成都市双流县子宫颈癌筛查及早诊早治意愿的现况研究  

A survey of women willingness to participate in cervical cancer screening in Shuangliu County,Sichuan

作　　者：谢瑶[1] 赵方辉[2] 温圆圆[1] 田智[1] 黄文治[1] 杨春霞[1] 乔友林[2] 

机构地区：[1]四川大学华西公共卫生学院流行病教研室,四川成都610041 [2]中国医学科学院肿瘤研究所肿瘤医院流行病室

出　　处：《中国预防医学杂志》2011年第12期998-1000,共3页Chinese Preventive Medicine

基　　金：卫生公益性行业科研专项经费(项目编号:200902002-7)

摘　　要：目的了解成都市双流县妇女子宫颈癌筛查及早诊早治的意愿,为成都市双流县更好地开展子宫颈癌防治工作提供依据。方法在成都市双流县采用整群抽样方法选取研究对象,对符合要求的30～59岁妇女开展子宫颈癌筛查,现场采取一对一方式进行子宫颈癌筛查及早诊早治意愿情况的问卷调查。结果 2000份有效问卷被纳入统计学分析,仅有15.7%的人知道"子宫颈癌早期发现能治好",对于"早期子宫颈癌治疗后能活至少10年",以及"HPV主要通过性行为传播"的知晓率则更低,分别为2.7%和0.8%;仅有一半左右的人(50.9%)是因"关注自己健康"而参加本次筛查;87.8%的调查对象认为每年进行1次免费筛查可以接受;92.5%的人愿意支付一定的筛查费用;如果筛查后有可疑病症,98.1%的人会去医疗机构进一步诊治,其中,65.3%的人会选择县级医疗机构、26.0%选择乡镇卫生院。结论成都市双流县适龄妇女对子宫颈癌相关知识的知晓率有待提高,可通过健康教育大众宣传等提高妇女对子宫颈癌相关知识的知晓率,使其关注自身健康,以促进子宫颈癌筛查和早诊早治项目的开展。Objective This study was conducted to explore women willingness to participate in cervical cancer screening,so as to promote the early detection and treatment for the disease.Methods The method of cluster sampling was applied to select women aged 30-59 years in the Shuangliu County of Chengdu,Sichuan.Cervical cancer screening and a questionnaire survey of willingness to participate the screening were conducted for all the selected women.Results A total of 2 000 women were selected for the screening and survey.Rarely（0.8%） women heard the increased risk of the disease with HPV infection before.Only 15.7% and 2.7% women knew respectively that cervical cancer was curable and the women with the disease had good survival chance if it was detected at early stage.Half（50.9%） women took the screening and survey because of health concerns.Most women would take annual free（87.8%） and charged services（92.5%） for cervical cancer screening.Almost all women（98.1%） would like to seek for the final diagnosis and treatment if necessary.County hospital would be more preferred than community medical centers（65.3% vs.26.0%） for the disease diagnosis and treatment.Conclusion Health education should be conducted to improve women awareness of cervical cancer risk and promote screening and early detection for the disease among female residents.

关 键 词：子宫颈癌 筛查意愿 早诊早治意愿 

分 类 号：R737.33[医药卫生—肿瘤]