目的:探讨艾滋病病毒(HIV)阳性妇女宫颈癌(CC)筛查行为有关影响因素.方法:选取2019年1月-2021年1月本市艾滋病门诊接收的HIV阳性妇女236名为研究对象,调查妇女一般资料、健康素养、既往CC筛查情况,采用单因素分析探讨HIV阳性妇女CC筛查行为的相关因素,logistic多因素回归分析确定独立影响因素.结果:本次共发放问卷236份,回收有效问卷218份,有效回收率92.4％.218名HIV阳性妇女中既往3年内参加过CC筛查64名(29.4％),未参加过CC筛查154名(70.6％).单因素分析可知,婚姻状况、受教育程度、家庭人均月收入、坚持使用安全套、诊断HIV阳性后持续时间、对CC认知程度、医务人员进行了 CC筛查宣教、慢性病患者健康素养量表(HeLMS)评分均可能与HIV阳性妇女CC筛查行为有关(P＜0.2);logistic多因素回归分析发现,受教育程度高(OR=0.721、95％CI 0.574～0.906)、家庭人均月收入高(OR=0.690、95％CI 0.528～0.903)、诊断HIV阳性后持续时间长(OR=0.675、95％CI 0.512～0.891)、对 CC 认知程度高(OR=0.619、95％CI 0.446～0.860)、医务人员进行了 CC 筛查宣教(OR=0.518、95％CI 0.317～0.847)、HeLMS 评分高(OR=0.774、95％CI 0.679～0.882)均为 HIV 阳性妇女 CC筛查行为的独立保护因素(均P＜0.05).结论:HIV阳性妇女宫颈癌筛查行为与其受教育程度、家庭收入、诊断HIV阳性后持续时间、对CC认知程度、医务人员进行CC筛查宣教、健康素养有关,提示有关部门应采取有效方式展开健康教育,提高CC疾病及筛查认知水平,提升健康素养,促使HIV阳性妇女积极参与CC筛查.
Analysis of the influencing factors of the cervical cancer screening behavior of HIV-positive women
Objective:To observe the influencing factors of cervical cancer(CC)screening behavior of HIV-positive women.Methods:A total of 236 HIV-positive women who were admitted to the AIDS clinic from January 2019-Janu-ary 2021 were selected retrospectively as the research objects.The general data,the health literacy and the previous CC screening situation of the women were investigated.Univariate analysis was used to explore the related factors of the CC screening behavior of these HIV-positive women.Logistic multivariate regression analysis was used to determine the independent influencing factors of the CC screening behavior of these HIV-positive women.Results:A total of 236 questionnaires were distributed and 218 valid questionnaires were recovered,with the effective recovery rate of 92.4％.Among 218 HIV-positive women,64(29.4％)women had participated in the CC screening in the past three years,and 154(70.6％)women had not participated in the CC screening in the past three years.Univariate analysis showed that the marital status,the education level,the family per capita monthly income,the insist on using condoms,the dura-tion of positive HIV after diagnosis,the awareness of CC,the CC screening education by medical staff,and the score by Health Literacy Management Scale(HeLMS)of the HIV positive women could be related to their CC screening be-havior(P＜0.2).Logistic multivariate regression analysis found that the higher education level(OR=0.721,95％CI 0.574-0.906),the higher family per capita monthly income(OR=0.690,95％CI 0.528-0.903),the longer duration of positive HIV after diagnosis(OR=0.675,95％CI 0.512-0.891),the higher awareness of CC(OR=0.619,95％CI 0.446-0.860),the CC screening education by medical staff(OR=0.518,95％CI 0.317-0.847)and the higher HeLMS score(OR=0.774,95％CI 0.679-0.882)of the HIV positive women were all the independent protective factors of their CC screening behavior(P＜0.05).Conclusion:The cervical cancer screening behavior of the HIV-positive women is related to their education level,their family per capita monthly income,their duration of positive HIV after diagnosis,their awareness level of CC,their CC screening education by medical staff and their health literacy.It is suggested that the relevant government organs should take effective measures to carry out the health education for the HIV-positive women to improve their awareness of CC and screening CC,improve their health literacy,so as to encourage the HIV-positive women to actively participate in CC screening.
Human immunodeficiency virusCervical cancer screeningInfluence factor
万方数据
维普
