Correlates of cervical cancer prevention advocacy and cervical cancer screening in Uganda: Cross-sectional evaluation of a conceptual model.
Correlates of cervical cancer prevention advocacy and cervical cancer screening in Uganda: Cross-sectional evaluation of a conceptual model.
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DOI：
10.1097/md.0000000000034888
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发表时间：
2023-08-25
期刊：
影响因子：
1.6
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中科院分区：
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增加子宫颈癌（CC）筛查的一种方法是使接受筛查的妇女能够充当倡导者，并鼓励她们认识的其他妇女接受筛查。我们研究了CC筛查倡导和CC筛查摄取之间的相关性，在我们的概念模型的因素驱动参与倡导。一个横断面，相关性分析进行了调查数据，从40名妇女（指数参与者）谁最近筛选CC，和103名女性成员的社交网络（改变参与者）谁没有被筛选。测量的变量包括CC预防宣传，以及内化的CC污名，CC筛查结果的分享，CC知识，健康的身体摄入量（即，饮食;酒精和香烟的使用）和自我效能与CC服务利用和CC预防宣传，这被假设为与宣传。进行双变量和多变量回归分析，控制聚类。在指数参与者中，更多地参与宣传与CC知识，CC筛查结果的共享和CC服务利用自我效能呈正相关。与筛查阴性的妇女相比，筛查阳性并接受癌前病变治疗的妇女报告了更多的CC预防宣传，CC知识和健康生活。在多元回归分析中，CC筛查与CC预防宣传呈正相关，年龄在36岁或以上，CC预防宣传也与CC服务利用自我效能呈正相关。这些研究结果支持我们的概念模型的有效性，与参与CC预防宣传的妇女筛查CC的相关因素。CC预防宣传与CC筛查摄取和CC服务利用自我效能之间的强关联表明，在接受筛查的妇女中宣传推广以及增加筛查摄取具有潜在价值。
An approach to increasing cervical cancer (CC) screening is to empower women who have been screened to act as advocates and encourage other women they know to get screened. We examined correlates of CC screening advocacy and CC screening uptake among constructs in our conceptual model of factors driving engagement in advocacy. A cross-sectional, correlational analysis was conducted with survey data from 40 women (index participants) who had recently screened for CC, and 103 female members of their social network (alter participants) who had not been screened. Variables measured included CC prevention advocacy, as well as internalized CC stigma, sharing of CC screening result, CC knowledge, healthy bodily intake (i.e., diet; alcohol and cigarette use) and self-efficacy related to CC service utilization and CC prevention advocacy, which were hypothesized to be associated with advocacy. Bivariate and multivariable regression analyses, controlling for clustering, were conducted. Among index participants, greater engagement in advocacy was positively correlated with CC knowledge, sharing of CC screening result, and CC service utilization self-efficacy. Women who had screened positive and received treatment for precancerous lesions reported greater CC prevention advocacy, CC knowledge and healthy living, compared to those who screened negative. In multiple regression analyses, CC screening was positively associated with CC prevention advocacy and being age 36 or older, and CC prevention advocacy was also positively associated with CC service utilization self-efficacy. These findings support the validity of our conceptual model regarding factors associated with engagement in CC prevention advocacy among women screened for CC. The strong association between CC prevention advocacy and both CC screening uptake and CC service utilization self-efficacy suggests the potential value of advocacy promotion among women who have been screened, as well as for increasing screening uptake.