影响年轻妇女参与有组织子宫颈癌普查及非有组织检测的因素-一项以人口为基础的调查研究。

IF 2.3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Journal of Medical Screening Pub Date : 2025-09-01 Epub Date: 2025-02-27 DOI:10.1177/09691413251320572
Johannes Lättilä, Filip Siegfrids, Sirpa Heinävaara, Tytti Sarkeala, Petra Makkonen, Aku Leivonen, Veli-Matti Partanen, Maija Vahteristo
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引用次数: 0

摘要

目的:有组织的宫颈癌筛查降低了宫颈癌的发病率和死亡率,并在欧洲广泛实施。然而,无组织的子宫颈癌检测仍然很常见。频繁检测可能导致过度诊断和不必要的治疗,尤其是在年轻女性中。本研究旨在找出影响年轻女性参与有组织宫颈癌筛查和非有组织宫颈癌检测的因素。方法:对芬兰1411名年龄在15-35岁的女性进行调查,了解她们对宫颈癌检测的知识和态度。调查结果与社会人口登记数据和宫颈癌检测记录相关联。采用调查结果的描述性统计和逻辑回归来确定影响参加有组织筛查和无组织检测的因素。结果:人乳头瘤病毒疫苗接种状况、药物避孕使用情况和妇科就诊频率是非组织检测的关键预测因素。与未接种疫苗的妇女相比,接种人乳头瘤病毒疫苗的妇女接受无组织检测的可能性要低50%。医疗避孕药具使用者的可能性是不使用者的5.3倍,经常去看妇科医生的人接受无组织检查的可能性是不经常去看妇科医生的人的1.5倍。对于有组织的筛查,受过高等教育的妇女参与的可能性是受过初等教育的妇女的4.1倍。女性喜欢在检查时间和地点上的灵活性。人乳头瘤病毒的认知度很高,91.3%的受访者听说过这种病毒。结论:为了解决年轻妇女中无组织的检测问题,对接受过筛查的妇女和保健专业人员进行有关人乳头瘤病毒和宫颈癌筛查的全面教育是必不可少的。根据妇女的喜好调整筛查做法可能会提高对有组织筛查的依从性,最终有利于公共卫生结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Factors affecting young women's participation in organized cervical cancer screening and non-organized testing - A population-based survey study.

ObjectivesOrganized cervical cancer screening reduces cervical cancer incidence and mortality and is widely implemented across Europe. However, non-organized cervical cancer testing remains common. Frequent testing may lead to overdiagnosis and unnecessary treatment, especially among young women. This study aims to identify factors influencing young women's participation in organized cervical cancer screening and non-organized cervical cancer testing.MethodsWe surveyed 1411 women aged 15-35 living in Finland, assessing their knowledge and attitudes toward cervical cancer testing. Survey responses were linked to sociodemographic registry data and cervical cancer testing records. Descriptive statistics of survey responses and logistic regression were used to identify factors influencing participation in both organized screening and non-organized testing.ResultsHuman papillomavirus vaccination status, medical contraception use, and gynecologist visit frequency were key predictors of non-organized testing. Human papillomavirus-vaccinated women were 50% less likely to undergo non-organized testing compared to those unvaccinated. Medical contraception users were 5.3 times more likely compared to non-users, and frequent gynecologist visitors were 1.5 times more likely to undergo non-organized testing compared to infrequent visitors. For organized screening, women with tertiary education were 4.1 times more likely to participate than those with primary education. Women appreciated the flexibility in screening times and locations. Human papillomavirus awareness was high with 91.3% of respondents having heard of the virus.ConclusionsTo address non-organized testing among young women, comprehensive education about human papillomavirus and cervical cancer screening is essential, both for screened women and healthcare professionals. Aligning screening practices with women's preferences may improve adherence to organized screening, ultimately benefiting public health outcomes.

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来源期刊
Journal of Medical Screening
Journal of Medical Screening 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.90
自引率
3.40%
发文量
40
审稿时长
>12 weeks
期刊介绍: Journal of Medical Screening, a fully peer reviewed journal, is concerned with all aspects of medical screening, particularly the publication of research that advances screening theory and practice. The journal aims to increase awareness of the principles of screening (quantitative and statistical aspects), screening techniques and procedures and methodologies from all specialties. An essential subscription for physicians, clinicians and academics with an interest in screening, epidemiology and public health.
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