首页> 外文期刊>Obstetrics and Gynecology: Journal of the American College of Obstetricians and Gynecologists >Changes in knowledge of cervical cancer prevention and human papillomavirus among women with human immunodeficiency virus.
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Changes in knowledge of cervical cancer prevention and human papillomavirus among women with human immunodeficiency virus.

机译:患有人类免疫缺陷病毒的妇女对子宫颈癌预防和人类乳头瘤病毒的认识的变化。

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OBJECTIVE: To estimate changes in high-risk women's knowledge of cervical cancer prevention, human papillomavirus (HPV), and HPV vaccination since introduction and marketing of HPV vaccines. METHODS: At study visits in 2007 and 2008-2009, women with the human immunodeficiency virus (HIV) and at-risk comparison women in a multicenter U.S. cohort study completed 44-item self-report questionnaires exploring their knowledge of cervical cancer prevention, HPV, and HPV vaccination. Results from 2007 were compared with those obtained in 2008-2009. Knowledge scores were correlated with demographic variables, measures of education and attention, and medical factors. Significant associations were assessed in multivariable models. RESULTS: HIV-seropositive women had higher knowledge scores than seronegative women at baseline (13.2 +/- 5.7 compared with 11.8 +/- 6.0, P < .001) and follow-up (14.1 +/- 5.3 compared with 13.2 +/- 5.5, P = .01), but the change in scores was similar (0.9 +/- 5.3 compared with 1.5 +/- 5.5, P = .13). Knowledge that cervical cancer is caused by a virus rose significantly (P = .005), but only to 24%. Belief that cervical cancer is preventable only rose from 52% to 55% (P = .04), but more than 90% of women in both periods believed regular Pap testing was important. In analysis of covariance models, higher baseline score, younger age, higher education level, higher income, and former- as opposed to never-drug users, but not HIV status, were associated with improved knowledge. CONCLUSION: High-risk women's understanding of cervical cancer and HPV has improved, but gaps remain. Improvement has been weakest for less educated and lower-income women. LEVEL OF EVIDENCE: II.
机译:目的:评估自从引入和销售HPV疫苗以来,高危妇女在宫颈癌预防,人乳头瘤病毒(HPV)和HPV疫苗接种方面的知识变化。方法:在2007年和2008-2009年的研究访问中,美国多中心队列研究中的人类免疫缺陷病毒(HIV)妇女和高风险比较妇女完成了44项自我报告调查表,探讨了她们对预防宫颈癌,HPV的知识和HPV疫苗接种。将2007年的结果与2008-2009年的结果进行了比较。知识得分与人口统计学变量,教育程度和注意力水平以及医疗因素相关。在多变量模型中评估了重要的关联。结果:HIV血清阳性女性在基线(13.2 +/- 5.7与11.8 +/- 6.0,P <.001)和随访(14.1 +/- 5.3与13.2 +/-)相比,知识水平要好于血清阴性女性。 5.5,P = 0.01),但分数变化相似(0.9 +/- 5.3与1.5 +/- 5.5,P = 0.13)。宫颈癌是由病毒引起的知识显着增加(P = .005),但仅为24%。宫颈癌可预防的信念仅从52%增至55%(P = .04),但是在两个时期中,超过90%的女性认为定期进行巴氏检测很重要。在协方差分析模型中,较高的基线评分,较年轻的年龄,较高的受教育水平,较高的收入以及以前(而不是从未吸毒)的人(而不是HIV状况)与知识的提高有关。结论:高危妇女对宫颈癌和HPV的了解有所改善,但差距仍然存在。受教育程度较低和收入较低的妇女的进步最弱。证据级别:II。

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