新南威尔士州农村妇女对修订后的国家宫颈筛查计划的认识和态度：一项横断面研究。

IF 1.2 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Australian journal of primary health Pub Date : 2023-10-01 DOI:10.1071/PY22267

Elizabeth Gosbell, Alisha Panambalana, Annabelle Stephenson, Carissa Vici, Tegan Dutton, Jannine Bailey

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引用次数: 0

摘要

背景：在澳大利亚农村妇女中探索对修订后的国家宫颈筛查计划（NCSP）的认识和态度的研究有限。鉴于癌症在澳大利亚农村妇女中的发病率和死亡率增加，这一差距需要关注。本研究调查了新南威尔士州农村妇女对修订后的NCSP的认识和态度。方法：对目前居住在新南威尔士州西部初级卫生网络地区的18-74岁女性进行横断面调查。这项匿名调查通过社交媒体和电子邮件在线分发给符合条件的女性。结果：共有309名农村妇女参加。大多数人年龄在30-39岁之间（35.9%），完成了高等教育（73.1%），这一数字高于该农村地区的平均水平。其中，51.8%（160/309）的人知道NCSP发生了变化。这些信息通常来自他们的医疗保健提供者（57.5%；82/160）。四分之三的人表示对这一变化感到满意或中立（76.1%；235/309）。了解修订后的NCSP的人更有可能对此持积极态度（P=0.02）。与之前的项目（15.5%，48/309）相比，更少的参与者在获得有关修订后NCSP的信息后报告他们从未/不太可能参加修订后NCMP下的筛查（4.8%，9/309）。根据先前的NCSP报告异常结果的女性更有可能关注修订后的NCSP（P=0.037），特别是25岁的起始年龄（P=0.007）和5年的筛查间隔（P=0.008）。因此，提高参与率的战略应针对这些领域。医疗保健专业人员可以在这一信息共享过程中发挥核心作用。

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Awareness and attitudes towards the revised National Cervical Screening Program amongst women in rural New South Wales: a cross-sectional study.

Background: Research exploring awareness and attitudes towards the revised National Cervical Screening Program (NCSP) amongst rural Australian women is limited. Given the increased incidence and mortality from cervical cancer in rural Australian women, this gap needs attention. This study examined awareness and attitudes of women in rural New South Wales (NSW) towards the revised NCSP.

Methods: A cross-sectional survey was conducted with women aged 18-74years currently residing in the Western NSW Primary Health Network region. The anonymous survey was distributed online via social media and email to eligible women.

Results: In total, 309 rural women participated. The majority were 30-39years old (35.9%) and had completed tertiary education (73.1%), figures which are higher than average for this rural region. Of these, 51.8% (160/309) were aware there had been a change to the NCSP. This information most commonly came from their healthcare provider (57.5%; 82/160). Three-quarters reported being happy or neutral with the change (76.1%; 235/309). Those who were aware of the revised NCSP were more likely to have a positive attitude toward it (P =0.02). Fewer participants reported that they were never/unlikely to participate in screening under the revised NCSP (4.8%, 9/309) as compared to the previous program (15.5%, 48/309) after being provided with information about the revised NCSP. Women who reported an abnormal result under the previous NCSP were more likely to be concerned about the revised NCSP (P =0.037), in particular the starting age of 25years (P =0.007) and the 5-yearly screening interval (P =0.008).

Conclusion: Awareness and knowledge levels play an important role in attitudes towards the revised NCSP in rural women. Strategies to increase participation rates should therefore target these areas. Healthcare professionals can take a central role in this information sharing process.

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来源期刊

Australian journal of primary health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.20

自引率

15.40%

发文量

136

审稿时长

6-12 weeks

期刊介绍： Australian Journal of Primary Health integrates the theory and practise of community health services and primary health care. The journal publishes high-quality, peer-reviewed research, reviews, policy reports and analyses from around the world. Articles cover a range of issues influencing community health services and primary health care, particularly comprehensive primary health care research, evidence-based practice (excluding discipline-specific clinical interventions) and primary health care policy issues. Australian Journal of Primary Health is an important international resource for all individuals and organisations involved in the planning, provision or practise of primary health care. Australian Journal of Primary Health is published by CSIRO Publishing on behalf of La Trobe University.