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首页> 外文期刊>Sao Paulo Medical Journal >Risk factors and relationship between screening periodicity and risk of cervical cancer among nurses and midwives. A cross-sectional study
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Risk factors and relationship between screening periodicity and risk of cervical cancer among nurses and midwives. A cross-sectional study

机译：护士和助产士的危险因素以及筛查周期与子宫颈癌风险之间的关系。横断面研究

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BACKGROUND: If nurses and midwives undergo cervical cancer screening regularly, they can become role models for other women regarding this screening. OBJECTIVES: The aims here were (i) to determine factors associated with undergoing cervical cancer screening; and (ii) to examine the association of cervical cancer screening periodicity with cervical cancer risk levels among nurses and midwives. DESIGN AND SETTING: Cross-sectional study in a public hospital. METHODS: 466 nurses and midwives participated in this study. The relationships between undergoing Pap smear screening and sociodemographic characteristics, cervical cancer risk factors, perception of cervical cancer risk and calculated cervical cancer risk levels were examined. Cervical cancer risk levels were determined using the “Your Disease Risk” assessment tool (Washington University). RESULTS: 35% of the nurses and midwives had undergone Pap smear testing at least once in their lifetimes. The odds of having undergone Pap smear testing were higher among smokers (odds ratio, OR: 2.08; 95% confidence interval, CI: 1.24-3.48) and among those who perceived their risk of cervical cancer to be high (OR: 3.60; 95% CI: 1.36-9.51). The frequency of undergoing Pap smear testing at least once in a lifetime was higher among primiparae (OR: 17.99; 95% CI: 6.36-50.84) and secundiparae (OR: 41.53; 95% CI: 15.01-114.91) than among nulliparae. No relationship was found between Pap smear test periodicity and calculated risk level. CONCLUSION: There is a need to assess motivational barriers that might lead to low levels of Pap smear screening among nurses and midwives who are role models for women regarding cervical cancer prevention.
机译：背景：如果护士和助产士定期进行宫颈癌筛查，则他们可以成为其他女性进行筛查的榜样。目的：（i）确定与进行宫颈癌筛查有关的因素; （ii）检查护士和助产士中子宫颈癌筛查周期与子宫颈癌风险水平的关系。设计与设置：在公立医院进行横断面研究。方法：466名护士和助产士参加了这项研究。进行了巴氏涂片检查和社会人口统计学特征，子宫颈癌危险因素，子宫颈癌危险感和计算出的子宫颈癌危险度之间的关系。使用“您的疾病风险”评估工具（华盛顿大学）确定宫颈癌的风险水平。结果：35％的护士和助产士一生中至少接受过一次巴氏涂片检查。抽烟者中进行子宫颈抹片检查的几率更高（比值比，OR：2.08; 95％置信区间，CI：1.24-3.48），以及那些认为自己罹患宫颈癌的风险高的人群（OR：3.60; 95） ％CI：1.36-9.51）。一生中至少一次进行巴氏涂片检查的频率在初产妇（OR：17.99; 95％CI：6.36-50.84）和secundiparae（OR：41.53; 95％CI：15.01-114.91）中高于在原产妇中。子宫颈抹片检查的周期与计算的风险水平之间没有关系。结论：有必要评估动机障碍，这些障碍可能导致在宫颈癌预防妇女榜样的护士和助产士中进行子宫颈抹片检查的水平较低。

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