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首页> 外文期刊>Research in Obstetrics and Gynecology >Uptake of Cervical Cancer Screening among HIV Positive Women in Comrehensive Care Centres in Nairobi, Kenya
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Uptake of Cervical Cancer Screening among HIV Positive Women in Comrehensive Care Centres in Nairobi, Kenya

机译：肯尼亚内罗毕综合保健中心对艾滋病毒呈阳性妇女进行宫颈癌筛查的人数

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Although cervical cancer is the leading cause of cancer deaths among women in low resource settings, uptake of cancer screening services in health facilities is low. Persistent Human Papilloma Virus (Hr-HPV) infection increase risk of invasive cancerous lesion thus screening services have been incorporated into routine care of all HIV positive women. The objective of the study was to determine factors that affect uptake of cervical cancer screening services among HIV positive women in Dagoretti, Nairobi County. A descriptive, cross-sectional facility-based survey of HIV positive women in Dagoretti clinics was conducted. Data was collected using interviewer-administered questionnaire. Out of the interviewed respondents, 19% had screened for cervical cancer. Most of those who had never screened (44%) feared undressing before a health care provider. High proportion of women (72%) had good knowledge levels of cervical cancer screening. Women with higher level of education (p=0.02), those aged above 45 years (p<0.01), those with current circumcised partner (p<0.01) and those currently employed (p<0.01) had better knowledge on screening services compared to other women. Women aged 45 years and above were 2 times more likely to have been screened (OR 2.1; 1.1-3.9; P=0.021) than the younger ones. Findings of this study demonstrated that higher knowledge levels was associated with increased uptake of cervical cancer screening among HIV positive women and thus effort to improve the knowledge on cancer screening can lead to higher uptake of the services.
机译：尽管在资源贫乏地区，宫颈癌是导致女性癌症死亡的主要原因，但医疗机构对癌症筛查服务的吸收率却很低。持久性人乳头瘤病毒（Hr-HPV）感染会增加浸润性癌性病变的风险，因此筛查服务已纳入所有HIV阳性妇女的常规护理中。该研究的目的是确定影响内罗毕县达戈雷蒂HIV阳性妇女接受子宫颈癌筛查服务的因素。在达戈雷蒂诊所对艾滋病毒呈阳性的妇女进行了基于设施的描述性横断面调查。使用访调员管理的问卷收集数据。在受访者中，有19％接受过子宫颈癌筛查。大多数从未进行过筛查的人（44％）担心在卫生保健提供者面前脱衣服。高比例的妇女（72％）对宫颈癌的筛查知识水平较高。受教育程度较高的妇女（p = 0.02），45岁以上的妇女（p <0.01），有割礼伴侣的妇女（p <0.01）和目前受雇的妇女（p <0.01）与筛查服务相比具有更好的知识其他女人。 45岁及以上的女性接受筛查的可能性是年轻女性的2倍（OR 2.1; 1.1-3.9; P = 0.021）。这项研究的结果表明，较高的知识水平与HIV阳性妇女接受子宫颈癌筛查的机会增加有关，因此，努力提高对癌症筛查知识的认识可以提高对服务的接受程度。

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