初诊宫颈癌妇女对宫颈癌认知和筛查现况分析

Analysis of cognition and screening status of women who newly diagnosed cervical cancer in Wanning city

目的:调查海南省万宁市初诊宫颈癌妇女宫颈癌认知及筛查现状及可能影响原因。方法:选择2015年3月—2018年3月在本院初次确诊为宫颈癌患者400例作为调查对象,采用一般资料调查表、宫颈癌知识问卷对其认知水平和筛查情况进行现况调查,并分析其影响因素。结果:被调查妇女宫颈癌防治知识认知程度低者占21.0%,一般占57.0%,程度高占22.0%。从未进行过宫颈癌筛查占70.8%,1~3年进行过筛查的占26.0%,筛查已>3年占3.2%。多因素分析显示年龄(31~45岁)、婚姻(已婚)、学历(高中/大专)、居住地(农村)是影响妇女认知程度的主要影响因素。结论:初诊宫颈癌妇女宫颈癌防治知识认知程度和筛查情况整体较低,特别居住在农村,学历为高中或大专,31~45岁的已婚妇女,亟待采取有效的措施来提高其认识水平和筛查力度,以提高妇女健康水平。

Objective：To investigate the cognition and screening status of women who newly diagnosed cervical cancer in Wanning city of Hainan Province,and to analyze the possible influencing factors further.Methods：400 women who were first diagnosed cervical cancer in Wanning city people＇s hospital from March 2015 to March 2018 were selected as the subjects.The questionnaire included demographic data and the knowledge of cervical cancer was used to investigate the cognitive and screening status of cervical cancer of women who newly diagnosed cervical cancer,and its influencing factors were also analyzed.Results：21.0% of included women had low cognitive level of cervical cancer,57.0% of women had common cognitive level,and 22.0% of women had high cognitive level.70.8% of women had never accessed cervical cancer screening,26.0% of women had undergone screening in 1 to 3 years,and 3.2% of women had undergone screening 3 years ago.Multi factor analysis had showed that age（31-45 years old）,marriage（married）,education（high school/Junior College）,and residence（rural）were the main factors which affected cognitive level of women（P〈0.05）.Conclusion：The level of knowledge for preventing and treating cervical cancer,cognitive and screening of women who newly diagnosed cervical cancer are low.Especially for women in rural areas,at the high school or junior college level of education,or married women at 31-45 years old,effective measures should be complement to improve level of awareness and screening of cervical cancer in order to improve the health of women.