Knowledge about Cervical Cancer and Barriers of Screening Program among Women in Wufeng County, a High-Incidence Region of Cervical Cancer in China
Knowledge about Cervical Cancer and Barriers of Screening Program among Women in Wufeng County, a High-Incidence Region of Cervical Cancer in China
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DOI：
10.1371/journal.pone.0067005
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发表时间：
2013-07-02
期刊：
影响因子：
3.7
通讯作者：
Feng, Ling
中科院分区：
文献类型：
--
作者：
Jia, Yao;Li, Shuang;Feng, Ling
目的：宫颈癌筛查是降低宫颈癌发病率和死亡率的有效方法，但发展中国家尤其是农村地区的宫颈癌筛查出席率并不令人满意。五峰市是中国的宫颈癌高发区。本研究旨在了解五峰地区妇女宫颈癌筛查的相关问题及影响妇女宫颈癌筛查意愿的因素。研究对象与方法：采用横断面调查的方法，了解妇女对宫颈癌及筛查知识的掌握情况、人口统计学特征及筛查障碍。“确诊后感到焦虑”(47.6%)、“没有任何症状/不适”(34.1%)和“不知道子宫颈癌筛查的好处”(13.4%)是拒绝接受子宫颈癌筛查的三大原因。年龄在45岁以下或收入较低、有癌症家族史、中等教育或以上文化程度、知识水平较高、筛查障碍较少的妇女比没有这些特征的妇女更愿意参与宫颈癌筛查。结论：应努力提高妇女对宫颈癌的知识，特别是筛查方法，提高她们对筛查过程的认识，以降低宫颈癌的发病率和死亡率。
Purpose: Cervical cancer screening is an effective method for reducing the incidence and mortality of cervical cancer, but the screening attendance rate in developing countries is far from satisfactory, especially in rural areas. Wufeng is a region of high cervical cancer incidence in China. This study aimed to investigate the issues that concern cervical cancer and screening and the factors that affect women's willingness to undergo cervical cancer screening in the Wufeng area.Participants and Methods: A cross-sectional survey of women was conducted to determine their knowledge about cervical cancer and screening, demographic characteristics and the barriers to screening.Results: Women who were willing to undergo screenings had higher knowledge levels. "Anxious feeling once the disease was diagnosed'' (47.6%), "No symptoms/discomfort'' (34.1%) and "Do not know the benefits of cervical cancer screening'' (13.4%) were the top three reasons for refusing cervical cancer screening. Women who were younger than 45 years old or who had lower incomes, positive family histories of cancer, secondary or higher levels of education, higher levels of knowledge and fewer barriers to screening were more willing to participate in cervical cancer screenings than women without these characteristics.Conclusion: Efforts are needed to increase women's knowledge about cervical cancer, especially the screening methods, and to improve their perceptions of the screening process for early detection to reduce cervical cancer incidence and mortality rates.