成都市608名社区妇女宫颈癌认知、态度、行为调查  

Survey on the status of the cognition,attitude and practice related to cervical cancer among 608 women in community of Chengdu

作　　者：肖丽[1,2] 杨雪钧[2] 王红静[1,2] 肖淞元[2] 王蕾[2] 任彦洁[2] 袁婕[2] 刘绍丽[2] 

机构地区：[1]四川大学华西第二医院妇产科,四川成都610041 [2]四川大学华西临床医学院妇幼保健医学系

出　　处：《现代预防医学》2013年第4期706-709,共4页Modern Preventive Medicine

摘　　要：目的了解成都市部分社区妇女对于宫颈癌知识的认知、态度、行为(KAP)及相关影响因素,为成都市社区妇女宫颈癌健康教育提供依据。方法抽取成都市6个社区妇女共计654例,采用自制问卷进行调查,有效问卷608例,应用SPSS13.0软件统计处理。结果 608例调查对象中仅有27.3%知晓HPV(人类乳头瘤病毒)感染是宫颈癌的高危因素,87.3%认为宫颈癌可以预防;85.2%认为有性生活的妇女应该每年做妇科检查;66.6%曾主动了解过宫颈癌相关知识;22.2%参加过宫颈癌筛查。调查对象宫颈癌知识得分偏低,为(13.82±3.401)(-8～10)分;单因素分析显示不同经济状况、文化程度、年龄、职业、单位体检是否包括宫颈癌筛查以及是否参加过宫颈癌筛查等组间得分差异有统计学意义(P﹤0.05);多元线性回归显示,对得分影响最大的变量从大到小依次为:单位体检中是否包括妇科检查、务农、经济状况、是否参加过宫颈癌筛查、文化程度、企事业单位员工及年龄。结论调查对象对宫颈癌的认知程度偏低,特别是对宫颈癌筛查相关知识、HPV与宫颈癌的关系了解不全面;有预防宫颈癌的意识,但缺乏实际行动。OBJECTIVE To investigate the status of the cognition, attitude and practice related to cervical cancer and the in- fluent factors among women in community of Chengdu, and to provide the bases for health education of cervical cancer for wom- en in community of Chcngdu. METHODS 654 women in six communities of Chengdu were investigated by questionnaire, and 608 returned copies were valid. SPSS 13.0 was used. RESULTS In the 608 females, the cognition rate of HPV （Human Papil- lomavirns） was 27.3%, which was very low. 87.3% of them believed that cervical cancer was preventable, while 85.2% of them thought sexually active women should take gynecological examination every year. 66.6% of them knew cervical cancer on their initiative, but only 22.2% of them took the cervical cancer screening. The indications of the cognition of cervical cancer among women in community of Chengdu were low, which was （ 13.82 ± 3.401 ） （-8-10）. One-way analysis revealed that cognition standard of cervical cancer among different economic situation, degree of education, taking screening of cervical cancer or not, different age group, taking gynecological examination or not in unit physical examination and different occupation had statistical differences. And in multiple linear regressions, according to the importance of their influence on the marks, the influencing se- quence of these impact variables were that taking gynecological examination or not in unit physical examination 〉 being a farmer 〉 economic situation 〉 taking screening of cervical cancer or not 〉 degree of education 〉 working in enterprise and public institu- tion 〉 age. CONCLUSION Women among community of Chengdu have low cognitive levels about the cervical cancer, especial- ly about the screening and the relationship between HPV infection and cervical cancer. They have prevention consciousness but without pertinent activity.

关 键 词：社区妇女 宫颈癌 宫颈癌筛查 认知 

分 类 号：R737.33[医药卫生—肿瘤]