Knowledge, attitude, practice and barriers of cervical cancer screening among women living in mid-western rural, Nepal.
Knowledge, attitude, practice and barriers of cervical cancer screening among women living in mid-western rural, Nepal.
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DOI：
10.3802/jgo.2018.29.e57
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发表时间：
2018-07
影响因子：
3.9
通讯作者：
Cai H
中科院分区：
文献类型：
--
作者：
Thapa N;Maharjan M;Petrini MA;Shah R;Shah S;Maharjan N;Shrestha N;Cai H
旨在了解尼泊尔中西部农村地区宫颈癌筛查的知识、态度、实践和障碍。进行了一项以医院为基础的横断面研究。使用结构化问卷对 20 岁或以上的女性进行采访，内容涉及社会人口统计信息、知识、态度、实践和宫颈癌筛查的障碍。本研究共招募了 360 名参与者，平均年龄为 30.13±10.4 岁。超过87%的参与者知识不足，但约72%的参与者对宫颈癌筛查持积极态度。有很大一部分女性（86.4%）从未做过任何宫颈癌筛查测试。尽管婆罗门和Chhetri族群的识字率较高，但他们参加宫颈癌筛查的可能性低于达利特和Janajati族群（p<0.001）；那些有阳性癌症家族史的人更有可能参加宫颈癌筛查（p<0.001）。同样，拥有足够知识和/或良好态度的已婚女性更有可能进行宫颈癌筛查，尽管统计上并不显着。 “无症状”、“缺乏认识”、“尴尬”等因素是宫颈癌筛查最常见的障碍。尼泊尔农村妇女对宫颈癌筛查的了解和实践很少，但大多数人持积极态度。迫切需要相关的宣传计划来促进宫颈癌筛查测试的采用。
To find out the knowledge, attitude, practice, and barriers of cervical cancer screening in mid-western rural, Nepal. A hospital-based cross-sectional study was conducted. Women aged 20 or more were interviewed using a structured questionnaire regarding the socio-demographic information, knowledge, attitude, practice, and barriers to the cervical cancer screening. Total of 360 participants were recruited for this study, mean age was 30.13±10.4 years. More than 87% of participants had inadequate knowledge, but around 72% had a favorable attitude towards cervical cancer screening. There was a significant portion of women (86.4%) had never done any cervical cancer screening test. Despite being higher literacy rate of Brahmin and Chhetri ethnic group, they were less likely to attend the cervical cancer screening than Dalit and Janajati (p<0.001); and those who had a positive family history of cancer were more likely to attend the cervical cancer screening (p<0.001). Similarly, married women, who had adequate knowledge and or favorable attitude, were more likely to practice cervical cancer screening, though statistically not significant. Factors such as “No symptoms,” “Lack of awareness,” “Embarrassment,” etc. were the most common barriers for the cervical cancer screening. The adequate knowledge and practice of cervical cancer screening were meager among rural Nepalese women, but most of them had a favorable attitude. There is an imperative need for related awareness programs to promote the uptake of cervical cancer screening tests.
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