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埃塞俄比亚亚的斯亚贝巴接受医疗服务的女性宫颈癌筛查意愿及相关因素

Women's willingness for cervical cancer screening and associated factors among women attending health services in Addis Ababa, Ethiopia.

作者信息

Demas Tangute, Biku Teshale, Getinet Tewodros, Fantahun Bereket, Bekele Delayehu, Woldehawariat Negat, Muzemir Rahel, Shoarega Martha

机构信息

St Paul Hospital Millennium Medical College, School of Nursing, Addis Ababa 1271, Ethiopia.

School of Nursing, St Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.

出版信息

Ther Adv Reprod Health. 2024 Jun 7;18:26334941241253181. doi: 10.1177/26334941241253181. eCollection 2024 Jan-Dec.

DOI:10.1177/26334941241253181
PMID:38854993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11162127/
Abstract

BACKGROUND

Cervical cancer is one of the most common causes of cancer-related morbidity and mortality globally. In developed countries, effective screening programs reduced its burden. However, in Ethiopia, cervical cancer remains a major public health problem despite the screening service being available free of charge.

OBJECTIVE

The aim of this study was to assess women's willingness for cervical cancer screening services and associated factors among women attending health services in Addis Ababa, Ethiopia.

DESIGN

An institutional-based, analytic, cross-sectional study was conducted among sexually active women attending health facilities from August to September 2022.

METHODS

A pretested interviewer-administered questionnaire was used for data collection. Data were analyzed using SPSS version 25. Logistic regression was used to determine different variables' frequencies and associated factors. A value of <0.05 was considered statistically significant.

RESULT

Four hundred twenty-two women were approached, and 394 (93.4%) met the study inclusion criteria. Study participants had a minimum of 1 and a maximum of 6 sexual partners in their lives. A total of 256 (64.9%) study participants had heard about cervical cancer. Among those who heard about cervical cancer, only 22 (8.6%) had been tested for cervical cancer. Of those who did not receive cervical cancer screening, only 175 (47.0%) are willing to receive cervical cancer screening. Age, religion, marital status, place of residence, educational level, occupation, and hearing about cervical cancer were found to be statistically significant. Women who heard about cervical cancer were 15.2 times more likely to take the test compared to those who never heard about cervical cancer before the study.

CONCLUSION

Women's willingness to be screened for cervical cancer is low despite many of the study participants having more than one partner in their lives and being at risk for cervical cancer. Only a few participants had been screened for cervical cancer. Women who had heard about cervical cancer were more likely to take the screening service compared to those who had never heard it before. This highlights the need to prioritize raising awareness about the benefits of cervical cancer screening services.

摘要

背景

宫颈癌是全球癌症相关发病和死亡的最常见原因之一。在发达国家,有效的筛查项目减轻了其负担。然而,在埃塞俄比亚,尽管宫颈癌筛查服务免费提供,但它仍然是一个主要的公共卫生问题。

目的

本研究的目的是评估埃塞俄比亚亚的斯亚贝巴接受医疗服务的女性对宫颈癌筛查服务的意愿及相关因素。

设计

2022年8月至9月,在接受医疗设施服务的性活跃女性中开展了一项基于机构的分析性横断面研究。

方法

采用经过预测试的访谈式问卷进行数据收集。使用SPSS 25版软件进行数据分析。采用逻辑回归确定不同变量的频率及相关因素。P值<0.05被认为具有统计学意义。

结果

共接触了422名女性,其中394名(93.4%)符合研究纳入标准。研究参与者一生中最少有1个性伴侣,最多有6个性伴侣。共有256名(64.9%)研究参与者听说过宫颈癌。在听说过宫颈癌的人中,只有22名(8.6%)接受过宫颈癌检测。在未接受宫颈癌筛查的人中,只有175名(47.0%)愿意接受宫颈癌筛查。年龄、宗教、婚姻状况、居住地点、教育水平、职业以及听说过宫颈癌被发现具有统计学意义。在研究前,听说过宫颈癌的女性接受检测的可能性是从未听说过宫颈癌的女性的15.2倍。

结论

尽管许多研究参与者一生中拥有不止一个性伴侣且有患宫颈癌的风险,但女性接受宫颈癌筛查的意愿较低。只有少数参与者接受过宫颈癌筛查。与从未听说过宫颈癌的女性相比,听说过宫颈癌的女性更有可能接受筛查服务。这凸显了优先提高对宫颈癌筛查服务益处认识的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53c2/11162127/695d8cd79ab6/10.1177_26334941241253181-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53c2/11162127/f47a716d8e01/10.1177_26334941241253181-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53c2/11162127/e42c84fe9a1c/10.1177_26334941241253181-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53c2/11162127/2b5a9c28051d/10.1177_26334941241253181-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53c2/11162127/695d8cd79ab6/10.1177_26334941241253181-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53c2/11162127/f47a716d8e01/10.1177_26334941241253181-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53c2/11162127/e42c84fe9a1c/10.1177_26334941241253181-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53c2/11162127/2b5a9c28051d/10.1177_26334941241253181-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53c2/11162127/695d8cd79ab6/10.1177_26334941241253181-fig4.jpg

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