Barriers to the Cervical Cancer Screening by CPC-28 Questionnaire: A Pilot Study.
Barriers to the Cervical Cancer Screening by CPC-28 Questionnaire: A Pilot Study.
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DOI：
10.26502/acbr.50170289
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发表时间：
2022
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本研究的目的是通过 CPC-28 调查问卷（“Creencias、Papanicolaou、Cancer-28”调查问卷 – 关于 Papanicolaou 和宫颈癌的信念）来识别和比较寻求和不寻求 CCS 的女性之间的宫颈癌筛查 (CCS) 障碍。一项试点研究在 20 个妇科部门进行，每个部门发送来自 5 名健康女性和 5 名未经治疗的宫颈癌女性的数据。这些女性完成了一份经过验证且标准化的调查问卷，其中包含 28 项陈述（CPC-28 调查问卷）。参与者被分为不寻求 CCS 的女性（8 名健康女性 vs 30 名患有宫颈癌的女性）和寻求 CCS 的女性（54 名健康女性 vs 43 名患有宫颈癌的女性）。使用四点李克特量表（项目评分从 1 到 4）来评估反应。进行线性变换来计算响应。 p 值 < 0.05 的差异被认为具有统计显着性。根据 CPC-28 的领域 1，不寻求 CCS 的女性与寻求 CCS 的女性相比，具有更高的障碍（中位数；四分位数范围：33.33；28.70–40.74 vs 14.82；7.41–29.63；p<0.001）。在非工作女性（OR；95% CI：2.458；1.127-5.358；p<0.024）、非育龄女性（OR；95% CI：3.302；1.421-7.671；p<0.006）和未患宫颈癌的女性（OR；95% CI： 4.709；1.960–11.317；p<0.001）。我们发现了在我们两个组中进行巴氏试验的障碍。对于未工作、未生育的女性和未患宫颈癌的女性，不寻求 CCS 的风险具有统计学意义。
The aim of this study was to identify and compare barriers to cervical cancer screening (CCS) between women seeking and not seeking CCS by CPC-28 questionnaire (‘Creencias, Papanicolaou, Cancer-28’ questionnaire – Beliefs about Papanicolaou and Cervical Cancer). A pilot study was performed in 20 gynecological departments, each department sending data from five healthy women and five untreated women with cervical cancer. The women completed a validated and standardized questionnaire with 28 statements (the CPC-28 questionnaire). The participants were divided into women not seeking CCS (8 healthy women vs 30 women with cervical cancer) and women seeking CCS (54 healthy women vs 43 women with cervical cancer). A four-point Likert scale (item score from 1 to 4) was used to assess responses. A linear transformation was made to calculate the responses. Differences with a p value of < 0.05 were considered statistically significant. The women not seeking CCS vs those seeking CCS had higher barriers according to Domain 1 of the CPC-28 (median; interquartile range: 33.33; 28.70–40.74 vs 14.82; 7.41–29.63; p<0.001). The risk of not seeking CCS was statistically significant in non-working (OR; 95 % CI: 2.458; 1.127–5.358; p<0.024), non-childbearing women (OR; 95 % CI: 3.302; 1.421–7.671; p<0.006) and women without cervical cancer (OR; 95 % CI: 4.709; 1.960–11.317; p<0.001). We identified barriers to having a Pap test in both of our groups. The risk of not seeking the CCS was statistically significant in non-working, non-childbearing women and women without cervical cancer.