影响乌干达西南部伊沙卡-布申尼地区 KIUTH 妇科门诊就诊妇女接受宫颈癌筛查服务的因素

Taliba Joan
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引用次数: 0

摘要

这项研究旨在确定影响乌干达西南部伊萨卡-布申尼(Ishaka-Bushenyi)KIUTH 妇科门诊就诊妇女接受宫颈癌筛查服务的因素。研究采用了横断面研究设计和定量方法。使用 Kish Leslie 表格选取了 100 名到 KIUTH 妇科门诊就诊的妇女。通过问卷收集的数据使用 SPSS 进行输入和分析,并以频率、百分比和 P 值表的形式显示。41.2%的患者年龄在25-31岁之间,2.0%的患者年龄在45岁以上。65.7%的人来自伊沙卡;73.7%的人结婚 1-5 年或 11-20 年,各占 32.5%。37.4%的人受过高等教育,30(30.3%)人受过高等教育。42.4% 的人失业,7.1% 的人只是家庭主妇。50.0%的人有 2-4 个孩子,只有 18.3%的人有 2 个以下的孩子。86.9%的人知道,13.1%的人不知道。56.8%的人从医疗机构获得宫颈癌及其筛查的相关信息,3.7%的人从媒体获得相关信息。34.7%的成年妇女了解筛查建议,22.1%的成年妇女表示每三年筛查一次,12.6%的成年妇女表示每年筛查一次。88.4%的人认为如果早期发现宫颈癌是可以治疗的,P 值=<0.01*;73.5%的人知道当地有提供宫颈癌筛查服务的医疗机构;P 值=0.05;62.2%的人中有 53 人(62.4%)认为结果返回时间会影响接受检查的比例,P 值=0.18;89.2%的人认为建议/咨询会影响接受宫颈癌筛查/检查的比例,P 值=0.05;43.4%的人在接受检查之前已经接受过检查,P 值=0.05。距离高频筛查地点较远影响了 75.9%的人了解筛查,77.1%的人不了解,p 值=0.49;宫颈检测费用影响了 75.6%的人了解服务,p 值=0.55;47.5%的人中有 39.5%的人了解 HW 性别,他们认为这影响了接受率,p 值=<0.001。研究结果表明,到 KIUTH 就诊的妇女对宫颈癌筛查/检测服务的认识/了解程度达到 86.9%;她们的 信息主要来自医疗机构和电视/广播。早期发现、利用当地医疗机构、结果返回时间短、建议/咨询以及之前接受过检测等因素增加了宫颈癌筛查/检测服务的接受率,而距离医疗机构较远、宫颈癌检测费用高以及距离最远等因素则降低了宫颈癌筛查/检测服务的接受率。关键词宫颈癌 筛查服务 医疗机构 妇女 门诊部
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Influencing the Uptake of Cervical Cancer Screening Services among Women Attending Gynecological OPD at KIUTH, Ishaka-Bushenyi, South Western Uganda
This work aimed to determine the factors influencing uptake of cervical cancer screening services among women attending gynecologic OPD at KIUTH, Ishaka-Bushenyi, South-western Uganda. A cross sectional study design and Quantitative approach was used. 100 women attending gynecologic OPD at KIUTH were selected using Kish Leslie formular. Data collected using a questionnaire was entered and analyzed using SPSS, presented in frequency, percentage and P-values tables. 41.2% were aged 25-31 years and the minority 2.0% being >45 years. 65.7% coming away from Ishaka; married 73.7% for 1-5 or 11-20 years each accounting for 32.5%. 37.4% while 30(30.3%) reached tertiary education level. 42.4% were unemployed whereas 7.1% were simply housewives. 50.0% had 2-4 children, and only 18.3% had <2 children. 86.9% were aware while 13.1% who weren’t. 56.8% got their information concerning cervical cancer and its screening from health facility compared to 3.7% from press. 34.7% had knowledge on screening recommendation among adult women who specified it being 22.1% every three years and 12.6% yearly. 88.4% specified it to be treatable if detected early with a P-value=<0.01*, 73.5% knows a local health facility offering the services; p-value=0.05, 53(62.4%) of 62.2% claim that results return time could influence the testing uptake, pvalue=0.18, also, 89.2% agreed that Recommendation/counseling affects the uptake of cervical cancer screening/testing p-Value=0.05, as well as having tested before 43.4% already tested had a p-value=0.05. Long distance to HF affects 75.9% aware of screening of 77.1% p-value=0.49, cervical test cost affect with 75.6% aware of the services p-value=0.55, and Gender of HW where 39.5% who were aware of the services out of 47.5% agreed that it affects uptake p-value=<0.001. According to the study findings, awareness/knowledge of cervical cancer screening/testing services among women attending KIUTH stands at 86.9%; whose info is mostly from health facility and Television/Radio. Early detection; availing of local health facility, short results return time, Recommendation/counselling and having tested before increases uptake whereas the long distance to the health facility, cervical test cost and longest distances reduces uptake of cervical cancer and screening services/testing. Keywords: Cervical cancer, Screening services, Healthy facility, Women, OPD.
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