城市女性宫颈癌机会性筛查接受障碍原因及影响因素

发布时间：2018-08-19 13:01

【摘要】：目的分析城市女性宫颈癌机会性筛查接受障碍原因及影响因素,提出促进女性宫颈癌筛查的策略与建议。方法对2009年1月—2015年3月随机抽取的重庆市内8家医院就诊的女性进行宫颈癌筛查接受意愿问卷调查。结果有效问卷11 965(98.9%)份,16.77%受访者不愿意接受宫颈癌机会性筛查,接受障碍前3位原因为"认为没有必要,相信自己没有问题"占44.44%,"不愿意或害怕妇科检查"占30.39%,"不知道筛查的意义"占10.71%。多因素logistic回归分析结果显示,年龄越小,文化程度越低越不愿意接受筛查;无业、未生育和生产次数≥3者,没有听说过宫颈癌、不知道宫颈癌筛查目的者均不愿意接受筛查。结论缺乏健康意识为筛查接受障碍的主要原因,建议增强宫颈癌筛查相关知识传播及认知,重点在青年女性、低学历、无业及未生育者、不了解宫颈癌及筛查者。
[Abstract]:Objective to analyze the causes and influencing factors of acceptance disorder in urban women with cervical cancer opportunistic screening, and to put forward the strategies and suggestions to promote the screening of female cervical cancer. Methods from January 2009 to March 2015, a questionnaire survey was conducted on cervical cancer screening among women selected randomly from 8 hospitals in Chongqing. Results 11 965 (98.9%) respondents were not willing to be screened for cervical cancer. The proportion of "not willing or afraid of gynecological examination" was 30.39, and that of "not knowing the significance of screening" accounted for 10.71. The results of multivariate logistic regression analysis showed that the younger the age, the lower the education level, the less willing to be screened, and those who were unemployed, had not given birth or had more than 3 births, had not heard of cervical cancer, and those who did not know the purpose of cervical cancer screening were unwilling to be screened. Conclusion lack of health awareness is the main reason of screening acceptance disorder. It is suggested to enhance the knowledge transmission and cognition of cervical cancer screening, with emphasis on young women, low education, unemployed and childless, and lack of understanding of cervical cancer and screening.
【作者单位】：重庆市肿瘤研究所肿瘤防治办公室;中国医学科学院北京协和医学院肿瘤医院流行病学研究室;重庆市肿瘤研究所妇瘤科;
【基金】：国家自然科学基金(81502669) 重庆市医学科技计划项目(2008-1-29) 重庆市卫生计生委医学科研项目(2016ZDXM032)
【分类号】：R737.33

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