Awareness and prevalence of cervical cancer screening among women in Nepal

Awareness and prevalence of cervical cancer screening among women in Nepal
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DOI:
10.1016/j.ijgo.2015.11.019
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发表时间:
2016-07-01
影响因子:
3.8
通讯作者:
Groen, Reinou S.
Groen, Reinou S.
中科院分区:
医学4区
文献类型:
--
作者:
Ranjit, Anju;Gupta, Shailvi;Groen, Reinou S.

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目的:评估尼泊尔妇女对宫颈涂片检查的认识和流行程度。方法:对2015年5月25日至6月14日全国家庭调查的数据进行二次分析。纳入了从21-65岁女性中获得的信息。进行多元回归分析,以确定与接受宫颈涂片检查相关的因素。结果:共纳入829名女性。在816名回答有关调查问题的女性中,710名(87.0%)对子宫颈细胞检验一无所知。在829名妇女中,只有39名(4.7%)曾接受子宫颈细胞检验。在多变量分析中,接受宫颈涂片检查与识字(调整后的比值比[aOR] 3.26,95%置信区间[CI] 1.25-8.51; P=0.016)和居住在农村地区(aOR 0.48,95% CI 0.24-0.96; P = 0.038)相关。结论:尼泊尔妇女很少接受子宫颈涂片检查,文盲和农村地区妇女的患病率最低。为了提高筛查率,需要开展教育运动和农村宣传。(C)2016年国际妇产科联合会。由Elsevier爱尔兰有限公司出版。保留所有权利。
Objective: To estimate awareness and prevalence of cervical smear testing among women in Nepal. Methods: A secondary analysis of data obtained as part of a nationwide household survey between May 25 and June 14, 2015, was undertaken. Information obtained from women aged 21-65 years was included. Multiple regression analyses were performed to identify factors associated with having undergone cervical smear testing. Results: A total of 829 women were included. Among 816 women who answered the relevant survey question, 710 (87.0%) had no knowledge of cervical smear tests. Only 39 (4.7%) of the 829 women had ever undergone a cervical smear. In multivariate analysis, having undergone a cervical smear was associated with literacy (adjusted odds ratio [aOR] 3.26, 95% confidence interval [CI] 1.25-8.51; P=0.016) and living in rural areas (aOR 0.48, 95% CI 0.24-0.96; P = 0.038). Conclusion: Nepali women rarely undergo cervical smear screening, with the lowest prevalence recorded among the illiterate and those living in rural areas. To boost screening rates, educational campaigns and rural outreach are needed. (C) 2016 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.