Knowledge, attitudes, and practices regarding cervical cancer and screening among Ethiopian health care workers.
Knowledge, attitudes, and practices regarding cervical cancer and screening among Ethiopian health care workers.
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DOI：
10.2147/ijwh.s85138
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
Goedken J
中科院分区：
文献类型：
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作者：
Kress CM;Sharling L;Owen-Smith AA;Desalegn D;Blumberg HM;Goedken J
尽管由于实施了全民筛查计划，宫颈癌在资源丰富的地区的发病率大幅下降，但它仍然是影响全球妇女的最常见癌症之一，死亡率也是最高的之一。绝大多数与宫颈癌相关的死亡病例发生在从未接受过筛查的女性身上。在埃塞俄比亚亚的斯亚贝巴大学附属医院实施筛查计划之前，进行了一项调查，以评估妇女保健提供者对宫颈癌病因、风险因素和筛查的知识，以及对宫颈癌筛查的态度和做法。2012年2月至3月，向埃塞俄比亚亚的斯亚贝巴三家政府医院以及阿瓦萨、阿达马和巴赫达尔的三家家庭指导协会诊所的334名卫生保健提供者分发了一份匿名的自我管理调查，以评估与宫颈癌及其预防有关的知识、态度和做法。使用SPSS软件对数据进行分析，并使用卡方检验来检验不同提供者类型在知识、态度和行为上的差异。关于宫颈癌的总体知识很高，尽管护士和助产士对病因和危险因素的认识较低。提供者没有在常规基础上进行宫颈癌筛查的经验，其中40%的人进行过任何类型的宫颈癌筛查。据报告，进行筛查的障碍是缺乏培训(52%)和资源(53%)；然而，大多数提供者(97%)表示，宫颈癌筛查是妇女保健的重要组成部分。妇女保健提供者显然需要关于宫颈癌病因、风险因素的教育，以及低技术、低成本筛查方法的培训。满足这些需求并改善必要的基础设施，以实施适当的筛查计划，对于减轻埃塞俄比亚宫颈癌的负担至关重要。
Though cervical cancer incidence has dramatically decreased in resource rich regions due to the implementation of universal screening programs, it remains one of the most common cancers affecting women worldwide and has one of the highest mortality rates. The vast majority of cervical cancer-related deaths are among women that have never been screened. Prior to implementation of a screening program in Addis Ababa University-affiliated hospitals in Ethiopia, a survey was conducted to assess knowledge of cervical cancer etiology, risk factors, and screening, as well as attitudes and practices regarding cervical cancer screening among women’s health care providers. Between February and March 2012 an anonymous, self-administered survey to assess knowledge, attitudes, and practices related to cervical cancer and its prevention was distributed to 334 health care providers at three government hospitals in Addis Ababa, Ethiopia and three Family Guidance Association clinics in Awassa, Adama, and Bahir Dar. Data were analyzed using SPSS software and chi-square test was used to test differences in knowledge, attitudes, and practices across provider type. Overall knowledge surrounding cervical cancer was high, although awareness of etiology and risk factors was low among nurses and midwives. Providers had no experience performing cervical cancer screening on a routine basis with <40% having performed any type of cervical cancer screening. Reported barriers to performing screening were lack of training (52%) and resources (53%); however the majority (97%) of providers indicated cervical cancer screening is an essential part of women’s health care. There is a clear need among women’s health care providers for education regarding cervical cancer etiology, risk factors and for training in low-tech, low-cost screening methods. Meeting these needs and improving the infrastructure necessary to implement appropriate screening programs is essential to reduce the burden of cervical cancer in Ethiopia.