Knowledge of cervical cancer screening and use of cervical screening facilities among women from various socioeconomic backgrounds in Durban, Kwazulu Natal, South Africa
Knowledge of cervical cancer screening and use of cervical screening facilities among women from various socioeconomic backgrounds in Durban, Kwazulu Natal, South Africa
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DOI：
10.1046/j.1525-1438.2002.01114.x
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发表时间：
2002-07-01
影响因子：
4.8
通讯作者：
Nkwanyana, N
中科院分区：
文献类型：
--
作者：
Wellensiek, N;Moodley, M;Nkwanyana, N
宫颈癌筛查的价值已得到证实。发达国家的此类筛查已实现发病率和死亡率下降约80%。尽管发展中国家的某些地区有筛查设施，但宫颈癌的发病率仍然很高，许多患者已处于晚期疾病。这项研究是在来自不同社会经济状况（低、中、高社会/经济背景）的女性中进行的。该评估通过问卷的方式进行。大多数来自较低社会经济状况且具有多种危险因素的患者不知道宫颈筛查或可用于此目的的设施。然而，尽管了解宫颈筛查并提供此类服务，但大多数来自较高社会和教育背景的女性（87%）并未接受宫颈筛查。大多数患者居住在提供或可能提供筛查的设施的 12 公里半径范围内。尽管一些患者 (36.7%) 曾在过去某个时间进行过筛查测试，但只有 27.3% 的患者报告曾进行过巴氏涂片检查。这是由于医疗保健提供者未能向患者传播有关宫颈筛查的原因和价值的信息。在来自较高社会经济群体的女性中，教育水平较高，并且对子宫颈抹片检查的了解与年龄无关。我们的结论是，仅仅提供宫颈癌筛查服务并不足以确保成功采用，因为筛查是一个多方面的实体。只有当医疗保健提供者向患者提供适当的信息并且患者主动利用此类筛查时，社会经济和教育环境的改善才能提高筛查计划的采用率。
The value of screening for cervical cancer has been proven. Such screening in developed countries has achieved a decrease in incidence and mortality by about 80%. Although screening facilities are available in certain parts of developing countries, the incidence of cervical cancer remains very high and many patients present with late stage disease.The study was performed among women from different socioeconomic circumstances (low, middle, and upper social/financial backgrounds). The assessment was performed by means of a questionnaire.The majority of patients from lower socio-economic circumstances with multiple risk factors were not aware of cervical screening or facilities available for this purpose. However, in spite of knowledge of cervical screening and the availability of such services, the majority of women (87%) from higher social and educational backgrounds did not undergo cervical screening. Most patients resided within a 12-kilometer radius of a facility that either provided or could potentially provide screening. Although some patients (36.7%) had had a screening test performed at some time in the past, only 27.3% of patients reported having had a Pap test. This was due to failure on the part of the healthcare giver to disseminate information to the patient regarding the reason and value of cervical screening. Among women from higher socioeconomic groups, the level of education was better and knowledge of the Pap test was not age-dependent. We conclude that the mere provision of a cervical cancer screening service is not sufficient to ensure successful uptake since screening is a multifaceted entity. Improvement of socioeconomic and educational circumstances should improve the uptake of a screening program only if the healthcare giver provides appropriate information to the patient and the patient takes the initiative to avail themselves of such screening.