烟台市已婚妇女宫颈癌主动筛查的知识、态度及行为现状分析  

Status and analysis of knowledge, attitude and practice related to cervical cancer screening among married women in Yantai

作　　者：王辉[1] 徐振彦 赵培忠[3] WANG Hui;XU Zhen-yan;ZHAO Pei-zhong(School of Nursing,Binzhou Medical University,Binzhou,Shandong 256600,China)

机构地区：[1]滨州医学院护理学院,山东滨州256600 [2]滨州医学院烟台附属医院,山东烟台264000 [3]滨州沪滨爱尔眼科医院,山东滨州256600

出　　处：《现代预防医学》2019年第6期1031-1034,1058,共5页Modern Preventive Medicine

基　　金：烟台市社会科学规划研究项目:烟台市已婚妇女宫颈癌主动筛查的KAP现状及分析ytsk2017-R-101

摘　　要：目的了解烟台市已婚妇女宫颈癌主动筛查的知识、态度和行为(KAP)现状及影响因素,为提高宫颈癌筛查率,采取精准干预提供依据。方法采取方便抽样法选取548名已婚妇女为研究对象,采用自制问卷调查宫颈癌KAP现状,并分析影响因素。结果调查对象宫颈癌筛查认知、态度、行为得分分别为48～93(66.34±7.62)、40～100(74.57±13.30)、38～95(67.96±11.60)分;单因素分析显示,不同文化程度者的认知和态度、不同宗教信仰者和再婚情况的行为、是否有流产史者的态度得分比较差异均有统计学意义(P<0.05);逐步多元回归分析显示,是否患有妇科肿瘤对认知影响最大(P<0.001),再婚情况对宫颈癌筛查态度影响最大(P<0.001),宫颈癌的认知对行为影响最大(P<0.001)。结论该地区妇女宫颈癌认知水平偏低,主动筛查积极性欠缺。应重视宫颈癌病因、早期筛查益处等知识的普及,明确重点干预人群,争取家庭支持。Objective To investigate the status and influencing factors of knowledge,attitude and practice related to cervical cancer screening among married women in Yantai city,so as to improve the screening rate of cervical cancer and provide evidence for taking precise intervention.Methods 548 married women were selected by convenient sampling method and investigated by selPmade questionnaire,and influencing factors on cervical cancer screening were analyzed.Results The scores of cognition,attitude and behavior were respectively 48-93(66.34±7.62),40-100(74.57±13.30),and 38-95(67.96±11.60).One-way analysis revealed that cognitive scores and attitude of people with different educational level,behavior of different religious believers and remarriage,and attitude scores of histories of abortion or not had statistical differences(P<0.05).Stepwise multivariate regression analysis showed that women with gynecological cancer had the greatest impact on cognition(P<0.001),remarriage had the greatest impact on cervical cancer screening attitude(P<0.001),and the cognition of cervical cancer had the greatest influence on behavior(P<0.001).Conclusion The women's cognitive level of cervical cancer was low,and active screening behavior was lacking.It is essential to pay attention to the popularization of knowledge about the causes of cervical cancer and early screening benefits,so as to make clear the key intervention population,and thus to strive for family support.

关 键 词：烟台市 宫颈癌筛查 知识 态度 行为 

分 类 号：R173[医药卫生—妇幼卫生保健]