宫颈癌高危患者对宫颈癌筛查的认知度和依从性

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Abstract Objective To assess the amount of knowledge of risk factors for cervical cancer, compliance with screening and influencing factors among high-risk patients.Methods Four hundred and fifty consecutive patients aged 21 to 65 were involved. Data collection took place between October 2014 and June 2015. Participants were divided into four groups: those living in Beijing with health care insurance(group 1), those living in Beijing without health care insurance(group 2), those living in peripheral areas of Beijing with health care insurance(group 3), and those living in peripheral areas without health care insurance(group 4). Enclosed questionnaires were adopted. ANOVA and multivariate logistic regression were used for data analysis.Results Six risk factors of cervical cancer were identified: HR-HPV infection, multiple sexual partners, early-onset of sexual activity, partners with penis carcinoma, cigarette smoking and multiple vaginal deliveries. The awareness rate of the six risk factors was 71.1%, 38.9%, 18.7%, 22.0%,13.6% and 18.2%, respectively. 90.2% of the participants were regularly screened for cervical carcinoma, 96.7% agreed to regular cervical carcinoma screening, and 87.1% would like to follow the professional advice about cervical cancer prevention. Education levels, health care insurance and places of residence were correlated with compliance with cervical cancer screening (P<0.05).Conclusions The awareness of HPV infections is satisfactory while the rate of awareness of other risk factors is generally low in this study. Participants have good compliance with cervical cancer screening. Education levels, health insurance and places of residence are the main influencing factors. Knowledge of the disease should be popularized and health insurance coverage expanded.

Key words： cervical cancer risk factors awareness compliance

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2017/V28/I10/992

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