Knowledge, attitudes and practices on cervical cancer screening among the medical workers of Mulago Hospital, Uganda.
Knowledge, attitudes and practices on cervical cancer screening among the medical workers of Mulago Hospital, Uganda.
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DOI：
10.1186/1472-6920-6-13
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发表时间：
2006-03-01
影响因子：
3.6
通讯作者：
Weiderpass, Elisabete
中科院分区：
文献类型：
--
作者：
Mutyaba, Twaha;Mmiro, Francis A;Weiderpass, Elisabete
背景：宫颈癌是乌干达最常见的女性癌症。在乌干达最大的医院穆拉戈国家转诊和教学医院确诊的妇女中，超过80%的人患有晚期疾病。妇科门诊和产后/计划生育诊所免费提供巴氏涂片筛查，这是机会性的，而不是系统性的。第三个和最后一个助理职位的医学生应该学习筛查技术。目的：了解马拉戈医院医务人员对宫颈癌的知识、态度和行为。方法：采用描述性横断面调查方法，对310名医务人员进行自填式问卷调查。我们测量了有关宫颈癌的知识：(危险因素、筛查资格和筛查技术)、对宫颈癌筛查的态度和筛查实践。结果：应答率为92%(285)。其中，93%的受访者认为宫颈癌是一个公共卫生问题，83%的受访者了解巴氏涂片。不到40%的人知道宫颈癌的危险因素、是否符合条件和筛查间隔。在女性受访者中，65%的人认为不容易患宫颈癌，81%的人从未接受过筛查。在男性受访者中，只有26%的人的伴侣曾接受过筛查。只有14%的医学生觉得自己有足够的技能使用阴道镜，87%的学生从未进行过宫颈涂片检查。结论：尽管知道宫颈癌的严重性，并通过巴氏涂片进行筛查来预防，但对筛查的态度和做法是负面的。应该负责对他们所关心的女性进行机会性筛查的医务人员并不热衷于自己进行筛查。有必要解释/理解这些态度和做法的原因，并确定可能的干预措施来改变它们。医科学生离开医学院时没有足够的技能，无法有效地对妇女进行宫颈癌筛查，无论她们去哪里执业。医学生和护士的培训课程需要审查，以纳入宫颈癌筛查的实用技能。
BACKGROUND: Cervical cancer is the commonest cancer of women in Uganda. Over 80% of women diagnosed in Mulago national referral and teaching hospital, the biggest hospital in Uganda, have advanced disease. Pap smear screening, on opportunistic rather than systematic basis, is offered free in the gynaecological outpatients clinic and the postnatal/family planning clinics. Medical students in the third and final clerkships are expected to learn the techniques of screening. Objectives of this study were to describe knowledge on cervical cancer, attitudes and practices towards cervical cancer screening among the medical workers of Mulago hospital.METHODS: In a descriptive cross-sectional study, a weighted sample of 310 medical workers including nurses, doctors and final year medical students were interviewed using a self-administered questionnaire. We measured knowledge about cervical cancer: (risk factors, eligibility for screening and screening techniques), attitudes towards cervical cancer screening and practices regarding screening.RESULTS: Response rate was 92% (285). Of these, 93% considered cancer of the cervix a public health problem and knowledge about Pap smear was 83% among respondents. Less than 40% knew risk factors for cervical cancer, eligibility for and screening interval. Of the female respondents, 65% didn't feel susceptible to cervical cancer and 81% had never been screened. Of the male respondents, only 26% had partners who had ever been screened. Only 14% of the final year medical students felt skilled enough to use a vaginal speculum and 87% had never performed a pap smear.CONCLUSION: Despite knowledge of the gravity of cervical cancer and prevention by screening using a Pap smear, attitudes and practices towards screening were negative. The medical workers who should be responsible for opportunistic screening of women they care for are not keen on getting screened themselves. There is need to explain/understand the cause of these attitudes and practices and identify possible interventions to change them. Medical students leave medical school without adequate skills to be able to effectively screen women for cervical cancer wherever they go to practice. Medical students and nurses training curricula needs review to incorporate practical skills on cervical cancer screening.