Knowledge and practice about cervical cancer and Pap smear testing among patients at Kenyatta National Hospital, Nairobi, Kenya
Knowledge and practice about cervical cancer and Pap smear testing among patients at Kenyatta National Hospital, Nairobi, Kenya
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DOI：
10.1111/j.1525-1438.2003.13612.x
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发表时间：
2003-11-01
影响因子：
4.8
通讯作者：
Temmerman, M
中科院分区：
文献类型：
--
作者：
Gichangi, P;Estambale, B;Temmerman, M
浸润性宫颈癌(ICC)是发展中国家妇女癌症相关死亡的主要原因。以人群为基础的细胞学筛查和早期治疗确实减少了与宫颈癌相关的发病率和死亡率。与此类项目成功相关的一些因素包括对宫颈癌及其筛查的认识。本研究的目的是评估宫颈癌和非癌症患者对宫颈癌和巴氏涂片检测的知识和行为，并使用结构化问卷获取信息。51%的受访者知道宫颈癌，32%的受访者知道巴氏涂片检查。宫颈癌患者与非宫颈癌患者的知识水平差异无统计学意义。卫生保健提供者是有关巴氏试验的主要信息来源(82%)。过去只有22%的患者做过巴氏涂片检查。意识到宫颈癌的患者更有可能在过去接受过巴氏涂片测试。ICC和非癌症患者的知识水平较低。需要提高肯尼亚妇女对ICC和筛查的知识水平和认识，以增加对现有医院筛查设施的接受。
Invasive cervical cancer (ICC) is the leading cause of cancer-related death among women in developing countries. Population-based cytologic screening and early treatment does reduce morbidity and mortality associated with cervical cancer. Some of the factors related to the success of such a program include awareness about cervical cancer and its screening. The objective of this study was to assess knowledge and practice about cervical cancer and Pap smear testing among cervical cancer and noncancer patients using a structured questionnaire to obtain information. Fifty-one percent of the respondents were aware of cervical cancer while 32% knew about Pap smear testing. There were no significant differences in knowledge between cervical cancer and noncancer patients. Health care providers were the principal source of information about Pap testing (82%). Only 22% of all patients had had a Pap smear test in the past. Patients aware of cervical cancer were more likely to have had a Pap smear test in the past. The level of knowledge is low among ICC and noncancer patients. There is need to increase the level of knowledge and awareness about ICC and screening among Kenyan women to increase uptake of the currently available hospital screening facilities.