孟加拉国妇女宫颈癌筛查的知识、态度和做法

A. N. Nur, Juthi Bhowmik, Shiuly Chowdhury, S. Begum
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摘要

收信人:Ayesha Najma Nur医生,孟加拉国达卡阿舒利亚妇幼保健中心妇产科顾问部。摘要背景:子宫颈是女性生殖器官癌最常见的部位。在发展中国家,宫颈癌是女性最常见的恶性肿瘤,也是一个重大的公共卫生问题。据报道,在孟加拉国影响女性的所有类型癌症中,宫颈癌的患病率为20%。为了解孟加拉国妇女对宫颈癌筛查的知识、态度和行为水平。材料和方法:对2013年1月至2013年6月在BSMMU妇产科、内外科门诊就诊的20岁以上已婚妇女进行横断面研究。采用有目的抽样法,共纳入225名调查对象。结果:调查对象的平均年龄为43.34岁,标准差为±12.49岁。大多数受访者(96%)是穆斯林,来自城市地区。超过三分之二的受访者(71.1%)受过中学以上教育。超过80%的受访者是家庭主妇。大约四分之三的受访者来自中产阶级家庭。只有20%的人能提到子宫颈癌是女性的主要癌症。约20%受访者知道早婚及多次婚姻是引致子宫颈癌的两大危险因素。大部分被访者(93.3%)认为子宫颈癌是一种危险疾病,并能提及吸烟是其中一个重要的危险因素。约三分之一的受访者知道Pap涂片和VIA这两个词。但大多数受访者在认为没有必要进行筛选的情况下,并没有进行任何筛选程序。调查发现,受教育程度较高的受访者对子宫颈癌有较好的认识。丈夫受教育程度较高的受访者也是如此。高等教育程度与良好态度/行为正相关。对子宫颈癌有良好认识的受访者,对子宫颈癌的态度及行为亦良好。
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Knowledge, Attitude and Practice of Cervical Carcinoma Screening among Bangladeshi Women
*Correspondence to: Dr. Ayesha Najma Nur Consultant Department of Obstetrics & Gynaecology Center for Women and Child Health Ashulia, Dhaka, Bangladesh. Mobile : +88 01711 90 22 85 Email : ayeshanajmanur@gmail.com Abstract Background: The uterine cervix is the commonest site for female genital cancer. In developing countries, carcinoma cervix is the most common malignancy in females and a major public health problem. It is reported In Bangladesh that the prevalence of carcinoma cervix is 20% among all types of cancer affecting females. To determine the level of knowledge, attitude and practice among Bangladeshi women about screening of cervical carcinoma Materials and methods: A cross-sectional study was conducted on married women above the age of 20 years, attending OPD of Obstetrics & Gynecology, Medicine and Surgery of BSMMU from January 2013 to June 2013. By using purposive sampling technique 225 respondents were enrolled in the study. Results: Mean age of the respondents was 43.34 years with a standard deviation of ± 12.49 years. Most of the respondents (96%) were Muslim and from urban areas. More than two-thirds of the respondents (71.1%) were educated up to secondary level. More than 80% respondents were housewives. About three-fourth of the respondents were form middle class families. Only 20% could mention cervical cancer as the leading cancer among women. About 20% respondents knew that early and multiple marriages were the two risk factors for cervical cancer. Most of the respondents (93.3%) believed that cervical cancer is dangerous disease and was able to mention smoking as one of the important risk factors. About one-third respondents knew that terms Pap’s smear and VIA. But most of the respondents did not undergo any screening procedure under the assumption that the screening was not necessary. It was found that respondents with higher education level possessed good knowledge regarding cervical cancer. It was also true for respondents whose husbands were more educated. Higher education level was positively correlated with good attitude/practices. The respondents who had good knowledge about cervical cancer showed good attitude/practice regarding the same.
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