摘要
目的分析城市女性宫颈癌机会性筛查接受障碍原因及影响因素,提出促进女性宫颈癌筛查的策略与建议。方法对2009年1月—2015年3月随机抽取的重庆市内8家医院就诊的女性进行宫颈癌筛查接受意愿问卷调查。结果有效问卷11 965(98.9%)份,16.77%受访者不愿意接受宫颈癌机会性筛查,接受障碍前3位原因为"认为没有必要,相信自己没有问题"占44.44%,"不愿意或害怕妇科检查"占30.39%,"不知道筛查的意义"占10.71%。多因素logistic回归分析结果显示,年龄越小,文化程度越低越不愿意接受筛查;无业、未生育和生产次数≥3者,没有听说过宫颈癌、不知道宫颈癌筛查目的者均不愿意接受筛查。结论缺乏健康意识为筛查接受障碍的主要原因,建议增强宫颈癌筛查相关知识传播及认知,重点在青年女性、低学历、无业及未生育者、不了解宫颈癌及筛查者。
Objective To investigate the willingness to accept opportunistic screening for cervical cancer and its in- fluencing factors among urban women in Chongqing city for promoting cervical cancer screening. Methods A question- naire survey about the acceptance to receive cervical cancer opportunistic screening was conducted among gynecological disease and gynecological oncology clinic attendees randomly selected at 8 hospitals in Chongqing city during January 2009 to March 2015. Results A total of 11 965 valid questionnaires were collected and the response rate of the survey was 98.9%. Of all the eligible respondents, 16.77% were unwilling to accept cervical cancer opportunistic screening. ＂Having no symptoms/discomforts＂,＂ being unwilling or afraid of gynecological examination＂, and ＂not knowing the significance of cervical cancer screening＂ were the top three reasons for refusing to have cervical cancer opportunistic screening, with the ratios of 44.44%, 30.39% and 10.71%, respectively. The results of multivariate logistic regression analysis showed that the women at younger age and with relatively lower education were more likely to refuse cervical cancer screening compared to the women without these characteristics;the women being unemployed, without childbear- ing history or having delivery of 3 times or more, not having heard about cervical cancer screening, and not knowing the purpose of cervical cancer screening had significantly higher odds ratio for not receiving cervical cancer screening. Con- clusion Deficit in health consciousness is a main barrier for urban women to accept cervical cancer screening in Chongqing city, suggesting that education on cervical cancer screening needs to be promoted among the population, par- ticularly among the women of young age, with low education, being unemployed, without childbearing history, and having little knowledge of incident and screening of cervical cancer.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2017年第8期1166-1169,共4页
Chinese Journal of Public Health
基金
国家自然科学基金(81502669)
重庆市医学科技计划项目(2008-1-29)
重庆市卫生计生委医学科研项目(2016ZDXM032)
关键词
宫颈癌
机会性筛查
接受障碍
影响因素
cervical cancer
opportunistic screening
acceptance barrier
influencing factor
