Knowledge, attitudes and practices toward cervical cancer screening among ethnic minorities in inner Mongolia, China.

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES Journal of evaluation in clinical practice Pub Date : 2024-07-08 DOI:10.1111/jep.14074
Feifei Zhao, Haijun Yan, Yuhuan Liu, Xin Mu, Danchi Wang, Jianxuan Du, Jianghua Chen
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Abstract

Aims: This study aimed to assess the knowledge, attitudes and practices (KAP) towards cervical cancer screening among ethnic minorities in Inner Mongolia, China.

Methods: A cross-sectional study was conducted in Inner Mongolia between May and September, 2023, and recruiting participants undergoing dual-cancer screening. Demographic characteristics and KAP status were assessed using a self-administered questionnaire.

Results: A total of 533 valid questionnaires were collected, with 53.66% aged 40 years or younger. Mean scores for knowledge, attitude, and practice were 13.58 ± 5.41, 41.06 ± 4.53, and 13.35 ± 1.53, respectively. Positive associations were found between knowledge and attitude (r = 0.348, p < 0.001), knowledge and practice (r = 0.288, p < 0.001), and attitude and practice (r = 0.817, p < 0.001). Structural equation modelling confirmed direct positive associations between knowledge and attitude (path coefficient = 0.307, p < 0.001) and attitude and practice (path coefficient = 0.270, p < 0.001). Additionally, knowledge demonstrated an indirectly positive association with practice (path coefficient = 0.083, p = 0.007).

Conclusion: Ethnic minorities in Inner Mongolia exhibit insufficient knowledge, positive attitudes, and proactive practices toward cervical cancer screening. Implementing targeted educational initiatives is crucial to enhance their KAP.

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中国内蒙古少数民族对宫颈癌筛查的认识、态度和做法。
目的:本研究旨在评估中国内蒙古少数民族对宫颈癌筛查的知识、态度和实践(KAP):方法:2023 年 5 月至 9 月期间,在内蒙古开展了一项横断面研究,招募了接受双重癌症筛查的参与者。结果:共有 533 份有效问卷:共收集到 533 份有效问卷,其中 53.66% 的参与者年龄在 40 岁或以下。知识、态度和实践的平均得分分别为(13.58 ± 5.41)、(41.06 ± 4.53)和(13.35 ± 1.53)。知识和态度之间呈正相关(r = 0.348,p 结论:内蒙古自治区的少数民族具有较强的健康意识和健康行为:内蒙古少数民族对宫颈癌筛查的知识、积极态度和主动实践不足。实施有针对性的教育措施对提高他们的 KAP 至关重要。
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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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