{"title":"在加纳阿克拉接受产前护理的妇女中,宫颈癌筛查的知识和流行:一项横断面研究。","authors":"Victor Akuoku, Michael Darko Ashaley","doi":"10.1177/11786329251337851","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>The primary purpose of this study was to assess the knowledge and prevalence of cervical cancer screening (CCS) among women attending prenatal care clinics in the Okaikwei North Municipal Assembly (ONMA) in the Greater Accra region, Ghana. The study also aimed to examine whether there were differences in CCS knowledge between the women attending the prenatal care clinics.</p><p><strong>Design: </strong>This study utilized a cross-sectional, quantitative approach and a two-stage cluster sampling method.</p><p><strong>Setting: </strong>The study involved 393 women receiving prenatal care at three health facilities in the district, namely NK Salem Medical Centre Hospital (NMCH), Achimota Hospital (AH), and Lapaz Community Hospital (LCH).</p><p><strong>Primary outcome: </strong>Level of Knowledge and Prevalence of CCS.</p><p><strong>Results: </strong>The sampled participants from the three hospitals were Achimota (36.6%), Lapaz Community (32.1%), and NK Salem (31.3%). The mean age (SD) was 29.7 (±3.8) years. The age group 21 to 30 years formed the majority (57.8%). The prevalence of CCS among women receiving prenatal care was 7.4%; although most of them had heard about CCS, a proportion (46.5%) of them did not know CCS was, and only 33.9% knew Pap Smear as the test for detecting cervical cancer. A very small proportion (19.8%) of the women receiving prenatal care had CCS knowledge. There was a statistically significant difference in mean knowledge by 1.47 between women receiving prenatal care at AH and LCH, as well as by 1.82 between NMCH and LCH.</p><p><strong>Conclusion: </strong>There was a very low knowledge and prevalence of CCS in the district. Knowledge of CCS differed significantly between the health facilities in the district.</p>","PeriodicalId":12876,"journal":{"name":"Health Services Insights","volume":"18 ","pages":"11786329251337851"},"PeriodicalIF":2.4000,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081976/pdf/","citationCount":"0","resultStr":"{\"title\":\"Knowledge and Prevalence of Cervical Cancer Screening Among Women Receiving Prenatal Care in Accra, Ghana: A Cross-Sectional Study.\",\"authors\":\"Victor Akuoku, Michael Darko Ashaley\",\"doi\":\"10.1177/11786329251337851\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>The primary purpose of this study was to assess the knowledge and prevalence of cervical cancer screening (CCS) among women attending prenatal care clinics in the Okaikwei North Municipal Assembly (ONMA) in the Greater Accra region, Ghana. The study also aimed to examine whether there were differences in CCS knowledge between the women attending the prenatal care clinics.</p><p><strong>Design: </strong>This study utilized a cross-sectional, quantitative approach and a two-stage cluster sampling method.</p><p><strong>Setting: </strong>The study involved 393 women receiving prenatal care at three health facilities in the district, namely NK Salem Medical Centre Hospital (NMCH), Achimota Hospital (AH), and Lapaz Community Hospital (LCH).</p><p><strong>Primary outcome: </strong>Level of Knowledge and Prevalence of CCS.</p><p><strong>Results: </strong>The sampled participants from the three hospitals were Achimota (36.6%), Lapaz Community (32.1%), and NK Salem (31.3%). The mean age (SD) was 29.7 (±3.8) years. The age group 21 to 30 years formed the majority (57.8%). The prevalence of CCS among women receiving prenatal care was 7.4%; although most of them had heard about CCS, a proportion (46.5%) of them did not know CCS was, and only 33.9% knew Pap Smear as the test for detecting cervical cancer. A very small proportion (19.8%) of the women receiving prenatal care had CCS knowledge. There was a statistically significant difference in mean knowledge by 1.47 between women receiving prenatal care at AH and LCH, as well as by 1.82 between NMCH and LCH.</p><p><strong>Conclusion: </strong>There was a very low knowledge and prevalence of CCS in the district. Knowledge of CCS differed significantly between the health facilities in the district.</p>\",\"PeriodicalId\":12876,\"journal\":{\"name\":\"Health Services Insights\",\"volume\":\"18 \",\"pages\":\"11786329251337851\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-05-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081976/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health Services Insights\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1177/11786329251337851\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Services Insights","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/11786329251337851","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
摘要
目的:本研究的主要目的是评估在加纳大阿克拉地区Okaikwei North Municipal Assembly (ONMA)参加产前护理诊所的妇女中宫颈癌筛查(CCS)的知识和流行程度。该研究还旨在检查参加产前护理诊所的妇女在CCS知识方面是否存在差异。设计:本研究采用横断面定量方法和两阶段整群抽样方法。环境:该研究涉及393名妇女在该地区的三个保健机构接受产前护理,即NK Salem医疗中心医院(NMCH)、Achimota医院(AH)和Lapaz社区医院。主要结局:CCS的知识水平和流行程度。结果:三家医院分别为Achimota(36.6%)、Lapaz Community(32.1%)和NK Salem(31.3%)。平均年龄(SD) 29.7(±3.8)岁。21 ~ 30岁年龄组占多数(57.8%)。接受产前护理的妇女中CCS的患病率为7.4%;大部分受访女性都听说过CCS,但有46.5%的女性不知道CCS是什么,只有33.9%的女性知道子宫颈抹片检查是检测宫颈癌的方法。接受产前护理的妇女中有CCS知识的比例非常小(19.8%)。在AH和LCH接受产前护理的妇女的平均知识差异有统计学意义1.47,NMCH和LCH之间的平均知识差异为1.82。结论:该地区对CCS的了解程度和患病率很低。该地区各卫生机构对CCS的了解存在显著差异。
Knowledge and Prevalence of Cervical Cancer Screening Among Women Receiving Prenatal Care in Accra, Ghana: A Cross-Sectional Study.
Objectives: The primary purpose of this study was to assess the knowledge and prevalence of cervical cancer screening (CCS) among women attending prenatal care clinics in the Okaikwei North Municipal Assembly (ONMA) in the Greater Accra region, Ghana. The study also aimed to examine whether there were differences in CCS knowledge between the women attending the prenatal care clinics.
Design: This study utilized a cross-sectional, quantitative approach and a two-stage cluster sampling method.
Setting: The study involved 393 women receiving prenatal care at three health facilities in the district, namely NK Salem Medical Centre Hospital (NMCH), Achimota Hospital (AH), and Lapaz Community Hospital (LCH).
Primary outcome: Level of Knowledge and Prevalence of CCS.
Results: The sampled participants from the three hospitals were Achimota (36.6%), Lapaz Community (32.1%), and NK Salem (31.3%). The mean age (SD) was 29.7 (±3.8) years. The age group 21 to 30 years formed the majority (57.8%). The prevalence of CCS among women receiving prenatal care was 7.4%; although most of them had heard about CCS, a proportion (46.5%) of them did not know CCS was, and only 33.9% knew Pap Smear as the test for detecting cervical cancer. A very small proportion (19.8%) of the women receiving prenatal care had CCS knowledge. There was a statistically significant difference in mean knowledge by 1.47 between women receiving prenatal care at AH and LCH, as well as by 1.82 between NMCH and LCH.
Conclusion: There was a very low knowledge and prevalence of CCS in the district. Knowledge of CCS differed significantly between the health facilities in the district.