Cervical Cancer Awareness and Screening in Botswana
Cervical Cancer Awareness and Screening in Botswana
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DOI：
10.1097/igc.0b013e318249470a
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发表时间：
2012-05-01
影响因子：
4.8
通讯作者：
Brewer, Noel T.
中科院分区：
文献类型：
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作者：
Mingo, Alicea M.;Panozzo, Catherine A.;Brewer, Noel T.
目的：由于巴氏涂片检查的筛查有限，宫颈癌仍然是许多发展中国家的主要死亡原因。我们力求更好地了解博茨瓦纳（宫颈癌发病率较高的中等收入非洲国家）女性对宫颈癌和筛查的看法。方法：我们于 2009 年 1 月采访了博茨瓦纳哈博罗内普通医学或人类免疫缺陷病毒 (HIV) 诊所的 289 名女性，这些诊所提供巴氏涂片检查。结果：约四分之三 (72%) 的受访者表示曾接受过巴氏涂片检查； HIV 阳性女性比 HIV 阴性女性更有可能接受子宫颈抹片检查（80% vs 64%；比值比，1.97；95% 置信区间，1.10-3.55）。在年龄较大、收入较高或听说过宫颈癌的女性中，筛查也更为常见。几乎所有参与者都表示希望进行子宫颈抹片检查。原因包括确定宫颈健康状况（56%）、改善整体健康状况（33%）以及获得早期治疗（34%）。大约一半 (54%) 的受访者表示，他们不知道宫颈癌的病因，而且几乎没有人将这种疾病归因于人乳头瘤病毒感染。结论：随着宫颈癌筛查的普及，研究结果可以为旨在提高宫颈癌意识和筛查接受度的干预措施提供信息。
Objective: Cervical cancer remains a leading cause of death in many developing countries because limited screening by Papanicolaou (Pap) smear. We sought to better understand women's beliefs about cervical cancer and screening in Botswana, a middle-income African country with high rates of cervical cancer.Methods: We interviewed 289 women attending general medicine or human immunodeficiency virus (HIV) clinics, where Pap testing was available, in Gaborone, Botswana, in January 2009.Results: About three fourths (72%) of the respondents reported having ever had a Pap smear; HIV-positive women were more likely to have had a Pap smear than HIV-negative women (80% vs 64%; odds ratio, 1.97; 95% confidence interval, 1.10-3.55). Screening was also more common among women who were older, had higher incomes, or had heard of cervical cancer. Almost all participants reported a desire to have a Pap smear. Reasons included to determine cervical health (56%), to improve overall health (33%), and to obtain early treatment (34%). About half (54%) of the respondents said they did not know what causes cervical cancer, and almost none attributed the disease to human papillomavirus infection.Conclusions: Study findings can inform interventions that seek to increase cervical cancer awareness and uptake of screening as it becomes more widely available.