The utilization and barriers of Pap smear among women with visual impairment
The utilization and barriers of Pap smear among women with visual impairment
复制标题
DOI：
10.1186/s12939-016-0354-4
复制
发表时间：
2016-04-12
影响因子：
4.8
通讯作者：
Loh, Ching-Hui
中科院分区：
文献类型：
--
作者：
Fang, Wen-Hui;Yen, Chia-Feng;Loh, Ching-Hui
背景资料：许多证据表明，如果能够及早发现和治疗，巴氏涂片筛查可以成功地减少宫颈癌。残疾人群的合并症患病率较高，且较少使用预防保健和健康促进活动。此外，还有证据表明，视力障碍者获得适当医疗服务的机会较少，接受筛查检查的可能性也较小。在台湾，目前尚无研究探讨视力障碍妇女对子宫颈抹片检查的利用、相关因素及使用障碍，本研究旨在探讨台湾视力障碍妇女对子宫颈抹片检查的利用及使用障碍。方法：采用横断面研究，以分层比例随机抽样法，选取2009年12月至2010年1月台北县15 ~ 64岁视力障碍妇女共316名为研究对象。结果：调查对象平均年龄为47.1岁，残疾程度以英里最高（40.2%）。总的来说，66.5%的参与者曾经使用过巴氏涂片，38.9%的参与者在超过1年的时间内使用过巴氏涂片.第一次接受巴氏涂片检查的年龄为38.8岁。有近50%的人在接受巴氏涂片检查前没有得到专业人士的解释。在未使用的情况下，前两个百分比的障碍是“感觉更年轻”（22.3%），其次是“没有性经验”（21.4%）。结论：视力障碍妇女接受巴氏涂片筛查的相关因素和障碍可以通过干预措施来解决，旨在改善对宫颈癌危险因素的认知和态度。本研究可作为消除视障女性障碍与不平等的参考资源。
Background: Many evidences illustrate that the Pap smear screening successfully reduces if the cervical cancer could be detected and treated sufficiently early. People with disability were higher comorbidity prevalence, and less likely to use preventive health care and health promotion activities. There were also to demonstrate that people with visual impairment has less access to appropriate healthcare services and is less likely to receive screening examinations. In Taiwan, there was no study to explore utilization of Pap smear, associated factors and use barriers about Pap smear screening test among women with visual impairment.The purpose is to explore the utilization and barriers of using Pap smear for women with visual impairment in Taiwan. To identify the barriers of women with visual from process of receiving Pap smear screening test.Methods: The cross-sectional study was conducted and the totally 316 participators were selected by stratified proportional and random sampling from 15 to 64 year old women with visual impairment who lived in Taipei County during December 2009 to January 2010. The data was been collected by phone interview and the interviewers were well trained before interview.Results: The mean age was 47.1 years old and the highest percentage of disabled severity was mile (40.2 %). Totally, 66.5 % of participators were ever using Pap smear and 38.9 % used it during pass 1 year. Their first time to accept Pap smear was 38.8 year old. There was near 50 % of them not to be explained by professionals before accepting the Pap smear. For non-using cases, the top two percentage of barriers were "feel still younger" (22.3 %), the second was "there's no sexual experience" (21.4 %). We found the gynecology experiences was key factor for women with visual impairment to use Pap smear, especially the experiences was during 1 year (OR = 4).Conclusions: Associated factors and barriers to receive Pap smear screening test for women with visual impairment can be addressed through interventions aimed at improving on cognitions and attitudes for cervical cancer risk factors. Our study would be as a reference resource for erasing the barriers and inequality among the visually disabled women.