Confusion regarding cervical cancer screening and chlamydia screening among sexually active young women.
Confusion regarding cervical cancer screening and chlamydia screening among sexually active young women.
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DOI：
10.1136/sextrans-2011-050289
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发表时间：
2012-02
影响因子：
3.6
通讯作者：
Ricciotti HA
中科院分区：
文献类型：
--
作者：
Ogbechie OA;Hacker MR;Dodge LE;Patil MM;Ricciotti HA
美国妇产科医生大会 (ACOG) 最近建议，对于 30 岁以下的低风险女性，应从 21 岁开始进行宫颈癌筛查，每两年进行一次。早期的研究表明，女性对宫颈癌筛查和衣原体筛查之间的差异的了解可能有限。这项研究评估了年轻女性对衣原体和宫颈癌筛查测试和时间表的了解。对某城市社区卫生服务中心妇产科门诊的 60 名 18-25 岁年轻女性进行了衣原体和宫颈癌筛查知识调查。大多数受访者回忆起曾接受过子宫颈抹片检查（93.3%）或衣原体检测（75.0%）。尽管许多受访者了解子宫颈抹片检查可以检查宫颈癌（88.3%）和人乳头瘤病毒（68.3%），但71.7%的受访者错误地认为子宫颈抹片检查可以筛查衣原体。没有受访者正确识别修订后的宫颈癌筛查时间表，83.3% 的受访者选择了年度筛查。很少有受访者 (23.3%) 确定年度衣原体筛查时间表，26.7% 的受访者不确定。城市社区卫生服务中心的许多年轻女性认为，宫颈癌筛查也可以筛查衣原体，并对衣原体筛查时间表感到困惑。由于对修订后的 ACOG 宫颈癌筛查指南的了解有限，当前较低的衣原体筛查率在这些新指南得到更多了解后可能会进一步下降。妇产科医生和初级保健提供者应教育年轻女性了解衣原体和宫颈癌筛查之间的差异，并鼓励性活跃的年轻女性每年进行衣原体筛查。
The American Congress of Obstetricians and Gynecologists (ACOG) recently recommended that cervical cancer screening begin at 21 years of age and occur biennially for low-risk women younger than 30 years. Earlier studies suggested that women may have limited understanding of the differences between cervical cancer screening and chlamydia screening. This study assessed the knowledge of chlamydia and cervical cancer screening tests and schedules in younger women. A survey regarding knowledge of chlamydia and cervical cancer screening was administered to 60 younger women aged 18–25 years in an obstetrics and gynaecology clinic at an urban community health centre. The majority of respondents recalled having had a Pap smear (93.3%) or chlamydia test (75.0%). Although many respondents understood that a Pap smear checks for cervical cancer (88.3%) and human papillomavirus (68.3%), 71.7% mistakenly believed that a Pap smear screens for chlamydia. No respondent correctly identified the revised cervical cancer screening schedule, and 83.3% selected annual screening. Few respondents (23.3%) identified the annual chlamydia screening schedule and 26.7% were unsure. Many younger women in an urban community health centre believed that cervical cancer screening also screens for chlamydia and were confused about chlamydia screening schedules. As there is limited knowledge of the revised ACOG cervical cancer screening guidelines, there is a risk that currently low chlamydia screening rates may decrease further after these new guidelines are better known. Obstetrician gynaecologists and primary care providers should educate younger women about the differences between chlamydia and cervical cancer screening and encourage sexually active younger women to have annual chlamydia screening.
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影响因子：
7.6
作者：
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通讯作者：
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作者：
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通讯作者：
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