Does Knowledge Influence Pap Test Screening Among Young African-American Women?
Does Knowledge Influence Pap Test Screening Among Young African-American Women?
复制标题
DOI：
10.1007/s13187-013-0543-4
复制
发表时间：
2014-09-01
影响因子：
1.6
通讯作者：
Fletcher, Faith E.
中科院分区：
文献类型：
--
作者：
Bynum, Shalanda A.;Guillaume, Daphnee A.;Fletcher, Faith E.
非裔美国女性的子宫颈抹片检查大幅增加。然而，与白人女性相比，非裔美国女性仍然承受着宫颈癌的负担。本研究的目的是评估巴氏试验知识对年轻非裔美国女性宫颈筛查史的影响。 2009 年 1 月至 4 月期间，来自美国东南部传统黑人学院和大学、符合研究纳入标准的 320 名女性完成了一份匿名自我报告调查问卷，以评估她们对人乳头瘤病毒和宫颈癌预防和控制相关的认识、知识和行为。 76% 的女性表示曾经进行过巴氏涂片检查，54% 的女性表示进行过巴氏涂片检查不到一年，25% 的女性表示曾经进行过巴氏涂片检查结果异常。六点子宫颈抹片检查知识量表的总体平均得分为 4.46 +/- 1.02。与从未出现异常结果的女性 (4.49 +/- 1.04) 相比，报告巴氏涂片检查结果异常 (4.96 +/- 0.82) 的女性对巴氏涂片检查的了解明显更高，p < 0.01。没有发现其他差异。努力提高所有女性（包括那些既往没有异常巴氏检查史的女性）的巴氏检查知识，对于宫颈癌的整个生命过程的预防和控制至关重要。此类努力应包括创建与人群相关的信息，并有助于就宫颈健康做出明智的决策。
Pap test screening among African-American women has substantially increased. However, African-American women continue to bear the burden of cervical cancer as compared to White women. The objective of this study was to assess the influence of Pap test knowledge on cervical screening history among young African-American women. Between January and April 2009, 320 women from historically black colleges and universities located in the southeastern United States who met study inclusion criteria completed an anonymous self-report questionnaire to assess their awareness, knowledge, and behaviors related to human papillomavirus and cervical cancer prevention and control. Seventy-six percent of women reported ever having a Pap test, 54 % reported having a Pap test less than 1 year ago, and 25 % reported ever having an abnormal Pap test result. The overall mean score on the six-point Pap test knowledge scale was 4.46 +/- 1.02. Women who reported having an abnormal Pap test (4.96 +/- 0.82) had significantly higher Pap test knowledge compared to those never having an abnormal result (4.49 +/- 1.04), p < 0.01. No other differences were found. Efforts to improve Pap test knowledge among all women, including those with no prior abnormal Pap test history, are critical to cervical cancer prevention and control over the life course. Such efforts should include creating information that is relevant to the population and enables informed decision making about cervical health.