HIV感染女性宫颈癌防治知识知晓情况调查  

Investigation on knowledge of cervical cancer prevention and treatment among HIV-infected women

作　　者：刘敏[1] 刘军[2] 

机构地区：[1]上海市公共卫生临床中心,上海201508 [2]首都医科大学附属北京地坛医院,北京100015

出　　处：《中国艾滋病性病》2018年第1期84-86,96,共4页Chinese Journal of Aids & STD

基　　金：上海市公共卫生临床中心立项课题(KSF0566)~~

摘　　要：目的了解艾滋病病毒（HIV）感染妇女对宫颈癌认知程度及相关影响因素,为进一步开展HIV感染女性宫颈癌健康教育及早诊断早治疗提供参考依据。方法 2014年10月至2016年10月,对在上海公共卫生临床中心和北京地坛医院艾滋病门诊就诊的HIV感染妇女进行宫颈癌防治知识问卷调查,并对结果进行分析。结果 252例HIV感染女性对宫颈癌筛查总体知晓率较低（39.44%）。25~45岁、城镇户籍、受过高等教育、高收入组、企事业单位职员的女性认知度分别高于年龄低于25岁、农村户籍、未接受过高等教育、月收入〈5 000元、非企事业单位的女性。性伴侣数≥3个的女性对宫颈癌防治知识的认知度低于≤2个性伴侣的女性。252例中,有37.30%（94/252）被调查女性对宫颈癌筛查的方法有所了解,33.33%（84例）的女性从未做过任何妇科检查或宫颈癌筛查,32.54%（82/252）主动了解过宫颈癌防治相关知识,82.54%（208/252）的被调查女性非常希望了解更多的宫颈癌防治相关知识。在曾做过宫颈癌筛查的女性中,53.57%（90/168）是由于接受了医生的建议而进行检查。结论 HIV感染女性群体对宫颈癌认知度低,但有很强的需求。医务工作者在宣教、促进HIV感染女进行宫颈筛查上起到一定的作用,应积极进行健康教育和大力宣传。Objective To investigate the knowledge awareness of cervical cancer among HIV infected women and its related influencing factors,so as to provide evidence for further health education on early diagnosis and treatment of cervical cancer.Methods A questionnaire survey was conducted among 252 HIV-infected women in Shanghai public health clinical center and Beijing Ditan hospital,during Oct.2014-Oct.2016.The results were analyzed accordingly.Results The overall awareness rate of cervical cancer knowledge was low（1292/252×13,39.44%）among HIV infected women.The women of 25-45 years old,urban household registered,highly educated,higher income,and employees of enterprises and institutions had higher awareness rate than those younger than 25 years old,of rural household registered,lower education,and frequently unemployed,and the monthly income less than RMB5000.The women having three or more sexual partners had lower awareness rate than those having two or one sexual partner.Only 37.30%（94/252）of the women surveyed had an understanding of cervical cancer screening,and33.33%（84/252）had never had any gynecological examination or cervical cancer screening.Only 32.54%（82/252）got proactively to know the information of cervical cancer prevention and control.82.54%（208/252）of the surveyed women hoped to learn more related knowledge about cervical cancer prevention and treatment.Among women who had screened for cervical cancer,53.57%（90/168）were examined by doctors＇ recommendations.Conclusion HIV infected women have low awareness rate of cervical cancer knowledge,and a strong demand for relative information.Medical workers play a very important role in education and promotion of cervical screening for HIV-infected women.Health education should be actively and vigorously promoted.

关 键 词：艾滋病病毒感染女性 宫颈癌 人乳头瘤病毒 认知度 健康教育 

分 类 号：R373.9[医药卫生—病原生物学]