Knowledge of cervical cancer risk factors and symptoms among women in a refugee settlement: a cross-sectional study in northern Uganda.
Knowledge of cervical cancer risk factors and symptoms among women in a refugee settlement: a cross-sectional study in northern Uganda.
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DOI：
10.1186/s13031-020-00328-3
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发表时间：
2020-12-03
影响因子：
3.6
通讯作者：
Mwaka AD
中科院分区：
文献类型：
--
作者：
Adoch W;Garimoi CO;Scott SE;Okeny GG;Moodley J;Komakech H;Walter FM;Mwaka AD
关于居住在乌干达的难民对宫颈癌风险因素和症状的认识的数据有限。在这项研究中，我们试图确定的认识和知识的宫颈癌的危险因素和症状的妇女在Palabek难民定居点，北方乌干达。我们进行了一项横断面研究。在Palabek难民安置点采用多阶段抽样法随机抽取815名妇女（年龄18-60岁）。使用预先测试的结构化问卷收集数据。Logistic回归模型用于确定社会人口统计学和卫生系统因素之间的关联程度，以及对宫颈癌危险因素和症状的了解。大多数参与者（53%，n = 433）是年轻人（18-29岁），已婚（68%，n = 553），没有正式工作（93%，n = 759）。不到一半（40%，n = 325）听说过宫颈癌。在那些听说过的人中，大多数人认为多个男性性伴侣、早发性行为和HPV感染是宫颈癌的危险因素（分别为93%，n = 295; 89%，n = 283;和86%，n = 271）。风险因素识别的中位知识得分= 7（IQR：3-9）。症状识别的中位知识得分= 7（IQR：1-10）。一半的女性（50%，n = 409）正确识别出7至11种宫颈癌症状，其中月经期间阴道出血，盆腔疼痛和性交期间/后阴道出血分别为58%，52%和54%。单身女性（OR = 0.59（95%CI：0.38-0.94））和居住在南苏丹距离最近的医疗机构1公里以外的女性（OR = 0.36-0.49（95%CI：0.26-0.84））不太可能了解宫颈癌症状。在Palabek难民安置点，很大一部分妇女没有听说过宫颈癌。难民保健服务提供者可以通过健康教育提高对宫颈癌风险因素和症状的认识，以促进减少风险的行为，并在症状评估期间指导妇女。单身妇女和居住地距离本国最近的医疗机构超过一公里的妇女可能是定居点意识干预的优先群体。
There are limited data on awareness of cervical cancer risk factors and symptoms among refugee populations living in Uganda. In this study, we sought to determine the awareness and knowledge of cervical cancer risk factors and symptoms among women in Palabek refugee settlement, northern Uganda. We conducted a cross-sectional study. 815 women (aged 18–60 years) were randomly selected using multistage sampling in Palabek refugee settlement. Data were collected using pre-tested, structured questionnaires. Logistic regression models were used to determine magnitudes of association between socio-demographic and health system factors, and knowledge on cervical cancer risk factors and symptoms. The majority of participants (53%, n = 433) were young (18–29 years), married (68%, n = 553), and did not have formal employment (93%, n = 759). Less than half (40%, n = 325) had heard of cervical cancer. Of those who had heard, most recognized multiple male sexual partners, early onset of sexual intercourse and HPV infections as risk factors for cervical cancer (93%, n = 295; 89%, n = 283; and 86%, n = 271 respectively). Median knowledge score for risk factor recognition = 7 (IQR: 3–9). Median knowledge score for symptoms recognition = 7 (IQR: 1–10). Half of women (50%, n = 409) correctly recognized 7 to 11 symptoms of cervical cancer, with vaginal bleeding between menstrual periods, pelvic pain, and vaginal bleeding during/after sexual intercourse recognized by 58, 52 and 54% respectively. Single women (OR = 0.59 (95%CI: 0.38–0.94), and women that lived farther than 1 kilo meter from nearest health facility in South Sudan (OR = 0.36–0.49 (95%CI: 0.26–0.84) were less likely to be knowledgeable of symptoms of cervical cancer. A significant proportion of women in Palabek refugee settlement had not heard about cervical cancer. Refugee health services providers could increase awareness of cervical cancer risk factors and symptoms through health education in order to promote risk reduction behaviours and guide women during symptoms appraisal. Single women and those who lived more than one kilo metre from nearest health facility in home country could be a priority group for awareness intervention in the settlement.
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影响因子：
8.8
作者：
Hakama M;Chamberlain J;Day NE;Miller AB;Prorok PC
通讯作者：
Prorok PC
DOI：
10.1200/edbk_201365
发表时间：
2018-05-23
期刊：
American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting
影响因子：
--
作者：
El Saghir, Nagi S;Soto Perez de Celis, Enrique;Sullivan, Richard
通讯作者：
Sullivan, Richard
影响因子：
2.9
作者：
Mwaka, Amos Deogratius;Garimoi, Christopher Orach;Lyratzopoulos, Georgios
通讯作者：
Lyratzopoulos, Georgios
影响因子：
1.7
作者：
Lyles, Emily;Hanquart, Baptiste;Doocy, Shannon
通讯作者：
Doocy, Shannon
影响因子：
2.8
作者：
Issah, Fati;Maree, Johanna E.;Mwinituo, Prudence P.
通讯作者：
Mwinituo, Prudence P.