Assessment of knowledge about cervical cancer and its prevention among female students aged 17-26 years
Assessment of knowledge about cervical cancer and its prevention among female students aged 17-26 years
复制标题
DOI：
10.1016/j.ejogrb.2012.10.019
复制
发表时间：
2013-02-01
影响因子：
2.6
通讯作者：
Krzemieniecki, Krzysztof
中科院分区：
文献类型：
--
作者：
Kamzol, Wojciech;Jaglarz, Katarzyna;Krzemieniecki, Krzysztof
目的：了解波兰克拉科夫市女高中生和女大学生对宫颈癌及其一级和二级预防知识的了解情况，并确定宫颈癌相关知识的来源。研究设计：本研究采用问卷调查法，共64个问题，分为个人资料、宫颈癌常识、危险因素估计、一级预防知识、二级预防知识、信息来源6个部分。数据是在2011年和2012年三个月的时间里从17-26岁的学生中收集的。结果：400名居住在克拉科夫或其附近的妇女被纳入研究。几乎所有受访者（98.5%）都听说过子宫颈癌，89.4%知道子宫颈癌的死亡风险，44.8%认为该疾病会影响他们的未来。受访者认为遗传和家族史是最重要的风险因素，其次是人乳头瘤病毒（HPV）感染和有多个性伴侣。大多数（91.5%）受访者未接种HPV疫苗，47.9%的受访者不知道去哪里接种疫苗，30.1%的受访者不知道接种疫苗是一种预防方法。大多数（91.5%）受访者知道细胞学筛查，86.5%的人认为他们将来应该做。未听说过细胞学筛查的妇女比听说过细胞学筛查的妇女更有可能不知道宫颈癌（优势比0.24,95%可信区间0.11-0.49,p = 0.0001）。据报道，互联网、电视和报纸是有关这种疾病的主要信息来源。结论：波兰年轻妇女对宫颈癌的普遍认识不足。HPV感染不被认为是主要的病因。在这项研究中，相对较高比例的女性从未听说过HPV疫苗可以预防宫颈癌。然而，关于细胞学筛查的知识似乎要好得多。2012爱思唯尔爱尔兰有限公司版权所有。
Objective: To assess knowledge about cervical cancer and its primary and secondary prevention, and identify the sources of information about the disease among female high school and university students in Krakow, Poland.Study design: This study was based on a questionnaire consisting of 64 questions, divided into six parts: personal data, general knowledge about cervical cancer, estimation of risk factors, knowledge about primary prevention, knowledge about secondary prevention, and information sources. Data were collected from students aged 17-26 years over a 3-month period in 2011 and 2012.Results: Four hundred women living in Krakow or its vicinity were included in the study. Nearly all respondents (98.5%) had heard of cervical cancer, 89.4% were aware of the risk of death associated with cervical cancer, and 44.8% believed that the disease could affect them in the future. The interviewees considered genetics and family history to be the most important risk factors, followed by infection with human papillomavirus (HPV) and having multiple sex partners. Most (91.5%) respondents had not been vaccinated against HPV, 47.9% did not know where to go to get vaccinated, and 30.1% were unaware of vaccination as a prevention method. Most (91.5%) respondents were aware of cytological screening, and 86.5% thought that they, should have it done in the future. Women who had not heard of cytological screening were more likely to be unaware of cervical cancer than women who had heard about cytological screening (odds ratio 0.24, 95% confidence interval 0.11-0.49, p = 0.0001). The Internet, television and newspapers were reported to be the main sources of information about the disease.Conclusions: General awareness of cervical cancer among young women in Poland is insufficient. HPV infection is not considered to be the major aetiological factor. A relatively high percentage of women in this study had never heard of the HPV vaccine as a way of preventing cervical cancer. Knowledge about cytological screening, however, appears to be much better. (C) 2012 Elsevier Ireland Ltd. All rights reserved.