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首页> 外文期刊>Journal of cancer education: the official journal of the American Association for Cancer Education >Knowledge and Acceptability of Human Papillomavirus Vaccination and Cervical Cancer Screening among Women in Karnataka, India
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Knowledge and Acceptability of Human Papillomavirus Vaccination and Cervical Cancer Screening among Women in Karnataka, India

机译:印度卡纳塔克邦妇女乳头瘤病毒疫苗接种和宫颈癌筛查的知识和可接受性

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Cervical cancer is the leading cause of cancer-related mortality among women in India; however, participation in prevention and screening is low and the reasons for this are not well understood. In a cross-sectional survey in August 2008, 202 healthy women in Karnataka, India completed a questionnaire regarding knowledge, attitudes, and practices related to human papillomavirus (HPV) and cervical cancer. Factors associated with vaccination and Papanicolau (Pap) smear screening acceptance were explored. Thirty-six percent of women had heard of HPV while 15 % had heard of cervical cancer. Five percent of women reported ever having a Pap smear, and 4 % of women felt at risk of HPV infection. Forty-six percent of women were accepting of vaccination, but fewer (21 %) were willing to have a Pap smear. Overall, knowledge related to HPV and cervical cancer topics was low. Women with negative attitudes toward HPV infection were 5.3 (95 % confidence interval (CI) 2.8-10) times more likely to accept vaccination but were not significantly more likely to accept Pap smear (odds ratio 1.5, 95 % CI 0.7-3.0). Cost and a low level of perceived risk were the most frequent factors cited as potential barriers. Improving awareness of HPV and cervical cancer through health care providers in addition to increasing access to vaccination and screening through government-sponsored programs may be feasible and effective methods to reduce cervical cancer burden in India.
机译:宫颈癌是印度女性癌症相关死亡率的主要原因。但是,预防和筛查的参与率很低,其原因尚不清楚。在2008年8月的一项横断面调查中,印度卡纳塔克邦的202名健康妇女填写了一份有关人类乳头瘤病毒(HPV)和宫颈癌的知识,态度和做法的问卷。探索了与疫苗接种和巴氏涂片筛查接受度有关的因素。 36%的女性听说过HPV,而15%的女性听说过宫颈癌。 5%的女性报告曾进行子宫颈抹片检查,而4%的女性感到有HPV感染的危险。 46%的妇女接受了疫苗接种,但愿意进行子宫颈抹片检查的妇女较少(21%)。总体而言,与HPV和宫颈癌相关的知识很少。对HPV感染持消极态度的女性接受疫苗接种的可能性高5.3倍(95%置信区间(CI)为2.8-10),但接受巴氏涂片检查的可能性不明显(可能性比为1.5,95%CI为0.7-3.0)。成本和较低的感知风险是被称为潜在障碍的最常见因素。通过卫生保健提供者提高对HPV和宫颈癌的认识,以及通过政府资助的计划增加疫苗接种和筛查的机会,可能是减轻印度宫颈癌负担的可行且有效的方法。

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