川北高山地区妇女宫颈癌知识、态度、行为现况调查  

SURVEY ON THE STATUS OF THE KNOWLEDGE,ATTITUDE,AND PRACTICE RELATED TO CERVICAL CANCER AMONG WOMEN IN THE HIGH MOUNTAIN AREA OF NORTHERN SICHUAN PROVINCE

作　　者：王琪琳[1] 李亚伦[1] 杨开选[2] 杨帆[2] 杨晓清[3] 罗彩霞 杨琴[1] 方堃[1] 杨堃[1] 王红静[1] 

机构地区：[1]四川大学华西第二医院妇产科,成都610041 [2]四川大学华西第二医院病理科 [3]广元市妇幼保健院 [4]广元市元坝区妇幼保健院

出　　处：《现代预防医学》2011年第5期859-862,共4页Modern Preventive Medicine

基　　金：四川省科技厅社会公益研究项目基金(2008SG0022);四川省学术带头人和后备人选基金(07SRC-11)

摘　　要：[目的]了解川北高山地区妇女宫颈癌知识、态度和行为情况,为该地区开展宫颈癌健康教育和健康促进提供科学依据,以便有效得降低该地区宫颈癌的发病率和死亡率。[方法]采用整群抽样的方法,对四川省北部广元高山地区妇女进行问卷调查。调查内容主要包括:了解该地区妇女的一般情况、对宫颈癌知识的认知程度、对宫颈癌的态度及宫颈癌的行为情况,对有效样本采用SPSS软件包进行统计分析。[结果]调查妇女文化程度以文盲和半文盲为主占86%;家庭年收入≤1万元占57.9%;初次性生活年龄≤20岁占47.7%;有2个及以上性伙伴占14.5%;初婚年龄≤20岁占17.8%;初次生育年龄≤20岁占25.6%;两次生育间隔时间≤2年占30.4%;不知道宫颈癌最常见症状占85.8%;不知道易导致宫颈癌的原因占85.7%;不知道人乳头瘤病毒(HPV)及其与宫颈癌关系占99.8%;认为早期宫颈癌不能治愈占40.7%;认为宫颈癌不能预防占39.5%;不知道怎样预防宫颈癌占72.8%;不采用避孕套避孕占88.9%;从不进行妇科检查占42.8%;从未参加过宫颈癌筛查占90.2%。[结论]川北高山地区妇女缺乏宫颈癌相关知识,对待宫颈癌处于被动态度,无预防宫颈癌意识。因此在该地区宫颈癌防治工作中开展宫颈癌健康教育已迫在眉睫。[Objective]Cervical cancer is one of the most common malignancy in females and its prevalence has been increasing.The study was to assess the situation about the knowledge,attitude,and practice regarding cervical cancer among women in the high mountain area of Northern Sichuan Province,hence make out protection measures and reduce the incidence and mortality of cervical cancer.[Methods]Used cluster sampling,886 cases were enrolled.They completed questionnaires individually.A structured questionnaire covering socio-demographic characteristics,knowledge,attitude,and practice related to cervical cancer were administered.Analyses were conducted by SPSS.[Results]86% of women were illiteracy or semi-illiteracy,57.9% of women had a yearly income less than ten thousand,47.7% of women had sexual activity before the age of 20,14.5% of women have multiple sexual partners,17.8% and 25.6% of women got married and had childbirth respectively before the age of 20,30.4% of women had re-birth within 2 years,85.8% of women did not know the common symptom of cervical cancer,85.7% of women did not know the reason of resulting in cervical cancer,99.8% of women did not know the relationship between human papilloma virus（HPV）and cervical cancer,40.7% and 39.5% of women did not know cervical cancer can cure and prevent respectively,72.8% of women did not know how to prevent the cervical cancer,88.9% of women did not use condom,42.8% of women never had attended gynecologic examination.90.2% of women had not yet taken participation in cervical cancer screening.[Conclusion]The status of the knowledge,attitude,and practice regarding cervical cancer among women in the high mountain area of northern Sichuan Province is worrisome.Our findings show that a well-designed health education programme on cervical cancer is worth considering as a long-term work to be carried out.

关 键 词：宫颈癌 川北高山 知识 

分 类 号：R737.33[医药卫生—肿瘤]