Assessing Knowledge and Attitudes towards Cervical Cancer Screening among Rural Women in Eastern China.

Assessing Knowledge and Attitudes towards Cervical Cancer Screening among Rural Women in Eastern China.
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DOI:
10.3390/ijerph14090967
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发表时间:
2017-08-27
影响因子:
--
通讯作者:
Chen G
Chen G
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Liu T;Li S;Ratcliffe J;Chen G

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我国宫颈癌负担沉重。尽管中国政府为35至59岁的农村妇女提供免费宫颈癌筛查,但即使在中国东部较发达地区,筛查率仍然很低。本研究旨在评估中国东部地区30 ~ 65岁农村妇女对宫颈癌及其筛查的知识和态度。2015年8月在山东省济宁地区4个县进行了横断面研究。总共随机招募了420名农村妇女。每名妇女都参加了一次面对面的访谈,访谈中由一名受过训练的访谈员进行问卷调查。最终研究共纳入405名农村妇女(平均年龄49岁)。其中,210人(51.9%)具有较高的知识水平。绝大多数,389人(96.0%)表示积极的态度,而只有258人(63.7%)接受了宫颈癌筛查。筛查组的相关知识高于未筛查组。年龄、教育和收入与较高的知识水平显著相关。教育是与积极态度相关的唯一重要因素。此外,年龄较大或受过正规教育的妇女更有可能参加宫颈癌筛查。研究发现,中国东部农村妇女对宫颈癌的知识贫乏,尽管提供了免费的宫颈癌筛查计划,但筛查率不高。政府主导的提高公众对宫颈癌筛查方案的认识、知识和参与的举措可能对降低农村妇女宫颈癌发病率和死亡率非常有益。
There is a heavy burden of cervical cancer in China. Although the Chinese government provides free cervical cancer screening for rural women aged 35 to 59 years, the screening rate remains low even in the more developed regions of eastern China. This study aimed to assess knowledge and attitudes about cervical cancer and its screening among rural women aged 30 to 65 years in eastern China. A cross-sectional study was conducted in four counties of Jining Prefecture in Shandong Province during August 2015. In total, 420 rural women were randomly recruited. Each woman participated in a face-to-face interview in which a questionnaire was administered by a trained interviewer. A total of 405 rural women (mean age 49 years old) were included in the final study. Among them, 210 (51.9%) participants had high knowledge levels. An overwhelming majority, 389 (96.0%) expressed positive attitudes, whilst only 258 (63.7%) had undergone screening for cervical cancer. Related knowledge was higher amongst the screened group relative to the unscreened group. Age, education and income were significantly associated with a higher knowledge level. Education was the only significant factor associated with a positive attitude. In addition, women who were older, or who had received a formal education were more likely to participate in cervical cancer screening. The knowledge of cervical cancer among rural women in eastern China was found to be poor, and the screening uptake was not high albeit a free cervical cancer screening program was provided. Government led initiatives to improve public awareness, knowledge, and participation in cervical cancer screening programs would likely be highly beneficial in reducing cervical cancer incidence and mortality for rural women.
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