深圳居民宫颈癌防治知识认知度及相关因素调查
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摘要
目的通过调查深圳市人群对宫颈癌及相关知识的知晓率,探究其影响因素,为宫颈癌的健康教育提供指引。方法选取2015年6月至2016年5月深圳市20家医疗机构门诊患者4656例进行问卷调查,内容涉及宫颈癌、HPV相关知识知晓率、宫颈癌筛查现状及对宫颈癌筛查的认知情况4个方面11个问题。结果共收回4 340份有效问卷。31～40岁女性宫颈癌知晓率最高,41～50岁对宫颈癌相关知识知晓率最高,对筛查现状及筛查认知度最高。学历越高、收入越多,宫颈癌知晓率也越高。宫颈癌相关知识知晓率与性生活及医保无相关性。结论宫颈癌认知度的影响因素主要与年龄、学历、职业及收入有关,应注重对低学历、低收入、打工者及年龄小于30岁女性进行健康教育。
Objective To investigate the awareness rate of cervical cancer and related information among women in Shenzhen and explore the influencing factors,which had an important difference in health education.Methods 4 656 volunteers were recruited from the outpatient office from June 2015 to 2016 in Shenzhen.A questionnaire containing 11 questions regarding related to cervical cancer.Results 4 340 effective questionnaire were collected.A high knowledge rate of cervical cancer was in the 31～40 year-old women,and relevant knowledge was in 41～50 year old who take the highest awareness of the status of screening.High education and more income had higher awareness rate.There was no difference between awareness rate and sexual status or health insurance.Conclusions The most important influencing factors of awareness rare were age,education,career and income,we should focus on the health education of women with low education,low income,unstable work and under 30 old.
Objective To investigate the awareness rate of cervical cancer and related information among women in Shenzhen and explore the influencing factors,which had an important difference in health education.Methods 4 656 volunteers were recruited from the outpatient office from June 2015 to 2016 in Shenzhen.A questionnaire containing 11 questions regarding related to cervical cancer.Results 4 340 effective questionnaire were collected.A high knowledge rate of cervical cancer was in the 31～40 year-old women,and relevant knowledge was in 41～50 year old who take the highest awareness of the status of screening.High education and more income had higher awareness rate.There was no difference between awareness rate and sexual status or health insurance.Conclusions The most important influencing factors of awareness rare were age,education,career and income,we should focus on the health education of women with low education,low income,unstable work and under 30 old.
引文
[1]李娇,李娜,赵静妮,等.人乳头状瘤病毒少见亚型在宫颈病变患者分布状况的研究[J].分子诊断与治疗杂志, 2018,10(6):367-371.
[2]陈万青,郑荣寿,张思维,等. 2012年中国恶性肿瘤发病和死亡分析[J].中国肿瘤, 2016, 25(1):1-8.
[3]孟超,赵温,周钰.北京市海淀区1078名户籍妇女未参与宫颈癌免费筛查的原因调查分析[J].中国全科医学, 2014,17(5):536-538.
[4]朱虹丽,李小宁,张文婷.陕西咸阳地区妇女人乳头瘤病毒感染状况分析[J].中国妇幼健康研究, 2014, 25(5):743-746.
[5]董航,刘华章,林国桢,等.广州市2000-2011年宫颈癌发病趋势及年龄分布特征[J].中华疾病控制杂志, 2015, 19(5):451-453, 480.
[6]候卫健. 581例体检育龄妇女TCT筛查宫颈癌病变的流行病学的调查[J].实用妇科内分泌杂志(电子版), 2018, 5(3):11-13.
[7]Moyer VA, U. S. Preventive services task force. Screening for prostate cancer:U. S. preventive services Task Force recommendation statement[J]. Ann Intern Med, 2012, 157(2):120-134.
[8]Sherlaw-Johnson C, Gallivan S, Jenkins D. Evaluating cervical cancer screening programmes for developing countries[J]. Int J Cancer, 1997, 72(2):210-216.
[9]Andrae B, Kemetli L, Sparen P, et al. Screening-preventable cervical cancer risks:evidence from a nationwide audit in Sweden[J]. J Natl Cancer Inst, 2008, 100(9):622-629.
