Women's knowledge and attitudes towards cervical cancer prevention: a cross sectional study in Eastern Uganda.
Women's knowledge and attitudes towards cervical cancer prevention: a cross sectional study in Eastern Uganda.
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妇女对预防宫颈癌的知识和态度：乌干达东部的横断面研究。
DOI：
10.1186/s12905-017-0365-3
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发表时间：
2017-01-31
期刊：
影响因子：
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通讯作者：
Musoke D
中科院分区：
文献类型：
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作者：
Mukama T;Ndejjo R;Musabyimana A;Halage AA;Musoke D
宫颈癌是乌干达妇女发病率和死亡率的主要原因，通常是由于疾病诊断较晚造成的。早期筛查癌症已被证明是对抗这种疾病的最有效措施。在其他地方进行的研究报告说，对宫颈癌缺乏认识和消极态度是早期筛查的障碍。这项研究评估了乌干达妇女对宫颈癌预防的知识和态度，目的是为预防和控制干预措施提供信息。这项研究是在乌干达东部的布吉里和马尤热地区进行的。这是一项以社区为基础的横断面调查，通过问卷的方式收集数据。共有900名年龄在25岁至49岁之间的女性参与了这项研究。对妇女预防宫颈癌的知识和态度进行评估和评分。数据采用Stata 12.0软件进行统计分析。采用双变量和多变量分析建立知识水平与人口统计特征之间的关系。大多数受访者(794人；88.2%)听说过宫颈癌，大多数人(557人；70.2%)从电台获得信息，120人(15.1%)从卫生机构获得信息。大多数妇女(562人；62.4%)知道至少一项预防措施，(743人；82.6%)至少知道一种疾病症状或体征。大多数受访者(684人；76.0%)认为自己有患宫颈癌的风险，大多数人(852人；94.6%)认为宫颈癌非常严重。居住在城区(AOR = 1.6 2，95%CI：1.15~2.2 8)、城区(AOR = 3.6 4，95%CI：2.14~6.19)、月收入较高(AOR = 0.5 0，95%CI：0.37~0.6 8)、做过HIV检测(AOR = 1.99，95%CI：1.3 4~2.96)与宫颈癌预防相关。尽管女性对宫颈癌预防的一般知识相对较高，态度也大多令人鼓舞，但关于筛查的具体知识却很低。受访者中也有关于宫颈癌的不受欢迎的看法和信念。因此，有必要开展更多的教育活动，以弥合已查明的知识差距，并扩大对所有妇女的宫颈癌筛查服务，以增加服务接受度。本文的在线版本(doi：10.1186/s12905-0170365-3)包含补充材料，授权用户可以使用。
Cervical cancer is a leading cause of morbidity and mortality among women in Uganda, often due to late disease diagnosis. Early screening for the cancer has been shown to be the most effective measure against the disease. Studies conducted elsewhere have reported the lack of awareness and negative attitudes towards cervical cancer as barriers to early screening. This study assessed the knowledge and attitudes of Ugandan women about cervical cancer prevention with the aim of informing prevention and control interventions. This study was conducted in Bugiri and Mayuge districts in eastern Uganda. It was a cross-sectional community based survey and collected data by means of a questionnaire. A total of 900 women aged 25–49 years participated in the study. Women’s knowledge and attitudes towards cervical cancer prevention were assessed and scored. Data were analysed using STATA 12.0 software. Bivariate and multivariate analyses were carried out to establish the relationship between knowledge levels and demographic characteristics. Most (794; 88.2%) of the respondents had heard about cervical cancer, the majority (557; 70.2%) having received information from radio and 120 (15.1%) from health facilities. Most women (562; 62.4%) knew at least one preventive measure and (743; 82.6%) at least one symptom or sign of the disease. The majority (684; 76.0%) of respondents perceived themselves to be at risk of cervical cancer, a disease most (852; 94.6%) thought to be very severe. Living in peri-urban areas (AOR = 1.62, 95% CI: 1.15 – 2.28), urban areas (AOR = 3.64, 95% CI: 2.14 – 6.19), having a higher monthly income (AOR = 0.50, 95% CI: 0.37 – 0.68) and having had an HIV test (AOR = 1.99, 95% CI: 1.34–2.96) were associated with level of knowledge about cervical cancer prevention. Although general knowledge about cervical cancer prevention was relatively high among women, and attitudes mostly encouraging, specific knowledge about screening was low. There were also undesirable perceptions and beliefs regarding cervical cancer among respondents. There is therefore need for more education campaigns to bridge identified knowledge gaps, and scale up of cervical cancer screening services to all women to increase service uptake. The online version of this article (doi:10.1186/s12905-017-0365-3) contains supplementary material, which is available to authorized users.