西宁育龄期女性宫颈病变现状及认知情况影响因素研究分析

Status analysis of cervical lesion and cognition of women in childbearing age in Xining and its related factors

目的探讨分析西宁育龄期女性宫颈病变现状及其认知情况影响因素。方法选取2012年3月至2013年8月于该院就诊的1 500例女性患者,所有患者均采用巴氏涂片联合人乳头瘤病毒(HPV)DNA初筛方法对宫颈病变情况进行筛查,同时发放自制问卷调查该地区女性对于宫颈癌的认知情况并明确其相关的影响因素。结果筛查初步诊断显示1 500例抽样人群中,宫颈上皮内瘤样病变Ⅰ级(CINⅠ)48例(3.2%),宫颈上皮内瘤样病变Ⅱ级及以上22例(1.5%);674例认知较好,826例认知不佳,多因素分析结果显示年龄、婚姻状况、文化程度、居住地、职业及家庭收入与女性对于宫颈癌的认知情况密切相关。结论西宁育龄期女性宫颈病变的现状较一般,但整体的认知情况不佳,这主要与年龄、婚姻状况、职业、居住地及家庭收入密切相关。

Objective To study the status of cervical lesion and cognition of women in childbearing age in Xining and its related factors .Methods From March 2012 to August 2013 ,1 500 female patients were selected .All the women accepted pap smear and HPV DNA test .Meanwhile ,questionnaires were distributed for cervical cancer in the region and identify the cognition related fac-tors .Results The results showed that among the 1 500 cases of the sample population ,number of cervical intraepithelial neoplasia grade Ⅰ（CIN Ⅰ）was 48（3 .2% ）and cervical intraepithelial neoplasia grade Ⅱ and above was 22（1 .5% ） .674 cases got a good cog-nition ,while 826 cases got a poor one .Multivariate analysis showed that age ,marital status ,education level ,place of residence ,occu-pation and family income were closely related to women′s cognition of cervical cancer .Conclusion The status of cervical lesions of women in childbearing age in Xining is generally common ,but the overall cognition is poor ,which is mainly related to age ,marital status ,occupation ,place of residence and income .