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目的分析城市女性宫颈癌机会性筛查接受障碍原因及影响因素,提出促进女性宫颈癌筛查的策略与建议。方法对2009年1月—2015年3月随机抽取的重庆市内8家医院就诊的女性进行宫颈癌筛查接受意愿问卷调查。结果有效问卷11 965(98.9%)份,16.77%受访者不愿意接受宫颈癌机会性筛查,接受障碍前3位原因为“认为没有必要,相信自己没有问题”占44.44%,“不愿意或害怕妇科检查”占30.39%,“不知道筛查的意义”占10.71%。多因素logistic回归分析结果显示,年龄越小,文化程度越低越不愿意接受筛查;无业、未生育和生产次数≥3者,没有听说过宫颈癌、不知道宫颈癌筛查目的者均不愿意接受筛查。结论缺乏健康意识为筛查接受障碍的主要原因,建议增强宫颈癌筛查相关知识传播及认知,重点在青年女性、低学历、无业及未生育者、不了解宫颈癌及筛查者。
Objective To analyze the causes and influential factors of opportunistic screening barriers of cervical cancer in urban women and put forward the strategies and recommendations for promoting cervical cancer screening in women. Methods A questionnaire survey of willingness to accept cervical cancer screening among women randomly selected from 8 hospitals in Chongqing from January 2009 to March 2015 was conducted. Results The questionnaire was valid for 11 965 (98.9%) and 16.77% of the respondents were unwilling to accept the opportunistic screening of cervical cancer. The top three reasons for accepting the disorder were “44.44%,” “think no need, believe no problem” “Do not want or fear gynecological examination” accounted for 30.39%, “do not know the meaning of screening ” accounted for 10.71%. Multivariate logistic regression analysis showed that the younger the lower the level of education, the less reluctant to accept screening; unemployed, non-fertile and the production of more than 3 who have not heard of cervical cancer, cervical cancer screening do not know who are Unwilling to accept screening. Conclusions The lack of health awareness is the main reason for screening for impairment. It is suggested to enhance knowledge and knowledge about cervical cancer screening, with emphasis on young women, low education, unemployed and non-fertile persons, and no understanding of cervical cancer and screening.