Survey on cervical cancer knowledge and its influencing factors among 2,578 women in Shache county, Kashi, China
Tóm tắt
In the southern part of Xinjiang, the incidence and mortality rates of the cervical cancer among Uyghurs are significantly higher than those of other ethnic groups living in the same environment, and their mortality rate takes the first place among ethnic minorities in China. To assess the level of cervical cancer knowledge by Questionnaire survey using the scoring system and its influencing factors among women in Shache county, Kashi, China. Based on the cervical cancer health education carried out by the medical team of the county hospital to the residents in the urban and rural areas of Shache County from September 1st, 2022, to September 30th, 2022, a cluster sampling was conducted at the same time and a total of 2578 women were included. The questionnaire survey includes resident basic information, and their knowledge about cervical cancer which was evaluated by the scoring system. The scoring system of the knowledge about cervical cancer includes 4 items, the total score was 8 point and scored more than 4 points was used as knowledge knowing, the knowledge of cervical cancer (unknown = 0; known = 1) was used as the dependent variable. Six factors include residence area (urban or rural), age, ethnic group, educational level, occupation, and the ways to acquire knowledge access were used as independent variables. The retrieved questionnaire was entered by the medical staff, and the Excel software was used for duplicate verification. Chi-square test and unconditional logistic regression analysis were used for statistical analysis. Of the 2578 study subjects, 1591 were from rural areas and 987 were from the urban areas, and the differences were statistically significant (P < 0.001). Based on the scoring system of the knowledge about cervical cancer, the knowledge knowing accounts for only 34.1%. Multivariate logistic regression analysis showed that living in the urban(AOR = 1.358,95% CI:1.111–1.659), occupation of non-farming and non-housewife(AOR = 2.680,95%CI:2.126–3.377), education level of high school and above(AOR = 1.388,95%CI:1.125–1.712), and four or more access to knowledge(AOR = 1.446,95%CI:1.099–1.903) were protective factors for cervical cancer knowledge knowing. Based on the questionnaire survey, the level of cervical cancer knowledge among women in Shache county was inadequate. Considering above mention influencing factors, it is necessary for the medical and health institutions to take various measures to carry out targeted health education on cervical knowledge for women in Shache county.
Tài liệu tham khảo
Silvia Pesce, Valerio Gaetano Vellone, Female Malignancies and Immunotherapy: what’s New? [J].Cancers (Basel), 2020,12(10): 2909.
Shi X, Wang J, Chen Y, etc. Apolipoprotein C1 (APOC1): A Novel Diagnostic and Prognostic Biomarker for Cervical Cancer [J]. Onco Targets Ther. 2020; 13: 12881–12891
Li Yi, Luo Xi Ping, Mao Ling Zhi, et al. Survey on cervical cancer screening awareness and influencing factors among rural women in Chaozhou, Guangdong Province [J]. International Journal of Medicine and Health,2012,18(4):578–581.
Tingting C, Shizhou Y … Xing X. Human papillomavirus 16E6/E7 activates autophagy via Atg9B and LAMP1 in cervical cancer cells. Cancer Med. 2019 Aug; 8(9): 4404–4416.
Cao YM, Jin W. Analysis of cervical cancer-related knowledge and influencing factors among women attending gynecological outpatient clinics[J]. Preventive Medicine in South China, 2020, 46(1): 60–62
Cai X. T., Fu F., Lin F. Y. Analysis of the current status of cervical cancer awareness and screening among women with primary cervical cancer diagnosis[J]. Chinese Journal of Family Planning,2018,26(7):563–565.
Zhang GQ, Liu KJ, Lai SJ et al. Distribution of malignant tumors in hospitalized patients from 1989 to 2002 [J]. Journal of Xinjiang Medical University, 2003, 26 (4):393
Lai, Zhuo Han1 Ai, Chun Ling, etc. Factors influencing cervical cancer screening in China [J]. Chinese Journal of Gerontology July 2022 (42): 3427–3431
Yang Qiyan, Chen Kni. A survey on the awareness level and screening behavior of rural women in Haikou area[J]. Chinese Journal of Family Planning, 2021; 29(5): 877–80.
Zhou J.Y., Qiu L.P., Liu L., et al. A survey on the knowledge level and influencing factors of cervical cancer prevention and treatment among 2000 women in Daxing District, Beijing [J]. China Health Education, 2010; 26 (2):94–7.
