的患病率较低。与农村地区相比,居住在城镇议会的参与者在 12 个月内进行宫颈癌筛查的意向更高(调整后患病率比:1.44,95%CI:1.12-1.86,p=0.004);与没有风险认知的参与者相比,认为自己有患宫颈癌风险的参与者(调整后患病率比:1.74,95%CI:1.28-2.36,p<0.001)进行宫颈癌筛查的意向更高。

结论:我们发现乌干达中部妇女进行宫颈癌筛查的意向率不理想。需要开展更多的研究和实施项目来提高宫颈癌筛查率。针对风险认知并采取行为干预措施来提高意向可能是未来干预工作的有效手段。基于城乡差异,需要开展更多工作,以支持公平分享信息,以支持癌症预防信息传递;根据我们的研究,CAT 和电视可能是提高低筛查意向人群参与度的最佳方式。

相似文献

[1]
Correlates of intention to screen for cervical cancer among adult women in Kyotera District, Central Uganda: a community based cross-sectional study.

BMC Womens Health. 2024-5-18

[2]
Women's intention to screen and willingness to vaccinate their daughters against cervical cancer - a cross sectional study in eastern Uganda.

BMC Public Health. 2017-3-14

[3]
Factors associated with uptake and acceptability of cervical cancer screening among female sex workers in Northeastern Uganda: A cross-sectional study.

PLoS One. 2025-1-24

[4]
Women's knowledge and attitudes towards cervical cancer prevention: a cross sectional study in Eastern Uganda.

BMC Womens Health. 2017-1-31

[5]
Factors associated with the intention to undergo Pap smear testing in the rural areas of Indonesia: a health belief model.

Reprod Health. 2021-6-30

[6]
Understanding the Low Level of Cervical Cancer Screening in Masaka Uganda Using the ASE Model: A Community-Based Survey.

PLoS One. 2015-6-1

[7]
Knowledge, attitudes, and practice of cervical cancer prevention among health workers in rural health centres of Northern Uganda.

BMC Cancer. 2021-2-3

[8]
Prevalence and predictors of cervical cancer screening among HIV-positive women in rural western Uganda: insights from the health-belief model.

BMC Cancer. 2023-12-8

[9]
Diagnostic and pre-treatment intervals among patients with cervical cancer attending care at the Uganda Cancer Institute: a cross-sectional study.

BMC Womens Health. 2023-11-27

[10]
Utilisation of Community Audio Towers in Health Education for Prevention of Cervical Cancer by Health Workers in Kyotera District, Uganda: A Cross-Sectional Study.

Risk Manag Healthc Policy. 2021-9-1

引用本文的文献

[1]
The relationship between rural residence and cervical cancer screening in three sub-Saharan countries with different national screening policies.

BMJ Glob Health. 2025-8-27

[2]
The role of co-infections and hormonal contraceptives in cervical intraepithelial neoplasia prevalence among women referred to a tertiary hospital in Western Kenya.

Infect Agent Cancer. 2025-2-24

[3]
High unmet needs for cervical cancer screening among women living with HIV in six African countries: A population-based study.

Int J STD AIDS. 2025-4

[4]
Correction: Correlates of intention to screen for cervical cancer among adult women in Kyotera District, Central Uganda: a community based cross-sectional study.

BMC Womens Health. 2024-12-21

[5]
The role of co-infections on cervical intraepithelial neoplasia prevalence in western Kenya.

Res Sq. 2024-10-15

[6]
Correction: Correlates of intention to screen for cervical cancer among adult women in Kyotera District, Central Uganda: a community based cross-sectional study.

BMC Womens Health. 2024-6-6

本文引用的文献

[1]
Cancer statistics, 2023.

CA Cancer J Clin. 2023-1

[2]
Global estimates of incidence and mortality of cervical cancer in 2020: a baseline analysis of the WHO Global Cervical Cancer Elimination Initiative.

Lancet Glob Health. 2023-2

[3]
Utilisation of Community Audio Towers in Health Education for Prevention of Cervical Cancer by Health Workers in Kyotera District, Uganda: A Cross-Sectional Study.

Risk Manag Healthc Policy. 2021-9-1

[4]
Factors associated with the intention to undergo Pap smear testing in the rural areas of Indonesia: a health belief model.

Reprod Health. 2021-6-30

[5]
Intention to Screen for Cervical Cancer in Debre Berhan Town, Amhara Regional State, Ethiopia: Application of Theory of Planned Behavior.

J Cancer Epidemiol. 2020-3-19

[6]
Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis.

Lancet Glob Health. 2019-12-4

[7]
Estimating the burden of cervical disease among HIV-infected women accessing screening services in South Africa: A model-based analysis.

S Afr Med J. 2018-2-27

[8]
Projected cervical Cancer incidence in Swaziland using three methods and local survey estimates.

BMC Cancer. 2018-6-7

[9]
Cervical cancer control in HIV-infected women: Past, present and future.

Gynecol Oncol Rep. 2017-7-21

[10]
Knowledge, attitude and practice for cervical cancer prevention and control among women of childbearing age in Hossana Town, Hadiya zone, Southern Ethiopia: Community-based cross-sectional study.

PLoS One. 2017-7-25

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索