Predictors of cervical cancer screening intention of HIV-positive women in the central region of Ghana
Predictors of cervical cancer screening intention of HIV-positive women in the central region of Ghana
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DOI：
10.1186/s12905-018-0534-z
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发表时间：
2018-02-27
影响因子：
2.5
通讯作者：
Ogah, Joseph Kwesi
中科院分区：
文献类型：
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作者：
Ebu, Nancy Innocentia;Ogah, Joseph Kwesi
背景：宫颈癌影响妇女，特别是艾滋病毒阳性的妇女。本研究假设，对于宫颈癌筛查具有高提示、高感知易感性、高感知严重性、高感知获益、低感知障碍的hiv阳性女性比具有低提示、低感知易感性、低感知严重性、低感知获益的hiv阳性女性有更多的意愿寻求宫颈癌筛查，以及高感知障碍。方法：对660名年龄在20至65岁之间的艾滋病毒阳性妇女进行描述性横断面研究，采用采访者管理的问卷。使用频率、百分比和二元逻辑回归分析对数据进行汇总。结果：调查结果显示，82% （n = 540）的受访者有意进行子宫颈癌筛查。hiv阳性妇女宫颈癌筛查意愿的决定因素为提示、感知严重性和感知益处。具体来说，高提示的hiv阳性妇女有意向进行筛查的可能性是低提示妇女的3.48倍（95% CI, 1.43-8.49）。严重程度高的患者有筛查意愿的可能性是严重程度低的患者的2.02倍（95% CI, 1.24-3.30）。同样，那些感觉获益高的人比那些感觉获益低的人有意向进行筛查的可能性高1.7倍（95% CI, 1.05-2.71）。然而，感知易感性（p = 0.063, OR 2.57, [95% CI, 0.95-6.93]）和感知障碍（p = 0.969, OR = 1.01, [95% CI, 0.54-1.88]）并不是研究样本中寻求宫颈癌筛查意愿的有统计学意义的预测因子。结论：针对艾滋病毒阳性妇女的宫颈癌筛查干预措施需要着重于解释疾病的严重性、筛查的益处，并增加筛查的线索，因为这些因素可以改善对宫颈癌筛查的态度，促进高危妇女的健康。
Background: Cervical cancer affects women, especially those with HIV-positive status. This study hypothesised that more HIV-positive women with high cues about cervical cancer screening, high perceived susceptibility to cervical cancer, high perceived seriousness of cervical cancer, high perceived benefits of cervical cancer screening, and low perceived barriers about cervical cancer screening have intention to seek cervical cancer screening than HIV-positive women with low cues, low perceived susceptibility, low perceived seriousness, low perceived benefits, and high perceived barriers.Methods: A descriptive cross-sectional study was conducted with 660 HIV-positive women aged 20 to 65 years using an interviewer administered questionnaire. Data were summarised using frequencies, percentages and binary logistic regression analysis.Results: The findings showed that 82% (n = 540) of the respondents had intention to seek cervical cancer screening. The determinants of cervical cancer screening intention by HIV-positive women were cues, perceived seriousness and perceived benefits. Specifically, HIV-positive women with high cues were 3.48 times more likely to have intention to screen than those with low cues (95% CI, 1.43-8.49). Those with high perceived seriousness were 2.02 times more likely to have intention to screen than those with low perceived seriousness (95% CI, 1.24-3.30). Similarly, those with high perceived benefits were 1.7 times more likely to have intention to screen than those with low perceived benefits (95% CI, 1.05-2.71). However, perceived susceptibility (p = 0.063, OR 2.57, [95% CI, 0.95-6.93]) and perceived barriers (p = 0.969, OR = 1.01, [95% CI, 0.54-1.88]) were not statistically significant predictors of intention to seek cervical cancer screening in the sample studied.Conclusions: Cervical cancer screening interventions for HIV-positive women need to have a strong focus on explaining the seriousness of the disease, benefits of screening, and increase cues about screening, as these factors could improve attitude towards cervical cancer screening and promote the health of high risk women.