山西省女性宫颈癌防治知信行现状及影响因素研究  

Study on the current situation and influencing factors of the knowledge,attitude and practice of cervical cancer prevention and treatment among women in Shanxi Province

作　　者：贺鹭 秦梦霞[1] 李思甜 李文爱 蔡雨彤 曹熙 武大宏 HE Lu;QIN Mengxia;LI Sitian;LI Wenai;CAI Yutong;CAO Xi;WU Dahong(Department of Social Medicince,School of Public Health,Shanxi Medical University,Taiyuan 030001,China;Rural Health and Health Development Research Cente,Taiyuan 030001,China;MOE Key Laboratory of Coal Environmental Pathogenicity and Prevention,Shanxi Medical University,Taiyuan 030001,China;Shanxi Shangning Health Examination Center,Taiyuan 030001,China)

机构地区：[1]山西医科大学公共卫生学院社会医学教研室,太原030001 [2]农村健康与卫生发展研究中心,太原030001 [3]山西医科大学煤炭环境致病与防治教育部重点实验室,太原030001 [4]山西尚宁健康体检中心,太原030001

出　　处：《中华疾病控制杂志》2024年第6期702-708,720,共8页Chinese Journal of Disease Control & Prevention

基　　金：山西省基础研究计划项目(202203021221183)。

摘　　要：目的了解山西省女性宫颈癌防治知信行现状及其影响因素,为促进女性参与宫颈癌筛查并重视农村女性的健康教育工作提供依据。方法采用线上线下相结合的方式对山西省3460名女性进行问卷调查,运用χ^(2)检验和二元logistic回归分析模型探讨山西省女性宫颈癌防治知信行的影响因素。结果山西省女性宫颈癌知识知晓率为51.3%;防治态度积极率为75.9%;宫颈癌筛查率42.6%;今后愿意接受宫颈癌筛查人数占比92.4%。年龄(OR=0.737,95%CI:0.681~0.799,P<0.001)、文化程度(OR=1.321,95%CI:1.219~1.431,P<0.001)、职业[以公职人员为对照,其他组OR分别为1.166(95%CI:0.953~1.429,P=0.136)、2.690(95%CI:2.143~3.377,P<0.001)、3.114(95%CI:2.323~4.174,P<0.001)、1.444(95%CI:1.051~1.984,P=0.023)]、家庭人均年收入(OR=1.103,95%CI:1.051~1.158,P<0.001)是女性宫颈癌防治知识的影响因素;年龄(OR=0.719,95%CI:0.660~0.785,P<0.001)、文化程度(OR=1.206,95%CI:1.108~1.313,P<0.001)、职业[以公职人员为对照,其他组OR分别为1.202(95%CI:0.956~1.512,P=0.116)、1.621(95%CI:1.241~2.118,P<0.001)、1.389(95%CI:0.984~1.962,P=0.062)、1.327(95%CI:0.958~1.840,P=0.089)]、家庭人均年收入(OR=1.085,95%CI:1.029~1.145,P=0.003)、吸烟(OR=0.666,95%CI:0.490~0.907,P=0.010)是女性宫颈癌防治态度的影响因素;年龄(OR=1.161,95%CI:1.051~1.284,P=0.003)、户籍(OR=1.474,95%CI:1.230~1.767,P<0.001)、职业[以公职人员为对照,其他组OR分别为1.019(95%CI:0.832~1.248,P=0.854)、1.840(95%CI:1.427~2.372,P<0.001)、0.758(95%CI:0.477~1.206,P=0.243)、0.626(95%CI:0.463~0.845,P=0.002)]、婚姻状态[以未婚为对照,其他组OR分别为8.306(95%CI:6.164~11.194,P<0.001)、10.480(95%CI:6.031~18.212,P<0.001)]、家庭人均年收入(OR=1.114,95%CI:1.058~1.174,P<0.001)、女性疾病患病情况(OR=1.322,95%CI:1.142~1.530,P<0.001)、早餐(OR=1.423,95%CI:1.178~1.720,P<0.001)、体育锻炼(OR=1.192,95%CI:1.061~1.340,P=0.003)、人工流产情况(OR=1.237,95%CI:1.119~1.367,P<0.001)是�Objective To understand the current status and the influencing factors of knowledge,attitude,and behavior about cervical cancer prevention and treatment among women in Shanxi Province.And we aims to provide a basis for promoting women's participation in cervical cancer screening and emphasizing health education efforts among rural women.Methods A self-designed questionnaire was used.The data of 3460 women was conducted withχ^(2)test and binary logistic regression to explore the influencing factors of cervical cancer knowledge,attitude,and behavior.Results The knowledge awareness rate of cervical cancer among women in Shanxi Province was 51.3%.The positive attitude toward prevention and treatment was 75.9%.The screening rate of cervical cancer was 42.6%and 92.4%women were willing to be screened for cervical cancer in the future.Age(OR=0.737,95%CI:0.681-0.799,P<0.001),education(OR=1.321,95%CI:1.219-1.431,P<0.001),occupation[compared to the group with civil servant,the OR for other groups were 1.166(95%CI:0.953-1.429,P=0.136),2.690(95%CI:2.143-3.377,P<0.001),3.114(95%CI:2.323-4.174,P<0.001),amd 1.444(95%CI:1.051-1.984,P=0.023),respectively],and annual per capita household income(OR=1.103,95%CI:1.051-1.158,P<0.001)were the influencing factors for women's knowledge of cervical cancer prevention and treatment.Age(OR=0.719,95%CI:0.660-0.785,P<0.001),education(OR=1.206,95%CI:1.108-1.313,P<0.001),occupation[compared to the group with civil servant,the OR for other groups were 1.202(95%CI:0.956-1.512,P=0.116),1.621(95%CI:1.241-2.118,P<0.001),1.389(95%CI:0.984-1.962,P=0.062),1.327(95%CI:0.958-1.840,P=0.089),respectively],annual per capita household income(OR=1.085,95%CI:1.029-1.145,P=0.003),and smoking(OR=0.666,95%CI:0.490-0.907,P=0.010)were the influencing factors for women's attitude toward cervical cancer prevention and treatment.Age(OR=1.161,95%CI:1.051-1.284,P=0.003),household registration(OR=1.474,95%CI:1.230-1.767,P<0.001),occupation[compared to the group with civil servant,the OR for other groups were 1.019(95%CI:0

关 键 词：宫颈癌 知信行 影响因素 女性 筛查行为 

分 类 号：R512.91[医药卫生—内科学]