目的 探讨妇科门诊患者宫颈癌筛查的认知程度及其相关影响因素。方法 选取840例妇科门诊就诊的患者进行问卷调查,分析就诊患者宫颈癌筛查的知晓率,采用单因素χ2检验和多因素Logistic回归法分别筛选认知程度的影响因素。结果 840例妇科门诊患者宫颈癌筛查的知晓率为52.38%(440/840);影响宫颈癌筛查认知程度的因素包括文化程度(OR=2.022,95%CI 1.251~3.268)、家族妇科肿瘤史(OR=2.918,95%CI 1.689~5.042)、宫颈癌筛查史(OR=4.031,95%CI 2.124~7.652)、“两癌筛查”社区宣教(OR=5.043,95%CI 2.757~9.223)、接受生殖健康信息(OR=3.337,95%CI 1.482~7.512)、社会支持程度(OR=2.593,95%CI 1.291~5.211)。结论 妇科门诊患者宫颈癌筛查的认知程度仍然较低,且影响认知程度的因素较多,应针对其特点及其影响因素,早期采取对策和措施,提高认知程度,降低宫颈癌的发生率。
Abstract
Objective To explore the gynaecological outpatients'amount of knowledge of cervical cancer screening and the correlated influencing factors. Methods A total of 840 cases of gynaecological outpatients were investigated via a questionnaire. Their amount of knowledge of cervical cancer screening was analyzed, and the factors that influenced their amount of the related knowledge were separately screened by χ2 test and by the multiple Logistic regression method. Results The awareness rate of cervical cancer screening among these 840 cases was 52.38% (440/840). These patients'level of knowledge of cervical cancer screening depended on their education level (OR=2.022, 95%CI 1.251-3.268), family history of gynecologic oncology (OR=2.918, 95%CI 1.689-5.042), history of cervical cancer screening (OR=4.031, 95%CI 2.124-7.652), community-offered education on cervical cancer and breast cancer (OR=5.043, 95%CI 2.757-9.223), availability of reproductive health information (OR=3.337, 95%CI 1.482-7.512) and social support level (OR=2.593, 95%CI 1.291-5.211). Conclusions The awareness rate of cervical cancer screening among gynecological outpatients remains low, and there are many influencing factors. Targeted strategies and measures should be adopted to improve women's knowledge of cervical cancer screening and reduce the incidence of cervical cancer.
关键词
宫颈癌 /
妇科门诊 /
筛查 /
认知程度 /
影响因素
Key words
cervical cancer /
department of gynaecology for outpatients /
screening /
level of knowledge /
influencing factor
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