Barriers to Cervical Cancer Screening in Burkina Faso: Needs for Patient and Professional Education
Barriers to Cervical Cancer Screening in Burkina Faso: Needs for Patient and Professional Education
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DOI：
10.1007/s13187-015-0898-9
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发表时间：
2016-12-01
影响因子：
1.6
通讯作者：
Soliman, Amr S.
中科院分区：
文献类型：
--
作者：
Compaore, Salomon;Ouedraogo, Charlemagne M. R.;Soliman, Amr S.
宫颈癌是布基纳法索等低收入非洲国家妇女癌症死亡的主要原因之一。鉴于宫颈癌是一种通过早期发现和接种疫苗可以预防的疾病，本研究旨在了解在布基纳法索首都瓦加杜古早期发现宫颈癌的障碍。2014年5月至8月期间，在Yalgado Ouedraogo大学医院对寻求宫颈癌筛查和治疗的妇女（n = 351）进行了采访，了解她们对宫颈癌的知识、态度和做法。访谈问题引出了参与者的社会人口学信息、筛查史、宫颈癌知识和对宫颈癌筛查的态度。对问题和知识的回答进行评分，并使用分布的标题进行比较。采用多因素logistic回归预测宫颈筛查。研究参与者相对年轻（37.5 +/- 10.7岁），主要是城市居民（83.8%），超过一半的人没有或低于高中学历。超过90%的参与者听说过子宫颈癌，其中约55%的人对该疾病、其筛查和/或风险因素有中等程度的了解。农村居民的知识水平低于城镇居民。筛查的预测因素包括较高的教育水平(优势比(OR) = 2.2；95%可信区间（CI） 1.48-3.23)、年龄较大（OR = 1.1; 95% CI 1.06-1.12）、较高的社会经济标准（SES） （OR = 1.5; 95% CI 1-2.37）、城市居住（OR = 2.0; 95% CI 1.19-3.25）、鼓励卫生保健工作者进行筛查（OR = 1.98; 95% CI 1.06-3.69）和就业（OR = 1.9; 95% CI 1.13-3.11）。认识不足和社会经济障碍导致妇女未充分利用筛查服务。卫生保健工作者的动机和教育是提高筛查率的重要因素。在布基纳法索和非洲其他资源匮乏的国家，有组织的妇科服务患者和专业教育项目是必要的。
Cervical cancer is among the leading causes of cancer deaths for women in low-income African countries, such as Burkina Faso. Given that cervical cancer is a preventable disease through early detection and vaccination, this study aimed at understanding the barriers to cervical cancer early detection in Ouagadougou, the capital city of Burkina Faso. Women seeking screening and treatment for cervical cancer (n = 351) during the period of May-August 2014, at the Yalgado Ouedraogo University Hospital, were interviewed about their knowledge, attitudes, and practices toward cervical cancer. Interview questions elicited information about sociodemographic of participants, history of screening, knowledge of cervical cancer, and attitudes toward cervical screening. Scores were assigned to responses of questions and knowledge, and tertitles of distributions were used for comparison. A multivariate logistic regression was performed to predict cervical screening. Study participants were relatively young (37.5 +/- 10.7 years) and predominately resident of urban areas (83.8 %), and over half had no or less than high school education. Over 90 % of participants had heard about cervical cancer, and about 55 % of them had intermediate-level knowledge of the disease, its screening, and/or risk factors. Knowledge level was lower among rural than urban residents. Predictors of screening included higher level of education (odds ratio (OR) = 2.2; 95 % confidence interval (CI) 1.48-3.23), older age (OR = 1.1; 95 % CI 1.06-1.12), higher socioeconomic standard (SES) (OR = 1.5; 95 % CI 1-2.37), urban residence (OR = 2.0; 95 % CI 1.19-3.25), encouragement for screening by a health care worker (1.98; 95 % CI 1.06-3.69), and employment (OR = 1.9; 95 % CI 1.13-3.11). Low awareness and socioeconomic barriers lead to underutilization of screening services of women. Motivation and education by healthcare workers are important factors for increasing screening rates. Organized patient and professional education programs in gynecologic services are warranted for improving screening in Burkina Faso and other low-resource countries in Africa.