海南省农村妇女宫颈癌认知和筛查行为及影响因素分析  

Cognition and Screening Behaviors and Related Influencing Factors of Cervical Cancer among Rural Women in Hainan Province

作　　者：罗庆[1] 罗银波 龚言红[2] 劳海红 曹霞[1] 黄翠敏[1] 窦倩如 孔令婉 樊利春[1] LUO Qing;LUO Yinbo;FAN Lichun(Maternal and Child Health Hospital of Hainan Province,Haikou,570206,China)

机构地区：[1]海南省妇幼保健院,海南海口570206 [2]华中科技大学同济医学院公共卫生学院,湖北武汉430030

出　　处：《中国社会医学杂志》2020年第1期74-78,共5页Chinese Journal of Social Medicine

基　　金：海南省自然科学基金面上项目(817363)

摘　　要：目的了解海南省35~64岁农村妇女宫颈癌防治知识认知和检查行为状况及相关影响因素,为开展宫颈癌健康教育及筛查提供参考依据。方法采取多阶段分层抽样方法对海南省18个市县的10800名农村妇女进行宫颈癌防治知识问卷调查,采用描述性分析、多因素Logistic回归等方法进行统计分析。结果调查对象普遍对宫颈癌的危险因素和预防措施了解不足,49.3%的调查对象主动做过临床宫颈癌检查,53.4%的妇女参加过国家宫颈癌筛查服务。Logistic回归分析结果显示,文化程度越高(OR=0.818)、收入越高(OR=0.694)、未患慢性病(OR=2.053)、参加过宫颈癌筛查项目(OR=2.054)、职业为个体户(OR=0.714)和教师(OR=0.872)的调查对象防治知识得分较高;年龄越大(OR=0.817)、少数民族(OR=0.577)、已婚(OR=0.452)、文化程度越高(OR=0.913)、职业为教师(OR=0.602)、收入越高(OR=0.744)、具备宫颈癌防治知识(OR=0.1.951)的调查对象越会主动进行宫颈癌检查。结论海南省农村妇女宫颈癌防治知识掌握程度不高,应进一步采取有效方式开展广泛深入的健康教育,提高宫颈癌防治知识水平,促使农村妇女主动进行宫颈癌检查。Objective To understand the status of cervical cancer prevention and control in rural women aged 35 to 64 in Hainan,their behaviors and related influencing factors,and to provide a reference for carrying out cervical can-cer health education and screening.Methods A multi-stage stratified sampling method was used to select 10,800 rural women from 18 cities and counties in Hainan Province.A questionnaire survey on cervical cancer prevention and control knowledge was performed.Statistical analysis was performed using descriptive analysis and multi-factor logistic regression.Results The survey participants generally did not know enough about the risk factors and preventive measures of cervical cancer.49.3%took the initiative to have a clinical cervical cancer examination and 53.4%participated in the national cervical cancer screening service.Logistic regression analysis results show that those with higher the education level(OR=0.818),the higher the income(OR=0.694),no chronic disease(OR=2.053),parti-cipated in the cervical cancer screening program(OR=2.054),and being self-employed(OR=0.714)or teachers(OR=0.872)have higher scores on prevention and control knowledge.Women who were of older age(OR=0.817),from ethnic minorities(OR=0.577),being married(OR=0.452),with higher education level(OR=0.913),being teacher(OR=0.602),with higher the income(OR=0.744),and more aware of cervical cancer prevention and control knowledge(OR=0.1.951)were more inclined to take cervical cancer examination.Conclusion The knowledge of cervical cancer prevention and control among rural women in Hainan is not high.Effective methods should be adop-ted to carry out extensive and in-depth health education,improve the level of cervical cancer prevention and control,and promote rural women to take the initiative to conduct cervical cancer examinations.

关 键 词：农村妇女 宫颈癌 认知 行为 健康教育 

分 类 号：R711.74[医药卫生—妇产科学]