尼日利亚阿布贾加尔基医院产前门诊就诊者的宫颈癌筛查做法

Alphonsus O. Isara, CJ PC-Onyekwere
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摘要

背景:宫颈癌是一种可预防的疾病,在全世界妇女中发病率排名第四,是一个重大的公共卫生问题,尤其是在发展中国家。本研究旨在评估尼日利亚阿布贾加尔基医院产前门诊就诊者对宫颈癌的了解程度以及宫颈癌筛查的实践情况。研究方法采用系统抽样技术选出的 215 名产前门诊就诊者参加了这项以医疗机构为基础的横断面研究。数据采用结构化自填问卷收集,并使用 IBM SPSS 22.0 版进行分析。统计显著性水平设定为 p < 0.05。结果122名受访者(57.0%)年龄在30-39岁之间,191名(89.3%)已婚,202名(94.4%)受过高等教育,72名(33.6%)为初婚。大多数 191 人(89.3%)对宫颈癌有所了解,其中 81 名医护人员(42.4%)和 72 家大众媒体(37.7%)是主要的信息来源。有 157 人(82.2%)提到异常阴道出血是宫颈癌的症状,28 人(14.7%)不知道宫颈癌的症状。分别有 68 人(35.6%)和 30 人(15.7%)提到多个性伴侣和过早的性接触是宫颈癌的风险因素。只有 31 人(16.2%)接受过宫颈癌筛查。社会人口特征与受访者接受宫颈癌筛查的情况无明显关联:受访者对宫颈癌的认知度较高,但对其症状和风险因素的深入了解普遍较少。接受宫颈癌筛查的比例极低。
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Cervical cancer screening practices of antenatal clinic attendees in Garki Hospital Abuja, Nigeria
Background: Cervical cancer, a preventable disease, is the fourth most frequent cancer in women worldwide is a major public health problem especially in developing countries. The aim of the study was to assess the knowledge of cervical cancer and practice of cervical cancer screening among antenatal clinic attendees in Garki Hospital Abuja, Nigeria.  Methods: Two hundred and fifteen antenatal clinic attendees selected using systemic sampling techniques participated in this facility-based cross-sectional study. Data was collected using a structured, self-administered questionnaire and analyzed with IBM SPSS version 22.0. Statistical level of significance was set at p < 0.05.  Results: One hundred and twenty-two (57.0%) of the respondents were aged 30 – 39 years, 191 (89.3%) were married, 202 (94.4%) had tertiary level of education while 72 (33.6%) were primipara. Majority 191 (89.3%) were awareness of cervical cancer with health care workers 81 (42.4%) and mass media 72 (37.7%) as the predominant sources of information. Majority 157 (82.2%) mentioned abnormal vaginal bleeding as a symptom of cervical cancer while 28 (14.7%) do not know the symptoms of cervical cancer. Sixty-eight (35.6%) and 30 (15.7%) mentioned multiple sexual partners and early sexual exposures as risk factors for cervical cancer, respectively. Only 31 (16.2%) had screened for cervical cancer. Socio-demographic characteristics were not significantly associated with respondents’ uptake of cervical cancer screening  Conclusion: The awareness concerning cervical cancer was high but the in-depth knowledge of its symptoms and risk factors was generally poor. The uptake of cervical cancer screening was abysmally low.
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