1155例城乡女性宫颈癌防治知识及筛查需求调查

摘要

Objective:To understand the situation of cervical cancer prevention knowledge and the demand of screening in Jiangsu province to make the health education work more targeted in the future.Method:One to one survey of cervical cancer prevention knowledge and screening requirements for the voluntary participation of women were conducted in 11 project sites (3 cities and 8 counties) from September 2012 to February 2013.Result:The 1155 full effective questionnaires were obtained by investigating a total of 1260 women, 303 cases of which were from area 1, not the free cervical cancer screening project sites , 852 cases of which from area 2, the project site. The proportion of the women in area 2, who get cervical cancer prevention knowledge by "books / journals" and "publicity materials / poster book", is higher than that of women in area 1 and the difference was statistically significant (P<0.05).The awareness rate of cervical cancer prevention knowledge in area 2 was higher than area 1 except cervical lesions and the difference was statistically significant (P<0.05). 92.21% of respondents (1065) were willing to accept the health examination of cervical cancer, 45.63% (527) wanted the government to pay the full cost of inspection, and 74.11% (856) were willing to take screening every year. Women in area 2 are preferred to choose the family planning services for screening, while the women in area 1 choose the medical institutions.Conclusion:The knowledge of cervical cancer prevention to the local women, but it is necessary to strengthen the related health education by changing the traditional way of health education, strengthening the local family planning services construction to ensure the sustainability of screening.%目的：了解江苏省城乡女性宫颈癌防治知识知晓情况及筛查需求，使未来的健康宣教工作更有针对性。方法：2012年9月-2013年2月在本省的11个（3市和8个县）项目点，对自愿参加的女性进行宫颈癌防治知识及筛查需求的问卷调查。结果：共调查了1260名女性，获得完整有效问卷1155份，303份来自未开展免费宫颈癌筛查项目点（地区1），852份来自既往已开展项目点（地区2）。地区2的女性通过“书籍/报刊”和“宣传资料/墙报画册”了解宫颈癌防治知识的比例高于地区1，差异有统计学意义（P<0.05）。地区2女性的宫颈癌防治知识知晓率除宫颈病变外均高于地区1，差异有统计学意义（P<0.05）。92.21%（1065/1155）被调查对象愿意接受宫颈癌的健康体检，45.63%（527/1155）希望政府全额支付检查费用，74.11%（856/1155）愿意每年进行一次宫颈癌筛查。地区2的女性选择筛查机构首选县市级计划生育服务机构，地区1的女性则更愿意选择县地级卫生医疗机构。结论：免费宫颈癌筛查项目的开展增加了当地女性对宫颈癌防治知识的了解，但仍应加强宫颈癌相关知识的健康宣教，改变传统的健康宣教方式，加强乡镇计生服务站建设，以保证筛查工作的可持续性。