尼日利亚西南部农村地区一个服务不足社区中女性不遵守阴道镜检查的预测因素。
The Predictors for Non-Adherence to Colposcopy among Women in an Underserved Community in Rural Southern Western Nigeria.
作者信息
Ajenifuja Kayode Olusegun, Adepiti Clement Akinfolarin, Okunola Temitope Omoladun
机构信息
Department of obstetrics, Gynaecology & Perinatology, Obafemi Awolowo University, Ile-Ife, Osun state, Nigeria.
Department of Obstetrics and Gynaecology, Ekiti State University, Ado- Ekiti, Ekiti State, Nigeria.
出版信息
Niger Med J. 2022 Sep 10;63(1):22-28. doi: 10.60787/NMJ-63-1-121. eCollection 2022 Jan-Feb.
BACKGROUND
Cervical cancer is the fourth most common cancer in women. It is a major public health problem in developing countries. Effective cervical cancer screening requires that women adhere to the screening program. The factors that influence adherence to colposcopy in rural areas of Nigeria are unknown. The objective of the study was to determine the factors that 0determine adherence and the sexual and reproductive factors that are associated with non-adherence of women to colposcopy.
METHODS
This is a cross-sectional study of a project undertaken to determine the age- specific incidence of Human Papillomavirus (HPV) infection in Irun Akoko, a rural town in Ondo state of Nigeria. A total of 492 women with abnormal results from 1420 women that were screened were recalled for colposcopy examination.
RESULTS
The non-adherence rate for colposcopy in this study was 25.8%. Women younger than 40years (p=0.0011) and those with number of living children ≤2 (p=0.04) are more likely to be non-adherent to colposcopy.
CONCLUSION
The non-adherence rate to colposcopy was high. Younger women and those with fewer children were more likely not to adhere to colposcopy.
背景
宫颈癌是女性中第四大常见癌症。在发展中国家，它是一个重大的公共卫生问题。有效的宫颈癌筛查要求女性坚持筛查计划。尼日利亚农村地区影响阴道镜检查依从性的因素尚不清楚。本研究的目的是确定决定依从性的因素以及与女性不坚持阴道镜检查相关的性和生殖因素。
方法
这是一项横断面研究，该项目旨在确定尼日利亚翁多州一个农村小镇伊伦阿科科人乳头瘤病毒（HPV）感染的年龄特异性发病率。对1420名接受筛查的女性中结果异常的492名女性进行召回，进行阴道镜检查。
结果
本研究中阴道镜检查的不依从率为25.8%。年龄小于40岁的女性（p = 0.0011）和存活子女数≤2的女性（p = 0.04）更有可能不坚持阴道镜检查。
结论
阴道镜检查的不依从率很高。年轻女性和子女较少的女性更有可能不坚持阴道镜检查。
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