埃塞俄比亚南部Arba Minch镇已婚妇女宫颈癌筛查服务的利用及其相关因素

Z. Gebru, M. Gerbaba, A. Dirar
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引用次数: 27

摘要

背景:宫颈癌是世界范围内主要的公共卫生问题,在包括撒哈拉以南非洲在内的发展中国家恶化。事实证明,子宫颈癌普查对降低子宫颈癌的发病率和死亡率十分有效。但很少有符合条件的妇女接受宫颈癌筛查。本研究的目的是评估Arba Minch镇已婚妇女对宫颈癌筛查服务的利用水平。方法:采用基于社区的横断面研究设计,于2015年2月至3月随机抽取660名已婚妇女,采用访谈式问卷调查,采用SPSS Version 21软件进行分析。描述性统计用于描述研究人群的状况,多变量逻辑回归用于观察筛查服务利用的预测因素。结果:调查显示,只有38人(5.9%)接受了筛查。不使用服务的最常见原因是运行正常(60.02%)。母亲年龄大于30岁、对子宫颈癌的严重程度、胎次大于5个、平均月收入大于1170 ETB与子宫颈癌筛查服务的利用显著相关。结论:只有少数受访者得到筛选。因此,有必要在该镇提高对宫颈癌筛查的认识,加强健康教育,并以妇女为目标,影响人们的看法。
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Utilization of Cervical Carcinoma Screening Service and Associated Factors among Currently Married Women in Arba Minch Town, Southern Ethiopia
Background: Cervical cancer is major public health problem worldwide which worsened in the developing world including Sub-Saharan Africa. Cervical cancer screening has been consistently shown to be effective in reducing the incidence rate and mortality from cervical cancer. But very few of eligible women undergo cervical cancer screening. The aim of this study was assess the level of utilization of screening service for cervical cancer among currently married women in Arba Minch Town. Methods: A community based cross sectional study design was conducted among randomly selected 660 currently married women from February to March, 2015 by using interviewer administered questionnaire and analyzed using SPSS Version 21. Descriptive statistics was used to describe the status of study population and multi-variable logistic regression was used to see predictors of screening service utilization. Result: The study indicated that only 38 (5.9%) of the respondents get screened. The most common reason for not utilizing the service was being healthy (60.02%). Age of mother greater than 30 years, perceived severity to cervical cancer, parity of more than 5 children and average monthly income of greater than 1170 ETB were significantly associated with cervical cancer screening service utilization. Conclusion: Only few of the respondents get screened. Therefore, there is a need for creating awareness and intensifying health education provision on cervical cancer screening in the town and need to influence perceptions by targeting the women.
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