基塔莱市妇女癌症筛查做法的相关因素

Sostine Makunja, Joash Aluoch, Caroline Ngugi
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摘要

目的:本研究旨在评估基塔莱市妇女的宫颈癌筛查做法以及与宫颈癌筛查相关的因素。研究方法:采用分层简单抽样法进行横断面研究,选取了 422 名年龄在 30-69 岁之间的妇女作为样本。采用结构化问卷收集数据。数据输入和编码在 SPSS v20 中完成。随后使用内容分析法对报告社会人口学数据的比例、平均值和标准差进行描述性总结和计算。为检验因变量和自变量之间的关联,采用了卡方检验法,而多元逻辑回归分析法则用于生成调整后的关联几率比。数据以图表形式呈现。研究结果研究结果表明,76%(321 人)的人知道宫颈癌筛查。结果显示,只有 27%(114 人)曾经接受过宫颈癌筛查。对宫颈癌风险因素的认识与筛查之间存在粗略的重大关联(OR=1.08,P=0.000)。因此,对宫颈癌风险因素的了解会促进筛查。不了解宫颈癌风险因素和现有筛查测试、社会经济地位低和社会人口因素与筛查实践少有关。 总之,这项研究发现,该市妇女对宫颈癌的认知度不高,但筛查率却很低。对理论、实践和政策的独特贡献:本研究建议相关方扩大宫颈癌认知和筛查活动的规模。当前的研究增加了一些知识,利益相关者可利用这些知识倡导宫颈癌意识和筛查,这将有助于宫颈癌病例的早期发现和治疗,从而降低病例的发病率和死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors Associated with Cancer Screening Practices among Women in Kitale Municipality
Purpose: The aim of the study was to assess cervical cancer screening practice and factors associated with cervical cancer screening among women in Kitale Municipality. Methodology: A cross-sectional study using stratified simple sampling to select a sample of 422 women aged 30-69 years old was adopted. A Structured questionnaire was used to collect data. Data entry and coding was done in SPSS v20. Subsequent content analysis was used to descriptively summarize and compute proportions, mean and standard deviation in reporting    socio-demographic data. To test the association between dependent and independent variables, Chi-square was used while Multiple Logistic Regression analysis was used to generate adjusted odds ratios of association. Data was presented in form of tables and figures. Findings: Findings suggest that 76% (321) knew about cervical cancer screening. Results revealed that only 27% (114) had ever gone for cervical cancer screening. There was a crude significant association between awareness of cervical cancer risk factors and screening (OR=1.08, p=0.000). Awareness therefore encouraged screening. Unawareness of cervical cancer risk factors & screening tests available, low socio-economic status and socio-demographic factors were associated with low screening practice.  In conclusion, this study found that there was modest awareness about cervical cancer but low screening practice among women in this Municipality. Unique Contribution to Theory, Practice and Policy: The study recommends scale up for cervical cancer awareness and screening campaigns by stakeholders. The current study has added knowledge that will be used by stakeholders advocating for cervical cancer awareness and screening that will aid in uptake important in early detection and treatment of cervical cancer cases, and hence reducing case morbidity and mortality.
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