Knowledge about cervical cancer screening and its practice among female health care workers in southern Ethiopia: a cross-sectional study.
Knowledge about cervical cancer screening and its practice among female health care workers in southern Ethiopia: a cross-sectional study.
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DOI：
10.2147/ijwh.s132202
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Wakgari N
中科院分区：
文献类型：
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作者：
Dulla D;Daka D;Wakgari N
宫颈癌仍然是世界上妇女发病率和死亡率的主要原因。宫颈癌的早期筛查是减少孕产妇死亡的关键干预措施。卫生保健工作者在改善妇女宫颈癌筛查实践方面做出了重大贡献。因此，这项研究旨在评估埃塞俄比亚南部女性卫生保健工作者对宫颈癌筛查的知识和行为。基于机构的横断面研究是在2015年3月至4月期间进行的。有目的地选择了哈瓦萨城市管理局和西达玛地区的所有医院。使用简单的随机抽样技术来抽取健康中心。在按比例分配各自的卫生机构后，采用简单随机抽样的方法抽取367名女性卫生工作者。收集数据时使用了结构化和预测的问卷。将数据输入SPSS20.0版进行进一步分析。使用Logistic回归分析来查看不同变量之间的关联。在所有受访者中，319人(86.9%)对宫颈癌的知识水平较好。同样，大多数人，329人(89.6%)，321人(87.5%)和295人(80.4%)分别知道宫颈癌的危险因素、症状和结局。超过三分之二的受访者(77.1%)知道有一种程序可以检测宫颈癌前病变，其中138人(37.6%)提到用醋酸目视检查作为筛查方法。在这项研究中，只有42名(11.4%)的受访者进行了宫颈癌筛查(可信区间[CI]：8.7，13.9)。当过医生(调整后的优势比[AOR]=0.12，95%CI：0.02，0.79)和在宫颈癌筛查中心工作(AOR=0.14，95%CI：0.03，0.68)的人进行宫颈癌筛查的几率较低。相当多的卫生保健工作者对宫颈癌有一定的了解。在埃塞俄比亚南部，卫生保健工作者的宫颈癌筛查被发现很低。作为一名医生并在筛查中心工作，宫颈癌筛查的几率较低。尽管对宫颈癌有足够的了解，但仍需调查保健工作者宫颈癌筛查实践率低的原因。
Cervical cancer remains a major cause of morbidity and mortality among the women in the world. Early screening for cervical cancer is a key intervention in reduction of maternal deaths. Health care workers have a significant contribution to improve cervical cancer screening practice among women. Hence, this study aimed to assess the knowledge and practice of cervical cancer screening among female health care workers in southern Ethiopia. Institution-based cross-sectional study was conducted during March and April, 2015. All hospitals in Hawassa city administration and Sidama zone were purposively selected. A simple random sampling technique was used to draw the health centers. After proportional allocations to their respective health facilities, a total of 367 female health workers were selected by simple random sampling technique. A structured and pretested questionnaire was used to collect the data. Data were entered to SPSS version 20.0 for further analysis. Logistic regression analyses were used to see the association of different variables. Out of the total respondents, 319 (86.9%) had a good level of knowledge on cervical cancer. Similarly, a majority of them, 329 (89.6%), 321 (87.5%), and 295 (80.4%), knew about the risk factors, symptoms, and outcomes of cervical cancer, respectively. More than two thirds of the respondents, 283 (77.1%), knew that there is a procedure used to detect premalignant cervical lesions and 138 (37.6%) of them mentioned visual inspection with acetic acid as a screening method. In this study, only 42 (11.4%) of the respondents were screened for cervical cancer (confidence interval [CI]: 8.7, 13.9). Being a physician (adjusted odds ratio [AOR] =0.12, 95% CI: 0.02, 0.79) and working in a cervical cancer screening center (AOR =0.14, 95% CI: 0.03, 0.68) had a lower odds of cervical cancer screening practices. Significant numbers of health care workers were knowledgeable on cervical cancer. Cervical cancer screening among health care workers in southern Ethiopia was found to be low. Being a physician and working in a screening center had lower odds of cervical cancer screening practice. In spite of having adequate knowledge on cervical cancer the reasons for low practice of cervical cancer screening among health care workers needs to be investigated.