An ethnographic study of cervical cancer among women in rural Kenya: is there a folk causal model?
An ethnographic study of cervical cancer among women in rural Kenya: is there a folk causal model?
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DOI：
10.1111/j.1525-1438.2005.00261.x
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发表时间：
2005-11-01
影响因子：
4.8
通讯作者：
Nyamongo, IK
中科院分区：
文献类型：
--
作者：
Gatune, JW;Nyamongo, IK
本文评估肯尼亚农村妇女对宫颈癌的认识、态度和做法。160名妇女（平均年龄37.9岁）谁寻求各种医疗保健服务在Tigoni分区医院，利穆鲁，肯尼亚，进行了采访，使用半结构式问卷。此外，还举行了三次焦点小组讨论（25名参与者），记录了五个病例叙述，并从一组41名妇女答卷人那里获得了一份宫颈癌危险因素的自由清单。所有妇女的年龄在20至50岁之间。大约40%的人知道宫颈癌，尽管许多人仍然缺乏事实信息。性传播疾病史（61.5%），多个性伴侣（51.2%）和避孕药具使用（33%）被确定为危险因素。提到的其他因素包括吸烟、堕胎和卫生标准差。高产次，早期性行为，怀孕是不容易提到的危险因素。我们提出了一个民间因果模型来解释这些因素与宫颈癌之间的联系。缺乏知识限制了对诊所提供的筛查服务的利用。因此，答复者支持将教育妇女作为解决宫颈癌问题的一种方式。建议制定综合生殖健康方案，全面解决妇女的健康问题。
This article assesses knowledge, attitudes, and practices regarding cervical cancer among rural women of Kenya. One hundred and sixty women ( mean age 37.9 years) who sought various health care services at Tigoni subdistrict hospital, Limuru, Kenya, were interviewed using a semistructured questionnaire. In addition, three focus group discussions ( 25 participants) were held, five case narratives recorded, and a free list of cervical cancer risk factors obtained from a group of 41 women respondents. All women were aged between 20 and 50 years. About 40% knew cervical cancer, although many still lack factual information. A history of sexually transmitted diseases ( 61.5%), multiple sexual partners ( 51.2%), and contraceptive use ( 33%) were identified as risk factors. Other factors mentioned include smoking, abortion, and poor hygiene standards. High parity, early sexual debut, and pregnancy were not readily mentioned as risk factors. We propose a folk causal model to explain the link between these factors and cervical cancer. Lack of knowledge constrains utilization of screening services offered at the clinics. Consequently, respondents support educating women as a way to tackling issues on cervical cancer. It is recommended that an integrated reproductive health program that addresses comprehensively women's health concerns be put in place.