摘要
目的 调查上海市浦东新区妇女宫颈癌防治核心知识知晓率的影响因素及其服务需求.方法 采用分层抽样法选取2023年上海市浦东新区妇科常见病筛查项目人群进行问卷调查.采用单因素、多因素logistic回归分析宫颈癌防治核心知识知晓率的影响因素,并调查妇女对宫颈癌防治核心知识的服务需求情况.结果 共838名妇女纳入研究,宫颈癌防治核心知识低知晓率为28.9%;单因素分析结果显示,两组年龄、居住地、文化程度、职业、收入比较,差异有统计学意义(P<0.05);多因素logistic回归分析结果显示,居住地为中心城区、学历为大专及以上、职业为政企职工及退休和个体/自由职业、收入为5000~7499元及≥7500元为宫颈癌防治核心知识知晓率的影响因素(P<0.05);高知晓率组的各种获取宫颈癌防治途径需求均高于低知晓率组(P<0.05);高知晓率组接受随访、接受绿色诊疗通道意愿占比均高于低知晓率组(P<0.05).结论 浦东新区妇女宫颈癌防治核心知识知晓率相对较低,需重点关注务农和务工、低收入、低教育水平的妇女,推行多渠道综合宣教、查教结合的政策,以期进一步提高宫颈癌防治核心知识知晓率.
Abstract
Objective To investigate the influencing factors of the awareness rate of core knowledge of female cervical cancer prevention and treatment in Pudong New Area of Shanghai and service demand.Methods Stratified sampling method was used to select the population of the gynecological common diseases screening project in Pudong New Area of Shanghai in 2023 for questionnaire survey.Univariate and multivariate logistic regression were used to analyze the influencing factors of the awareness rate of the core knowledge of cervical cancer prevention and treatment,and to investigate the service demand of women for the core knowledge of cervical cancer prevention and treatment.Results A total of 838 women into research,the low awareness rate of the core knowledge of cervical cancer prevention and treatment was 28.9%.The results of univariate analysis showed that there were statistically significant differences in age,residence,education level,occupation,and income between the two groups(P<0.05).Multivariate logistic regression analysis results show that the residence of city center,education for the college graduate or above,professional for enterprise employees,retired and individual/free occupation,income of 5000-7499 yuan,≥7500 yuan were influencing factors of core knowledge of cervical cancer prevention and treatment(P<0.05).The demand for access to prevention and treatment of cervical cancer in the high awareness rate group was higher than that in the low awareness rate group(P<0.05).The percentage of willingness to receive follow-up and green diagnosis and treatment channel in the high awareness rate group was higher than that in the low awareness rate group(P<0.05).Conclusion The awareness rate of the core knowledge of cervical cancer prevention and treatment in women in Pudong New Area is relatively low.It is necessary to focus on women who are farmers,workers,and with low income and low education level.In order to further improve the awareness rate of the core knowledge of cervical cancer prevention and treatment,the policy of multi-channel comprehensive propaganda and education,and the combination of investigation and education should be carried out.
基金项目
上海市浦东新区科技发展基金项目(PKJ2022-Y61)