[10]李晓英,刘植华,王月云,等.深圳市低收入妇女人群宫颈癌防治知识知晓及筛查参与情况分析[J].中国肿瘤, 2013,22(7):540-542.
[11]卢媛,李莹,李俊.武昌区低收入家庭适龄妇女乳腺癌和宫颈癌筛查结果分析[J].中国妇幼保健, 2013, 28(20):3247-3249.
[12]Arevian M, Noureddine S, Kabakian-Khasholian T. Raising awareness and providing free screening improves cervical cancer screening among economically disadvantaged Lebanese/Armenian women[J]. J Transcult Nurs, 2006, 17(4):357-364.
[13]Di J, Rutherford S, Wu J, et al. Knowledge of cervical cancer screening among women across different socio-economic regions of China[J]. PLoS One, 2015, 10(12):e0144819.
[14]Sadowski EA, Robbins JB, Guite K, et al. Preoperative pelvic MRI and serum cancer antigen-125:selecting women with grade 1 endometrial cancer for lymphadenectomy[J]. AJR Am J Roentgenol, 2015, 205(5):W556-W564.
[15]顾其龙,凤敏华.上海奉贤地区708例外来务工妇女宫颈疾病液基细胞学及人乳头瘤病毒检测结果分析[J].检验医学,2013, 28(3):186-188.
[2]陈万青,郑荣寿,张思维,等. 2012年中国恶性肿瘤发病和死亡分析[J].中国肿瘤, 2016, 25(1):1-8.
[3]孟超,赵温,周钰.北京市海淀区1078名户籍妇女未参与宫颈癌免费筛查的原因调查分析[J].中国全科医学, 2014,17(5):536-538.
[4]朱虹丽,李小宁,张文婷.陕西咸阳地区妇女人乳头瘤病毒感染状况分析[J].中国妇幼健康研究, 2014, 25(5):743-746.
[5]董航,刘华章,林国桢,等.广州市2000-2011年宫颈癌发病趋势及年龄分布特征[J].中华疾病控制杂志, 2015, 19(5):451-453, 480.
[6]候卫健. 581例体检育龄妇女TCT筛查宫颈癌病变的流行病学的调查[J].实用妇科内分泌杂志(电子版), 2018, 5(3):11-13.
[7]Moyer VA, U. S. Preventive services task force. Screening for prostate cancer:U. S. preventive services Task Force recommendation statement[J]. Ann Intern Med, 2012, 157(2):120-134.
[8]Sherlaw-Johnson C, Gallivan S, Jenkins D. Evaluating cervical cancer screening programmes for developing countries[J]. Int J Cancer, 1997, 72(2):210-216.
[9]Andrae B, Kemetli L, Sparen P, et al. Screening-preventable cervical cancer risks:evidence from a nationwide audit in Sweden[J]. J Natl Cancer Inst, 2008, 100(9):622-629.
[10]李晓英,刘植华,王月云,等.深圳市低收入妇女人群宫颈癌防治知识知晓及筛查参与情况分析[J].中国肿瘤, 2013,22(7):540-542.
[11]卢媛,李莹,李俊.武昌区低收入家庭适龄妇女乳腺癌和宫颈癌筛查结果分析[J].中国妇幼保健, 2013, 28(20):3247-3249.
[12]Arevian M, Noureddine S, Kabakian-Khasholian T. Raising awareness and providing free screening improves cervical cancer screening among economically disadvantaged Lebanese/Armenian women[J]. J Transcult Nurs, 2006, 17(4):357-364.
[13]Di J, Rutherford S, Wu J, et al. Knowledge of cervical cancer screening among women across different socio-economic regions of China[J]. PLoS One, 2015, 10(12):e0144819.
[14]Sadowski EA, Robbins JB, Guite K, et al. Preoperative pelvic MRI and serum cancer antigen-125:selecting women with grade 1 endometrial cancer for lymphadenectomy[J]. AJR Am J Roentgenol, 2015, 205(5):W556-W564.
[15]顾其龙,凤敏华.上海奉贤地区708例外来务工妇女宫颈疾病液基细胞学及人乳头瘤病毒检测结果分析[J].检验医学,2013, 28(3):186-188.