保定市进城务工女性宫颈癌筛查接受性及服务利用研究

发布时间：2018-02-28 04:28

本文关键词： 进城务工女性宫颈癌筛查接受性服务利用结构方程模型　出处：《河北大学》2017年硕士论文　论文类型：学位论文

【摘要】：【研究目的】调查保定市进城务工女性宫颈癌筛查接受性及服务利用情况,利用结构方程模型探索筛查的接受性及服务利用影响因素,分析影响因素之间的关系,为制定有效的干预措施提供依据,促进进城务工女性宫颈癌筛查工作的开展,降低其宫颈癌的发病率和死亡率。【研究方法】(1)自行设计问卷,问卷由研究对象的一般情况、宫颈癌筛查态度、筛查相关知识、筛查的方法认知、筛查支持感知、自我效能、促进接受性因素感知、宫颈癌筛查接受性和服务利用组成,共44个条目。(2)采用分层—整群抽样的方法,对21岁以上、在保定市务工六个月以上女性进行宫颈癌筛查服务利用情况的调查。(3)对问卷中的变量进行信度与效度分析,优化问卷变量。(4)采用AMOS建立初始结构方程模型分析进城务工女性宫颈癌筛查接受性及服务利用的影响因素。通过模型设定,识别,评价,修正,建立保定市进城务工女性宫颈癌筛查接受性及服务利用的结构方程模型,根据模型结果进行合理解释。【研究结果】(1)问卷变量的信度和效度分析,通过内部一致性的Cronbach`s Alpha系数和KMO样本测度和Bartlett`s球体检验,问卷总体Cronbach`s Alpha=0.8520.7,KMO=0.8100.7且Bartlett`s检验P值0.001,问卷信度和效度好。(2)构建的保定市进城务工女性宫颈癌筛查接受性及服务利用模型具有良好的适配度,宫颈癌筛查服务利用影响因素:宫颈癌筛查接受性(影响较大?=-0.104),说明宫颈癌筛查接受性越好,服务利用越好。文化程度(?=-0.122),职业(?=0.099),人均月收入(?=-0.119),筛查支持感知(?=-0.122);影响接受性因素有:宫颈癌筛查态度(?=0.128),宫颈癌筛查相关知识(?=0.569),自我效能(?=-0.135),年龄(?=-0.109),促进接受性因素感知(?=-0.470)。(3)宫颈癌筛查接受性的影响因素中,促进接受性因素感知对于免费、快捷、省时、具备转接咨询、拥有专业女性医生的筛查,女性是否更愿意参与?(影响最大?=0.470);自我效能,丈夫和家人、朋友觉得自己不用做筛查是否还会去做筛查,医生建议自己去做筛查是否会去?(影响较大?=-0.135);宫颈癌筛查态度,是否支持女性宫颈癌筛查,是否认为定期进行筛查是对自己健康负责,是否会鼓励周围人去做筛查,错过筛查是否感到遗憾,做筛查是否会感到不好意思,是否觉得筛查会耽误时间?(影响较大?=0.128),宫颈癌筛查相关知识,认为宫颈癌筛查能及早发现宫颈癌(影响较大?=0.569);年龄(影响较大?=-0.109)。宫颈癌筛查服务利用影响因素,筛查支持感知,社区或公司是否组织过筛查,是否支持朋友和家人参与、是否觉得筛查正规、安全?(?=0.275);文化程度(影响较大?=-0.122)职业(影响显著?=0.099)人均月收入(影响较大?=-0.119)。(4)宫颈癌筛查态度(F2),自我效能(F6),促进接受性因素感知(F7)通过对宫颈癌筛查接受性的直接影响而间接影响宫颈癌筛查服务利用,宫颈癌筛查相关知识(F3)通过宫颈癌筛查态度(F2)影响宫颈癌筛查接受性及服务利用。【研究结论】(1)问卷变量信度和效度较好,变量的设置能很好的体现研究目的,所收集的数据能够很好的适配于建立进城务工女性宫颈癌筛查接受性及服务利用的结构方程模型。(2)建立结构方程模型研究宫颈癌筛查接受性及服务利用方法科学有效,针对变量进行改进和应对,允许潜变量由多个显变量指标组成,建立变量间的交互关系并对此进行验证,为解决宫颈癌筛查在进城务工女性中接受性较好,服务利用很差的情况提供准确根据。(3)影响进城务工女性宫颈癌筛查接受性及服务利用的因素包括年龄,文化水平,职业,人均月收入,潜变量宫颈癌筛查态度,筛查支持感知,自我效能,促进接受性因素感知。(4)应针对年轻女性、文化程度低、给被人打工、人均月收入少、筛查态度不积极,支持感知,接受性感知能力差。自我效能低的进城务工女性进行宫颈癌筛查健康知识的宣传教育,为其提供便利的筛查服务,以提高其生活质量,降低女性宫颈癌的患病率。
[Abstract]:[Objective] Baoding city survey of female migrant workers received cervical cancer screening and utilization of services, structural equation model to explore the influencing factors of the acceptance of screening and service utilization, analysis of the relationship between the influencing factors, provide a basis for effective intervention measures to promote migrant women cervical cancer screening work, reduce the the morbidity and mortality of cervical cancer. [Methods] (1) questionnaire, questionnaire by the general situation of the research object, screening of cervical cancer screening knowledge, attitude, cognitive screening method, screening support perception, self-efficacy, perception factors promoting the acceptance of cervical cancer screening, accept the use and service. A total of 44 items. (2) by stratified - cluster sampling method, over the age of 21, was the use of adjustable cervical cancer screening service in women more than six months in Baoding city workers Check. (3) analyze the reliability and validity of the questionnaire in the questionnaire variables, optimization variables. (4) using AMOS to establish the initial structural equation model analysis of cervical cancer screening of female migrant workers to accept the influence factors and service utilization. By amending the model set, recognition, evaluation, and the establishment of Baoding city migrant women cervical cancer screening and accept services by using the structural equation model, a reasonable explanation according to the results of the model. [results] (1) the reliability and validity analysis of the questionnaire variables, through the test of Cronbach`s Alpha coefficient and KMO sample measure and Bartlett`s sphere, the internal consistency of the questionnaire, the overall Cronbach`s Alpha=0.8520.7, KMO=0.8100.7 and Bartlett`s test P value 0.001, questionnaire good reliability and validity. (2) the construction of the Baoding city migrant women cervical cancer screening and acceptance of service utilization model has a