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巴基斯坦首都三级护理医院妇科门诊女性宫颈癌筛查的知识、态度和行为:一项横断面调查

Knowledge, Attitudes and Practices of Cervical Cancer Screening among Women Attending Gynecology Clinics at Tertiary Care Hospitals in the Capital City of Pakistan: A Cross-Sectional Survey.

作者信息

Khan Fouzia Zahid Ali, Mazhar Syeda Batool, Itua Imose

机构信息

Department of Public Health, University of Liverpool, United Kingdom.

Department of Obstetrics and Gynecology, Pakistan Institute of Medical Sciences. Islamabad, Pakistan.

出版信息

Asian Pac J Cancer Prev. 2025 Aug 1;26(8):2819-2825. doi: 10.31557/APJCP.2025.26.8.2819.

Abstract

OBJECTIVE

This study aimed to assess the current level of knowledge, attitudes, and perceptions regarding cervical cancer (CC) screening among women visiting gynecology clinics in tertiary care hospitals of Pakistan, and to identify preferred health promotion methods to enhance access to CC screening and vaccination services.

METHODS

A descriptive cross-sectional survey was conducted among women aged 21-55 years attending outpatient departments of obstetrics and gynecology. The study employed purposive sampling and utilized a pre-validated questionnaire. Data were analyzed using SPSS 21, with bivariate analysis and binary logistic regression to identify predictors of good knowledge.

RESULTS

The survey involved 370 women, revealing profound gaps in knowledge about CC, with 84.7% demonstrating poor understanding. A significant association was found between education, occupation, income, and knowledge of CC. Furthermore, nearly all respondents expressed a desire for more information on CC and preventive measures, with electronic social media identified as the preferred awareness-raising channel. Encouragingly, 99.7% of women showed willingness towards receiving HPV vaccination if provided free or at low cost.

CONCLUSION

The findings underscore a critical need for enhanced awareness and educational interventions to bridge the knowledge gap on CC screening and prevention among Pakistani women. Despite high willingness to engage in preventive practices, barriers such as lack of awareness, limited healthcare access, and socioeconomic factors hinder effective screening uptake. Advocacy and tailored health campaigns are crucial for mobilizing resources and political support to combat CC in Pakistan.

摘要

目的

本研究旨在评估巴基斯坦三级护理医院妇科门诊女性对宫颈癌(CC)筛查的知识、态度和认知水平,并确定首选的健康促进方法,以增加CC筛查和疫苗接种服务的可及性。

方法

对年龄在21 - 55岁的妇产科门诊女性进行描述性横断面调查。该研究采用立意抽样,并使用预先验证的问卷。使用SPSS 21对数据进行分析,采用双变量分析和二元逻辑回归来确定知识掌握良好的预测因素。

结果

该调查涉及370名女性,结果显示她们对CC的知识存在巨大差距,84.7%的人理解较差。研究发现教育程度、职业、收入与CC知识之间存在显著关联。此外,几乎所有受访者都表示希望获得更多关于CC及预防措施的信息,电子社交媒体被认为是首选的提高认识渠道。令人鼓舞的是,如果免费或以低成本提供HPV疫苗接种,99.7%的女性表示愿意接受。

结论

研究结果强调迫切需要加强宣传和教育干预,以弥合巴基斯坦女性在CC筛查和预防方面的知识差距。尽管女性参与预防措施的意愿很高,但诸如缺乏认识、医疗服务可及性有限以及社会经济因素等障碍阻碍了有效的筛查普及。宣传和量身定制的健康运动对于调动资源和政治支持以对抗巴基斯坦的CC至关重要。

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