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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Patient knowledge and beliefs as barriers to extending cervical cancer screening intervals in Federally Qualified Health Centers
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Patient knowledge and beliefs as barriers to extending cervical cancer screening intervals in Federally Qualified Health Centers

机译：患者的知识和信念成为延长联邦合格健康中心宫颈癌筛查间隔的障碍

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摘要

Objective: Despite guidelines recommending cervical cancer screening intervals be extended beyond one year, clinical practice has been slow to change. Patient preferences are a potential barrier. In the Centers for Disease Control's Cervical Cancer (Cx3) Study at Federally Qualified Health Centers (FQHCs) across Illinois, we surveyed patients about screening practices, and assessed beliefs regarding lengthening screening intervals. Method: We analyzed data from 984 low income women in the Cx3 Study (2009-2011). Participants completed a survey assessing health history, knowledge about Pap testing, beliefs and intentions about extending screening intervals, and demographics. Results: The majority reported annual Pap testing (61%), while only 24% reported a 2-3. year screening interval (recommendation at time of survey). Misunderstandings about the Pap test were prevalent, with over half believing it screened for vaginal, yeast, and sexually transmitted infections (58%-72%). Unfavorable beliefs about extending screening intervals were common. The majority (57%) indicated that they would not wait 3. years to be screened if their physician recommended it, and intentions were associated with knowledge about Pap testing. Conclusion: Most women reported annual cervical cancer screening, and intended to resist longer screening intervals. Patients' lack of knowledge and unfavorable beliefs may serve as barriers to extending screening intervals.
机译：目的：尽管有指南建议将子宫颈癌筛查间隔期延长至一年以上，但临床实践变化缓慢。患者的喜好是潜在的障碍。在伊利诺伊州联邦合格健康中心（FQHC）的疾病控制中心宫颈癌（Cx3）研究中，我们调查了患者的筛查方法，并评估了有关延长筛查间隔的信念。方法：我们在Cx3研究（2009-2011）中分析了984位低收入女性的数据。参与者完成了一项调查，评估了健康史，有关巴氏检测的知识，有关延长筛查间隔的信念和意图以及人口统计资料。结果：大多数人报告了年度巴氏检测（61％），而只有24％的人报告了2-3次。年度筛选间隔（调查时的建议）。对Pap测试的误解普遍存在，超过一半的人认为它对阴道，酵母和性传播感染进行了筛查（58％-72％）。关于延长筛查间隔的不利看法很普遍。多数（57％）表示，如果医生建议，他们将等3年才接受筛查，并且意图与有关巴氏检测的知识有关。结论：大多数妇女报告每年进行宫颈癌筛查，并打算抵制更长的筛查间隔。患者缺乏知识和不利的信念可能会成为延长筛查间隔的障碍。

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