【摘要】 目的了解我国6个城市和农村地区妇女的宫颈癌防治知识知晓情况、防治态度及筛查行为现状的差异,探讨其影响因素。方法在我国东中西部各选取3个省份,采用多阶段分层随机抽样方法抽取599名妇女,开展宫颈癌防治知识、态度和筛查行为问卷调查。结果城市妇女宫颈癌防治知识总知晓率为16.4%,高于农村妇女(8.0%),差异有统计学意义(P<0.05)。城市妇女宫颈癌防治态度积极率(72.5%)高于农村妇女(70.1%),城市妇女宫颈癌筛查参与率(62.8%)低于农村妇女(67.4%),但两组差异均无统计学意义(P>0.05)。影响城市妇女参加宫颈癌筛查的因素为学历、省份和态度,而农村为民族、职业、省份和态度。结论被调查城市和农村妇女宫颈癌防治知识水平都较低,但防治态度较为积极,参与筛查的行为仍需提高。城乡妇女宫颈癌筛查行为的影响因素各不相同。在今后的项目实施过程中,建议应根据城乡差异制定不同的策略,让城市和农村妇女都能及时获取信息、树立积极的防治态度,更多地参与宫颈癌筛查。更多还原

【Abstract】 Objective To describe and compare the status of knowledge, attitude and screening practice(KAP) of cervical cancer among women between six urban and rural areas of China, and explore the influencing factors. Methods A total of 599 women were recruited by multistage stratified random sampling method in eastern, central and western regions of China. A self-designed questionnaire survey was conducted to estimate their KAP about cervical cancer. Results The awareness rate of cervical cancer among urban women was 16.4%, which was higher than that in rural area(8.0%)(P<0.05). The positive rate of attitude about urban women’s cervical cancer prevention and treatment(72.5%) was higher than that of rural women(70.1%). However, the participation rate of cervical cancer screening among urban women(62.8%) was lower than that among rural women(67.4%)(P>0.05). The influencing factors for cervical cancer screening practice were education, provinces and attitude among urban women. However, the ethnicity, occupation, provinces and attitude could influence the screening practice among rural women. Conclusion Although the fact that women in urban and rural areas had very low level of knowledge about cervical cancer prevention and treatment, their attitude was more active. But their behavior of participating in screening practice still needs to be improved. The influencing factors of screening practice between urban and rural women were different. In the future implementation of the project, we should make different strategies based on urban-rural differences, so that both urban and rural women can obtain information in time, establish a positive attitude towards prevention and treatment, and take an active part in cervical cancer screening program.更多还原