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女性对涂片检查和宫颈癌的态度及认知。

Women's attitudes to and awareness of smear testing and cervical cancer.

作者信息

Yu C K, Rymer J

机构信息

Guy's Hospital, London Bridge, London SE1 9RT, UK.

出版信息

Br J Fam Plann. 1998 Jan;23(4):127-33.

PMID:9882766
Abstract

A cross sectional survey consisting of a questionnaire of 650 randomly selected women aged 15 to 78 years was performed to gain an insight into women's attitudes to and awareness of smear testing and cervical cancer. Their general health and screening history were noted along with their knowledge of the smear test and cervical cancer. Of the respondents, 80.5 per cent had had at least one smear test and 71.5 per cent of these women have regular smears. The majority of the women (66.9 per cent) thought the test 'no problem' and those who found the test 'embarrassing, painful or troublesome' were of a younger age group. Overall, 76.2 per cent perceived the disease to be a common one. 32.6 per cent of the respondents thought the age group 40s to 50s to be most affected by cervical cancer. On the whole, women appeared to be well informed of the link between the number of sexual partners and cervical cancer as well as recognising smoking to be a contributing factor. A substantial proportion (91.7 per cent) of women were of the attitude that cancer can be treated if detected early enough. The perceived barrier such as embarrassment and discomfort played a part in women's decision in returning for a regular smear. By influencing the awareness and perceptions through public health education as well as creating an appropriate environment for the test, this can indeed help to reduce personal perceived barriers and increase the uptake of smear testing.

摘要

我们开展了一项横断面调查,对650名年龄在15至78岁之间的女性进行问卷调查,以深入了解女性对涂片检查和宫颈癌的态度及认识。记录了她们的总体健康状况和筛查史,以及她们对涂片检查和宫颈癌的了解情况。在受访者中,80.5%的女性至少进行过一次涂片检查,其中71.5%的女性定期进行涂片检查。大多数女性(66.9%)认为该检查“没问题”,而那些觉得检查“尴尬、疼痛或麻烦”的女性年龄较小。总体而言,76.2%的人认为这种疾病很常见。32.6%的受访者认为40多岁至50多岁的年龄组受宫颈癌影响最大。总体而言,女性似乎对性伴侣数量与宫颈癌之间的联系以及吸烟是一个促成因素有充分了解。很大一部分女性(91.7%)认为如果能尽早发现,癌症是可以治疗的。诸如尴尬和不适等感知障碍在女性决定是否定期进行涂片检查方面起到了一定作用。通过公共卫生教育影响她们的认识和观念,并营造适宜的检查环境,确实有助于减少个人感知障碍,提高涂片检查的接受率。

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