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印度北部受过教育女性对宫颈癌的认知、态度及行为

Knowledge, Attitude, And Practices of The Educated Women of North India Toward Cervical Cancer.

作者信息

Miglani Ishita, Gandhi Urvashi, Laul Poonam

机构信息

Maulana Azad Medical College, Bahadur Shah Zafar Marg, New Delhi, India.

Department of Obstetrics and Gynaecology, Deen Dayal Upadhyaya Hospital, Hari Nagar, New Delhi, India.

出版信息

Indian J Community Med. 2025 Jan-Feb;50(1):202-206. doi: 10.4103/ijcm.ijcm_258_23. Epub 2025 Jan 23.

Abstract

Cervical cancer is a largely preventable disease that claimed the lives of more than 300 000 women in 2018. Hesitation to adopt cervical cancer screening strategies motivated us to find out the knowledge gaps and attitudes of the educated section toward these practices. An in-depth knowledge of this aspect will help us comprehend the barriers that are deterring women from accepting these practices. A cross-sectional survey was conducted from November 1, 2021, to November 30, 2021, to assess the public knowledge, attitudes, and practices regarding cervical cancer. The self-designed online questionnaire was shared on social media such as Telegram, WhatsApp, LinkedIn, and Facebook. Girls and women aged 15 years and more studying in educational institutions or those who have completed their graduation were asked to fill out the questionnaire if willing to do so anonymously. 824 respondents filled out the online survey. 75% of the respondents had good knowledge about pap smear and HPV vaccination. Only 80 respondents (9.7%) were vaccinated against HPV. 255 (30.9%) had been screened with a pap smear at least once in their lifetime. Screening with pap smear was never performed in 412 subjects, which constituted 50% of the respondents. A poor knowledge about the eligibility of pap smear and the availability of HPV as a screening modality may have contributed to a poor conversion to the regular practice of screening modalities. Awareness drives need to focus on these issues.

摘要

宫颈癌在很大程度上是一种可预防的疾病,2018年有超过30万女性死于该病。对采用宫颈癌筛查策略的犹豫促使我们去找出受过教育人群在这些筛查做法方面的知识差距和态度。对这方面的深入了解将有助于我们理解阻碍女性接受这些筛查做法的障碍。于2021年11月1日至2021年11月30日进行了一项横断面调查,以评估公众对宫颈癌的知识、态度和筛查做法。自行设计的在线问卷在Telegram、WhatsApp、领英和脸书等社交媒体上分享。就读于教育机构的15岁及以上的女孩和女性,或已完成学业的女性,若愿意匿名填写问卷即可参与。824名受访者填写了在线调查。75%的受访者对巴氏涂片检查和人乳头瘤病毒(HPV)疫苗接种有较好的了解。只有80名受访者(9.7%)接种了HPV疫苗。255名(30.9%)受访者一生中至少进行过一次巴氏涂片检查。412名受访者(占受访者的50%)从未进行过巴氏涂片检查。对巴氏涂片检查的适用情况以及HPV作为一种筛查方式的可及性了解不足,可能导致了筛查方式的常规应用转化率较低。宣传活动需要关注这些问题。

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