Cervical cancer knowledge and screening behaviors among female university graduates of year 2012 attending national graduate orientation program, Bhutan
Cervical cancer knowledge and screening behaviors among female university graduates of year 2012 attending national graduate orientation program, Bhutan
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DOI：
10.1186/1472-6874-14-44
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发表时间：
2014-03-12
影响因子：
2.5
通讯作者：
Tshering, Pandup
中科院分区：
文献类型：
--
作者：
Dhendup, Tshering;Tshering, Pandup
背景：宫颈癌是不丹最主要的女性癌症。本研究通过文献回顾和专家访谈的方法，对参加国家研究生就业指导计划(NGOP)的女毕业生进行横断面调查，了解其宫颈癌相关知识、筛查行为及影响因素。使用交叉列表和Fischer精确检验来研究人口统计学和其他重要研究特征与巴氏试验摄取的关系。结果：受试者的平均年龄为23.43+/-SD 2.73。约92%(n=513)的受访者年龄在25岁或以下，7.9%(n=44)的受访者年龄在26岁或以上。这项研究显示，毕业生的宫颈癌知识水平较低，筛查行为较差。知识得分平均为3.571分(SD1.75，范围0~8)。约6%(n=34)的受访者报告至少做过一次巴氏试验，94%的人报告从未做过巴氏试验。最常提到的不做巴氏试验的原因包括“从未想过我需要做一次”(57%，n=320)，“尴尬地接受男性健康专业人员的检查”和“害怕发现癌症”。研究发现，年龄增长、已婚人士、知识得分与卫生专业人员推荐进行筛查的人之间存在显著的相关性。结论：本研究揭示了不丹女大学毕业生的知识水平和筛查行为。这可能表明，在受教育程度较低或没有受过教育的年轻未婚女性中，她们的意识和筛查做法甚至更差。尽管我们的研究小组不适合衡量不丹的宫颈癌筛查实践，但研究结果有望突显其不足之处，并引发不丹制定全面的宫颈癌控制计划。
Background: Cervical cancer is the leading female cancer in Bhutan. This study describes the level of cervical cancer knowledge and screening behaviors among female university graduates attending the National Graduate Orientation Program (NGOP), 2012.Methods: A cross-sectional study of female graduates attending NGOP was conducted using self-administered anonymous questionnaire developed through literature reviews and expert discussions to elicit information on demographic characteristics, knowledge, screening behaviors and determinants of cervical cancer. The association of demographic and other important study characteristics with uptake of Pap test was investigated using cross tabulation and Fischer Exact test. Frequencies and percentages were calculated for all the questions.Results: The average age of the participants was 23.43 +/- SD 2.73. About 92% (n=513) of the respondents were aged 25 years or less and 7.9% (n=44) of the respondents were aged 26 or more. The study revealed low cervical cancer knowledge and poor screening behavior among the graduates. The mean knowledge score was 3.571 (SD1.75, Range 0-8). About 6% (n=34) of the respondents reported undergoing Pap test at least once and 94% reported as never having done Pap test. The most commonly cited reasons for not doing Pap test included "never thought I needed one" (57%, n=320), "embarrassment of being examined by male health professional" and "fear of finding out cancer". The study revealed evidence of significant association between increasing age, those who are married, knowledge score and those recommended for screening by health professionals with the uptake of Pap test.Conclusion: Our study revealed poor knowledge and screening behaviors among female university graduates in Bhutan. This may be suggestive of even poorer awareness and screening practices among young unmarried women who are less educated or with no education. Although our study group is not appropriate for measuring practice of cervical cancer screening in the country, the findings are expected to highlight the shortcomings and trigger development of comprehensive cervical cancer control programs in Bhutan.