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首页> 外文期刊>BMC Cancer >Women’s knowledge of and attitudes toward cervical cancer and cervical cancer screening in Zanzibar, Tanzania: a cross-sectional study
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Women’s knowledge of and attitudes toward cervical cancer and cervical cancer screening in Zanzibar, Tanzania: a cross-sectional study

机译：坦桑尼亚桑给巴尔患者妇女对宫颈癌和宫颈癌筛查的知识和宫颈癌筛查：横断面研究

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BACKGROUND:Cervical cancer is the most common cancer and the leading cause of cancer death among women in Tanzania. Knowledge of and willingness to receive a cervical cancer screening are important determinants of prevention. This study aimed to describe women's awareness of cervical cancer and to explore the attitudes toward, acceptability of and barriers to cervical cancer screening (CCS) in Zanzibar.METHODS:A cross-sectional study was conducted from March to June 2018 involving 1483 women from 10 districts in Zanzibar who responded to questionnaires concerning their general demo-graphic characteristics, screening willingness and awareness of cervical cancer. Chi-square tests, analysis of variance (ANOVA) and stepwise multiple regression were conducted using STATA 15.1 software.RESULTS:The average total knowledge score (TKS) was 7.84?±?5.32 on a 23-point scale. Educational level and family income were positively correlated with the TKS. Previous schistosomiasis history and family genetic disease history were strong predictors of screening willingness. Women were less likely to be screened freely if they had 7 or more deliveries and were unaware of any previous family tumor history. Age and educational level were negatively associated non-free screening willingness, while family income was positively associated; being divorced/widowed or single and being unaware of any previous family tumor history were predictors of screening reluctance, while previous disease history was a strong predictor of non-free screening willingness. Fear of screening and inconvenience were the primary concerns among the Zanzibari interviewees. Compared to the 20-49 age group, more women in the less than 20 and 50 or more age groups thought cervical cancer screening was not necessary. The highest rate of cognitive accuracy in regard to cervical cancer warning signs and risk factors was only 37.76%.CONCLUSIONS:The findings revealed that knowledge of cervical cancer was poor. Educational level, family income and awareness of previous disease history were significant influencing factors of screening uptake. Specific awareness programs to increase knowledge of cervical cancer and screening willingness should be designed and implemented in the public without delay, especially for younger and elderly women.
机译：背景：宫颈癌是坦桑尼亚妇女中最常见的癌症和癌症死亡原因。知识和接受宫颈癌筛查的意愿是预防的重要决定因素。本研究旨在描述妇女对宫颈癌的认识，并探讨桑西巴尔宫颈癌筛查（CCS）的态度，可接受性和障碍的态度：从2018年3月到2018年6月进行了横断面研究，涉及10名桑给巴尔的地区，他们回应了关于他们的一般演示 - 图形特征的问卷，筛选宫颈癌的意愿和意识。使用STATA 15.1软件进行Chi-Square测试，方差分析（ANOVA）和逐步多元回归。结果：23分尺度的平均总知识分数（TKS）为7.84±5.32。教育水平和家庭收入与TKS正相关。以往血吸虫病历史和家族遗传疾病史是筛选意愿的强预测因子。如果他们有7个或更多的交付，并且不知道以前的任何家庭肿瘤历史，那么女性不太可能自由筛选。年龄和教育水平是负面相关的无自由筛选意愿，而家庭收入是积极的关联;离婚/丧偶或单身并没有意识到任何先前的家庭肿瘤史都是筛选不情愿的预测因素，而之前的疾病历史是不自由筛选意愿的强烈预测因素。恐惧筛查和不便是桑西巴里受访者之间的主要问题。与20-49岁年龄组相比，少于20至50岁或50岁或以上的年龄段的女性认为没有必要。关于宫颈癌警告标志和风险因素的认知准确性最高率仅37.76％。结论：调查结果显示宫颈癌的知识差。教育水平，家庭收入和对先前疾病史的认识是筛选摄取的显着影响因素。具体的意识计划，增加宫颈癌和筛选意愿的知识应在没有延迟的情况下在公众中设计和实施，特别是对于年轻和老年妇女而言。

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