good fit, cervical cancer screening service Service use factors: cervical cancer screening acceptance (impact? =-0.104), that cervical cancer screening accepted better, service utilization better. Cultural degree (? =-0.122), occupation (? =0.099), the per capita monthly income (? =-0.119), perceived support screening (? = -0.122); under the influence of factors attitude: cervical cancer screening (? =0.128), cervical cancer screening knowledge (? =0.569), self-efficacy (? =-0.135), age (? =-0.109), to promote the acceptance of perception (? =-0.470). (3) cervical cancer screening acceptance factors, promote the acceptance of the factors of perceived for free. Fast, time-saving, with transfer consultation, screening with professional women doctors, women are more willing to participate? (most? =0.470); self efficacy, husband and family, friends do not feel whether screening will go to do screening, doctors recommend themselves to do screening would go? (influence? =-0.135); Palace Cervical cancer screening attitude, whether to support the screening of cervical cancer in women, whether that is responsible for their own health screening regularly, would encourage people around to do screening, screening miss if I feel sorry, do screening would feel feel shy, feel that screening will delay the time? (influence? =0.128), cervical cancer screening the knowledge that cervical cancer screening can detect cervical cancer (affected? =0.569); age (influence? =-0.109). Cervical cancer screening service utilization factors, perceived screening support, community or company is organized screening, whether to support the family and friends to participate, whether that regular screening, safety? (=0.275?) (; cultural degree affected? (=-0.122) occupation have significant effect? =0.099) per capita monthly income (affected? =-0.119). (4) cervical cancer screening approach (F2), self efficacy (F6), to promote the acceptance of perception (F7) by Screening of cervical cancer received direct impact and indirect impact of cervical cancer screening service use, cervical cancer screening knowledge (F3) by cervical cancer screening attitude (F2) effect of cervical cancer screening and acceptance of service utilization. [conclusions] (1) the reliability and validity of the questionnaire variables better, a set of variables can reflect the objective good research, the collected data can be well adapted to the establishment of cervical cancer screening of female migrant workers to accept the structural equation and service utilization model. (2) establish a structural equation model of cervical cancer screening service acceptance and use scientific and effective methods, and improve response variables, latent variables allowed by a number of significant variables, establish the interactive relationship between variables and to verify, in order to solve the problem of cervical cancer screening in women migrant workers receive good service, with poor conditions to provide accurate According to (3). The effect of cervical cancer screening of female migrant workers accept factors including age, sex and service utilization of cultural level, occupation, income per month, latent variable screening of cervical cancer screening support perception, attitude, self-efficacy, promote the acceptance of the factors of perceived. (4) should be for young women, low degree of culture to be working, the per capita monthly income is little, not actively support screening attitude perception, accept the perception ability. Low self-efficacy of female migrant workers for cervical cancer screening and health education, to provide convenience for the screening service, to improve their quality of life, reduce the incidence of cervical cancer in women.

【学位授予单位】：河北大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R737.33

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