Knowledge about Cervical Cancer and Associated Factors among 15-49 Year Old Women in Dessie Town, Northeast Ethiopia.
Knowledge about Cervical Cancer and Associated Factors among 15-49 Year Old Women in Dessie Town, Northeast Ethiopia.
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DOI：
10.1371/journal.pone.0163136
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Tefera F
中科院分区：
文献类型：
--
作者：
Mitiku I;Tefera F
宫颈癌是全世界女性癌症发病率和死亡率的主要原因之一，特别是在包括埃塞俄比亚在内的发展中国家。在埃塞俄比亚，妇女对宫颈癌的了解程度没有很好的记录。目前的研究试图评估女性对宫颈癌及其相关因素的了解。一项以社区为基础的横断面调查对居住在埃塞俄比亚东北部Dessie镇的620名15-49岁的妇女进行了抽样调查。受访者是通过多阶段抽样技术挑选出来的。这些妇女在家中接受了培训的数据收集者的采访，他们使用了一份关于宫颈癌知识的结构化问卷。关于宫颈癌的知识是使用八项仪器进行测量的。最高可能得分为8分；那些得分在5分或更高的人被归类为拥有“足够的”知识。采用二元和多元Logistic回归来确定与宫颈癌知识相关的因素。共有51%的参与者对宫颈癌有足够的了解。在调整协变量后，对宫颈癌有足够的知识与较好的教育水平和收入呈正相关。与未受过正规教育的女性相比，受过小学教育(调整后的优势比：3.4；95%可信区间：2.2~5.1)和中学及以上教育程度(调整后的优势比：8.7；95%可信区间：5.5~13.7)的女性对宫颈癌有更充分的认识。此外，家庭月平均收入超过1500埃塞俄比亚比尔(ETB)(约75美元)的妇女比家庭月平均收入低于500ETB(约25美元)的妇女更有可能拥有足够的知识(AOR：2.3；95%CI：1.3-3.9)。这项研究表明，在研究地点的妇女中，关于宫颈癌的危险因素、体征和症状、预防和治疗的知识不是最理想的。教育水平和经济状况被发现是宫颈癌知识的重要决定因素。预防项目应将宫颈癌教育资源集中在受教育程度较低的妇女和经济地位较低的群体中。
Cervical cancer is one of the leading causes of morbidity and mortality amongst female cancer worldwide, especially in developing countries, including Ethiopia. The level of women’s knowledge about cervical cancer is not well documented in Ethiopia. The current study sought to assess women’s knowledge about cervical cancer and associated factors. A community based cross-sectional survey was conducted with a sample of 620 women aged 15–49 years residing in Dessie town, Northeast Ethiopia. Respondents were selected using a multistage sampling technique. The women were interviewed at home by trained data collectors using a structured questionnaire on cervical cancer knowledge. Knowledge about cervical cancer was measured using an eight item instrument. The maximum possible score was 8; those scoring 5 or more were categorized as having “sufficient” knowledge. Binary and multiple logistic regressions were employed to determine factors associated with knowledge about cervical cancer. A total of 51% of the participants had sufficient knowledge about cervical cancer. After adjusting for covariates, having sufficient knowledge about cervical cancer was positively associated with better educational level and income. Women with primary education (Adjusted Odds Ratio (AOR): 3.4; 95% CI: 2.2–5.1) and those who had secondary and above education (AOR: 8.7; 95% CI: 5.5–13.7) were more likely to have sufficient knowledge about cervical cancer compared to those who had no formal education. Furthermore, women earning an average household monthly income above 1500 Ethiopian birr (ETB) (~75 U.S. dollars) were more likely to have sufficient knowledge (AOR: 2.3; 95% CI: 1.3–3.9) than women with an average household monthly income less than 500 ETB (~25 U.S. dollars). This study shows a suboptimal knowledge about cervical cancer regarding its risk factors, signs and symptoms, prevention and treatment among women in the study site. The level of education and economic status were found to be important determinants for knowledge about cervical cancer. Prevention programs should focus cervical cancer educational resources on women with less education and women with lower economic status groups.
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影响因子：
8.8
作者：
通讯作者：
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57个国家 /地区的宫颈癌筛查覆盖范围：平均水平低和较大的不平等。
影响因子：
15.8
作者：
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通讯作者：
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影响因子：
51.1
作者：
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通讯作者：
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影响因子：
50.5
作者：
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通讯作者：
Hamad, H. M. A.
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作者：
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通讯作者：
Altman, DG