Song Bo, Di Jiangli, Ma Lan, etc. Survey on the cognitive and behavioral status of cervical cancer prevention and treatment among rural women in some areas [J]. China Health Education, 2018; 34(12): 1076–80.
Wang Hui, Xu Zhenyan, Zhao Pui-chung. Analysis of current knowledge, attitude, and behavior of active cervical cancer screening among married women in Yantai City [J]. Modern preventive medicine, 2019; 46(6): 1031–4, 1058.
Wu T.Y., Han P.Y., Fu J.H., et al. A survey on the knowledge-belief-action status of cervical cancer screening among rural women in Haikou area[J]. Chinese Journal of Family Planning, 2020; 28(12):1950–4.
Cai Jing, Ayiguli Simayi, Guzalinur Abuliz, et al. A survey on cervical cancer awareness among uyghur women in Hotan[J]. China Public Health,2013,29(2):1–2.
Zhang Mei, Bao He-ling, Wang Limin, et al. Analysis of the current status of cervical cancer screening and related factors in China in 2015 [J]. Chinese Medical Journal, 2021, 101(24): 1869–1874.
Simay iD,YangL,Lif,et al. Implementing a cervical cancer awareness program in low-income settings in western China:a community-based locally affordable intervention for risk reduction [J].Asian Pac J Cancer Prev,2013,14(12):7459–7466.
Al-Amro SQ, Gharaibeh MK, Oweis AI. Factors Associated with Cervical Cancer Screening Uptake: Implications for the Health of Women in Jordan [J].Infect Dis Obstet Gynecol. 2020; 2020: 9690473
Chao B, Ju X, Zhao Y, Etc. A novel prognostic marker systemic inflammation response index (SIRI) for operable cervical Cancer patients [J].Front Oncol. 2020; 10: 766.
Agam B. Bansal, Abhijit P. Pakhare, etc. Bansal AB, Pakhare AP, Kapoor N, Mehrotra R, Kokane AM. Knowledge, attitude, and practices related to cervical cancer among adult women: A hospital-based cross-sectional study [J]. J Nat Sci Biol Med. 2015 Jul-Dec; 6(2): 324–328.
Ren Guiping, Luo Huiling, etc. Survey on cervical cancer screening compliance and analysis of barriers among rural women [J]. International Journal of Medicine and Health, 2014,20(16):2431–2433
Ran Limei, Wang Yan, Mo Lan, etc. A survey on the knowledge of cervical cancer prevention and treatment among women with medical checkups in Guiyang [J]. China Health Education, 2014, 30(6): 552–554
Li Jianmei, Liu Zhuyu, Ji Suiwen, A survey on cervical cancer screening in a community in Shenzhen and the knowledge and beliefs [J]. China Health Education, 2008, 24(7):542–544
Zhao Yuan, Zhu Qianlan, Liu Xiaoqi, et al. A survey on cervical cancer and screening awareness among women in the community [J]. Chinese Journal of Modern Nursing,2010,16(14):1643–1645
Ma Chen-Ying, Zhou Ju-Ying, Xu Xiao-Ting, et al. Clinical study on automatic segmentation outline of cervical cancer target area based on deep learning [J]. Chinese Journal of Radiation Oncology, 2020, 29(10): 859–865.
Qin NN, Xue XD, Wu AILIN, et al. Automatic outlining of clinical target areas and endangered organs in cervical cancer based on U-net convolutional neural network [J]. Chinese Journal of Medical Physics, 2020, 37(4): 134–138
Hanisch R, Gustat J, Hagensee ME, Baena A, Salazar JE, Castro MV, et al. Knowledge about human papillomavirus and prevention of cervical cancer among women of Arkhangelsk, Northwest Russia [J]. PLoS One. 2017; 12(12): e0189534.
Katarzyna Nessler, Francis Ball, Sze Kay Florence Chan. Barriers and attitudes towards cervical cancer screening in primary healthcare in Poland - doctors’ perspective [J]. BMC Fam Pract. 2021; 22: 260.
R M K Adanu, J D Seffah, R Duda et al. Clinic visits and cervical Cancer screening in Accra [J]. Ghana Med J. 2010 Jun; 44(2): 59–63.