Study on the current situation and influencing factors of the knowledge,attitude and practice of cervical cancer prevention and treatment among women in Shanxi Province
Objective To understand the current status and the influencing factors of knowledge,attitude,and behavior about cervical cancer prevention and treatment among women in Shanxi Province.And we aims to provide a basis for promoting women's participation in cervical cancer screening and emphasizing health education efforts among rural women.Methods A self-designed questionnaire was used.The data of 3 460 women was conducted with x2 test and binary logistic regression to explore the influencing factors of cervical cancer knowledge,attitude,and behavior.Results The knowledge awareness rate of cervical cancer among women in Shanxi Province was 51.3％.The positive attitude toward prevention and treatment was 75.9％.The screening rate of cervical cancer was 42 6％and 92.4％women were willing to be screened for cervical cancer in the future.Age(OR=0.737,95％CI:0.681-0.799,P＜0.001),education(OR=1.321,95％CI:1.219-1.431,P＜0.001),occupation[compared to the group with civil servant,the OR for other groups were 1.166(95％CI:0.953-1.429,P=0.136),2690(95％CI:2 143-3.377,P＜0.001),3.114(95％CI:2323-4.174,P＜0.001),amd 1.444(95％CI:1.051-1.984,P=0.023),respectively],and annual per capita household income(OR=1.103,95％CI:1.051-1.158,P＜0.001)were the influencing factors for women's knowledge of cervical cancer prevention and treatment.Age(OR=0.719,95％CI:0.660-0.785,P＜0.001),education(OR=1.206,95％CI:1.108-1.313,P＜0.001),occupation[compared to the group with civil servant,the OR for other groups were 1.202(95％CI:0.956-1.512,P=0.116),1.621(95％CI:1.241-2 118,P＜0.001),1.389(95％CI:0984-1.962,P=0.062),1.327(95％CI:0.958-1.840,P=Q 089),respectively],annual per capita household income(OR=1.085,95％CI:1.029-1.145,P=0.003),and smoking(OR=0.666,95％CI:0.490-0.907,P=0.010)were the influencing factors for women's attitude toward cervical cancer prevention and treatment.Age(OR=1.161,95％CI:1.051-1.284,P=0.003),household registration(OR=1.474,95％CI:1.230-1.767,P＜0.001),occupation[compared to the group with civil servant,the OR for other groups were 1.019(95％CI:0.832-1.248,P=0.854),1.840(95％CI:1.427-2.372,P＜0.001),0.758(95％CI:0.477-1.206,P=0.243),0.626(95％CI:0.463-0.845,P=0.002),respec-tively],marital status[compared to the group with not married,the OR for other groups were 8.306(95％CI:6.164-11.194,P＜0.001),10.480(95％CI:6 031-18.212,P＜0.001),respectively],annual per capita household income(OR=1.114,95％CI:1.058-1.174,P＜0.001),women's disease prevalence(OR=1.322,95％CI:1.142-1.530,P＜0.001),breakfast(OR=1.423,95％CI:1.178-1.720,P＜0.001),physical exercise(OR=1.192,95％CI:1.061-1.340,P=0.003),and abortion(OR=1.237,95％CI:1.119-1.367,P＜0.001)were the influencing factors for cervical cancer screening behavior.Age(OR=0.760,95％CI:0.683-0.845,P＜0.001),annual per capita household income(OR=1.133,95％CI:1.050-1.223,P=0.001),breakfast(OR=1.390,95％CI:1.074-1.800,P=0.012),and smoking(OR=0.441,95％CI:0.309-0.630,P＜0.001)were the influencing factors for cervical cancer screening willingness.Conclusions Women's knowledge of cervical cancer prevention and screening behaviors were poor,and the attitude toward prevention and treatment need to be improved.Screening willingness was high,and there was a large gap between urban and rural areas in the cervical cancer screening rate.It is still necessary to promote women's participation in cervical cancer screening through a variety of ways and to pay attention to the health education work of rural women.
Cervical cancerKnowledge,attitude and practiceInfluencing factorsWomenScreening behavior
NETL
NSTL
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