Massad L S, Meyer P, Hobbs J
Department of Obstetrics and Gynecology, Rush Medical College, Chicago, IL, USA.
Cancer Detect Prev. 1997;21(1):103-9.
To determine knowledge about cervical cancer screening among women referred to urban colposcopy clinics and to assess effects of colposcopy and directed teaching on knowledge deficits, a closed-ended questionnaire was distributed to 144 women at a university resident clinic before and after initial colposcopy. Results were compared with those of 42 patients attending a health maintenance organization (HMO) for the same procedure. Fewer than half of clinic patients correctly identified the nature of a Pap smear or the reason for their referral, but 84% knew that Pap smears were indicated annually. Fewer than 60% knew the nature of colposcopy or the organ that it evaluated, but 74% could identify its indication. Clinic patients' knowledge of colposcopy but not of Pap smears improved after colposcopy and teaching. While HMO patients had better overall understanding of Pap smears and colposcopy, a multivariate analysis found educational level to be the only significant predictor of this knowledge. Efforts to boost cervical cancer screening through improved understanding should be directed toward women with the least schooling without regard to other demographic factors.
为了确定转诊至城市阴道镜诊所的女性对宫颈癌筛查的了解程度，并评估阴道镜检查和针对性教学对知识欠缺的影响，在初次阴道镜检查前后，向一家大学附属医院的144名女性发放了一份封闭式问卷。将结果与42名因相同检查就诊于健康维护组织（HMO）的患者的结果进行比较。诊所患者中不到一半能正确识别巴氏涂片的性质或她们被转诊的原因，但84%的人知道巴氏涂片应每年进行。不到60%的人了解阴道镜检查的性质或其评估的器官，但74%的人能识别其适应症。阴道镜检查和教学后，诊所患者对阴道镜检查的知识有所提高，但对巴氏涂片的知识没有改善。虽然HMO患者对巴氏涂片和阴道镜检查的总体理解更好，但多变量分析发现教育水平是这种知识的唯一重要预测因素。通过提高认识来促进宫颈癌筛查的努力应针对受教育程度最低的女性，而不考虑其他人口因素。
