【摘要】 目的调查河北省石家庄市妇女宫颈癌认知情况及影响因素,为当地宫颈癌的防治提供借鉴和参考。方法选取2012年1月-2014年12月河北省石家庄市进行健康体检的妇女900例为研究对象。调查问卷了解研究对象对宫颈癌防治知识的知晓情况,统计研究对象答对宫颈癌防治知识的数量,比较不同特征妇女对宫颈癌防治知识的知晓情况。Logistic回归分析影响妇女宫颈癌防治知识的影响因素,调查妇女未参加宫颈癌筛查的原因。结果 900例妇女对宫颈癌防治知识中的一般知识、危险因素及预防措施的知晓率普遍较低,9道宫颈癌防治知识中仅有10例(1.1%)全部答对,36.1%答对3～4题。单因素分析显示,妇女的年龄、居住区域、文化程度、家庭人均收入、生殖道病史、5年内参加宫颈癌筛查是影响妇女宫颈癌防治知识知晓率的因素。Logistic多因素回归分析显示,居住区域、文化程度、家庭人均收入、5年内参加宫颈癌筛查是影响妇女宫颈癌防治知识知晓率的因素。妇女未参加宫颈癌筛查的原因众多,未出现症状占53.6%;担心有心理负担占43.1%;做妇科检查难受占21.0%。结论河北省石家庄市妇女对宫颈癌防治知识的知晓率较低,针对宫颈癌高发人群展开有效的健康教育,定期展开宫颈癌的筛查工作,促进宫颈癌及宫颈癌癌前病变的早期诊治具有重要意义。更多还原

【Abstract】 Objective To investigate the cognition about cervical cancer and the influencing factors among the women in Shijiazhuang,provide reference for prevention and treatment of cervical cancer. Methods A total of 900 women after healthy physical examination were selected as research object from January 2012 to December 2014 in Shijiazhuang. Cognition of cervical cancer prevention and control was collected by issuing questionnaires,right answers from the research object were statistically studied,and the cognition of women with different characteristics to cervical cancer prevention and control was studied. Logistic regression analysis was used to analyze the influencing factors that affected the cognition of cervical cancer prevention and control in women,and the reasons why women missed cervical cancer screening were investigated. Results The awareness rates of general knowledge,risk factors,and preventive measures among 900 cases were generally low,and with regard to the 9 questions on cervical cancer prevention knowledge,only 10 cases( 1. 1%) had totally right answers,36. 1%of them had 3-4 right answers. Single factor analysis showed that age,living area,educational level,family per capita income,history of reproductive tract diseases,cervical cancer screening in recent 5 years were the influencing factors of awareness rate of cervical cancer prevention knowledge. Multivariate logistic regression analysis showed that living area,educational level,family income per capita,cervical cancer screening in recent 5 years were the influencing factors of women’s awareness rate of cervical cancer prevention knowledge. There were many reasons that women did not participate in cervical cancer screening,among which were no symptom( 53. 5%),the fear for psychological burden( 43. 1%),and discomfort of gynecological examination( 21. 0%). Conclusion Knowledge about cervical cancer prevention and control is less among the women in Shijiazhuang. Effective health education and regular cervical cancer screening focusing on the high risk population of cervical cancer should be carried out,which has important significance in promoting early diagnosis and treatment of cervical cancer and cervical precancerous lesions.更多还原