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对到访克拉科夫一家私立妇科诊所的女性进行宫颈癌预防知识水平评估——一项试点研究。

Assessment of the level of knowledge on cervical cancer prevention among women visiting a private gynecological practice in Krakow - a pilot study.

作者信息

Kuzminski Clara, Podczerwińska Aneta, Rowiński Dawid, Baran Jan, Chamera-Cyrek Katarzyna, Sikora Oliwia, Prokop Dominika, Borek Mikołaj, Nawara-Baran Agnieszka, Marzec Kamil, Jabłoński Wiktor

机构信息

Oddział Chirurgii, Samodzielny Publiczny Zespół Opieki Zdrowotnej w Brzesku, Polska.

II Oddział Chorób Wewnętrznych i Kardiologii, Szpital Specjalistyczny im. Stefana Żeromskiego, Polska.

出版信息

Przegl Epidemiol. 2024 Dec 10;78(3):273-286. doi: 10.32394/pe/193374. Epub 2024 Sep 18.

DOI:10.32394/pe/193374
PMID:39660710
Abstract

BACKGROUND

In 2022, more than 650,000 new cases of cervical cancer and more than 340,000 deaths were registered worldwide. Poland has some of the highest incidence and mortality rates from cervical cancer in Europe, despite the Cervical Cancer Prevention Program implemented for many years. Nowadays, with more information available, women should not die from cervical cancer (CC). In order to achieve this goal, it is necessary to raise women's awareness about prevention, and to educate them about health-promoting behaviours.

OBJECTIVE

Assessing Knowledge of CC prevention in a pilot study conducted at a private gynecological clinic in Cracow.

MATERIAL AND METHODS

The study group consisted of 153 women aged 18 years and older visiting a private gynecological practice in Krakow, regardless of their place of residence. The study was conducted via the Internet, using a questionnaire consisting of a general part (socio-epidemiological data) and a specific part on knowledge of CC prevention (8questions). Statistical analysis was performed using Statistica13.3software.

RESULTS

The majority of women declared regular gynecological examinations, with 125 (81.7%) respondents visiting a gynecologist every 0.5-2 years. Only 10 (6.5%) female respondents answered all the knowledge survey questions correctly, excluding the question about RSM symptoms, which was correctly answered by only one person (0.6%). The statistical analysis revealed a significant correlation between respondents' age their knowledge of CC risk factors and the timing of the first cytological examination. The results indicate that older respondents have lower levels of knowledge on these topics. Women with higher education from large cities provided the most correct answers.

CONCLUSIONS

The surveyed women's knowledge of CC prevention is inadequate even in the group of women who report regularly for gynecological examinations. There is a need to continue educational activities on the principles of cytological examination, as well as the asymptomatic course of CC in its early stages. Although most women in the study group reported regular gynecological examinations, their knowledge about preventive screenings and CC is primarily acquired online. This suggests a need to intensify educational efforts within medical offices.

摘要

背景

2022年,全球登记的宫颈癌新发病例超过65万例,死亡病例超过34万例。尽管波兰实施了多年的宫颈癌预防计划,但其宫颈癌发病率和死亡率在欧洲却位居前列。如今,随着信息的增多,女性不应死于宫颈癌。为实现这一目标,有必要提高女性的预防意识,并对她们进行促进健康行为的教育。

目的

在克拉科夫一家私立妇科诊所进行的一项试点研究中评估宫颈癌预防知识。

材料与方法

研究组由153名18岁及以上的女性组成,她们前往克拉科夫的一家私立妇科诊所就诊,居住地不限。该研究通过互联网进行,使用的问卷包括一个一般部分(社会流行病学数据)和一个关于宫颈癌预防知识的特定部分(8个问题)。使用Statistica13.3软件进行统计分析。

结果

大多数女性宣称会定期进行妇科检查,125名(81.7%)受访者每0.5至2年看一次妇科医生。只有10名(6.5%)女性受访者正确回答了所有知识调查问题,不包括关于RSM症状的问题,该问题只有一人(0.6%)回答正确。统计分析显示,受访者的年龄与其对宫颈癌危险因素的了解以及首次细胞学检查的时间之间存在显著相关性。结果表明,年龄较大的受访者在这些主题上的知识水平较低。来自大城市且受过高等教育的女性给出的正确答案最多。

结论

即使在报告定期进行妇科检查的女性群体中,接受调查的女性对宫颈癌预防的知识也不足。有必要继续开展关于细胞学检查原则以及宫颈癌早期无症状病程的教育活动。尽管研究组中的大多数女性报告定期进行妇科检查,但她们关于预防性筛查和宫颈癌的知识主要是通过网络获得的。这表明需要加强医疗机构内部的教育工作。

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