摘要
目的:基于保护动机理论(PMT)视角,探讨影响育龄期妇女宫颈癌筛查意向的因素,为精准制定干预措施以提高宫颈癌筛查率提供依据。方法:2020年6月—2021年1月在新疆石河子市某三级甲等综合医院妇科门诊就诊的1153名育龄女性为研究对象,基于保护动机理论视角调查育龄期妇女宫颈癌筛查意向,分析影响育龄期妇女宫颈癌筛查意向的相关因素。结果:研究对象宫颈癌筛查意向得分9(8,10)分;单因素分析显示,不同年龄、婚姻状况、工作性质、文化程度、月收入、第一次性交年龄、性伴侣数、是否曾有医生建议,其宫颈癌意向得分比较,差异具有统计学意义(P<0.05);Spearman相关分析结果显示,育龄期妇女宫颈癌筛查意向得分与严重性(r=0.497)、易感性(r=0.360)、反应效能(r=0.493)和自我效能(r=0.383)呈正相关(P<0.01),宫颈癌筛查意向得分与内部奖励(r=-0.308)、外部奖励(r=-0.339)、反应代价(r-=0.227)呈负相关(P<0.01);多重线性回归分析显示,文化程度、第一次性交年龄、性伴侣数和宫颈癌筛查保护动机因素(严重性、易感性、内部奖励、反应效能、自我效能)是育龄期妇女宫颈癌筛查意向的主要影响因素(P<0.05)。结论:育龄期妇女宫颈癌筛查意向得分总体水平较高;PMT对育龄期妇女宫颈癌筛查意向具有一定解释作用,可根据不同妇女特点开展多种形式的健康教育,提高目标人群筛查意向。
Objective:To explore the influencing factors of cervical cancer screening intention among women of childbearing age from the perspective of protection motivation theory(PMT),and to provide the basis for the precise accurately formulation of intervention measures to improve the cervical cancer screening rate.Methods:From June 2020to January 2021,1153 women of childbearing age who were enrolled in the gynecological outpatient department of a third-class general hospital in Shihezi City,Xinjiang Province were selected as the research objects.Based on PMT,the intention of cervical cancer screening among women of childbearing age was investigated and the related factors affecting the intention of cervical cancer screening were analyzed.Results:Cervical cancer screening intention score of subjects was 9(8,10);univariate analysis showed that different age,marital status,work nature,education level,monthly income,age of first sexual intercourse,number of sexual partners,whether doctors had suggested,cervical cancer intention scores were statistically significant(P <0.05);Spearman correlation analysis showed that intention score of cervical cancer screening was positively correlated with severity(r=0.497),susceptibility(r=0.360),response efficacy(r=0.493)and selfefficacy(r=0.383)in women of childbearing age(P<0.01),while cervical cancer screening intention score was negatively correlated with internal reward(r =-0.308),external reward(r =-0.339)and response cost(r =-0.227)(P <0.01);multiple linear regression analysis showed that education level,age of first sexual intercourse,number of sexual partners and protective motivation factors(severity,susceptibility,internal reward,response efficacy and self-efficacy)were the main influencing factors of the intention of cervical cancer screening in women of childbearing age(P<0.05).Conclusion:The overall level of cervical cancer screening intention of women of childbearing age is high;PMT plays a certain role in explaining the intention of cervical cancer screening in women of ch
作者
鲁谨
黄艳华
朱明珠
Lu Jin;Huang Yanhua;Zhu Mingzhu(Department of Gynecology of the First Affiliated Hospital of Medical College,Shihezi University,Shihezi Xinjiang 832000;Cardiovascular Department II of the First Affiliated Hospital of Medical College,Shihezi University,Shihezi Xinjiang 832000)
出处
《山西中医药大学学报》
2022年第6期558-562,共5页
Journal of Shanxi University of Chinese Medicine
基金
石河子大学医学院第一附属医院院级基金项目(HL201902)。
