【摘 要】
：
目的 探讨宫颈癌筛查中影响阴道镜检查依从性的相关因素,为制定相关策略提供依据.方法 采用三阶段分层随机抽样方法,在北京市大兴区内取1个街道和4个乡镇,采用肉眼观察试验对
【机 构】
：
首都医科大学公共卫生与家庭医学学院,首都医科大学附属妇产医院妇幼保健院,北京市大兴区妇幼保健院
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目的 探讨宫颈癌筛查中影响阴道镜检查依从性的相关因素,为制定相关策略提供依据.方法 采用三阶段分层随机抽样方法,在北京市大兴区内取1个街道和4个乡镇,采用肉眼观察试验对其中3989名女性进行宫颈癌初筛,并进行问卷调查.初筛阳性者要求进行阴道镜检查.结果 458名初筛阳性者中,共有301人按医务人员指导参加了阴道镜检查,参检率为65.7%,157人未参加阴道镜检查,占34.3%.多因素Logistic回归分析显示:40～岁组女性的阴道镜检查参检率高于30～岁组年轻女性(OR=1.958,95%CI:1.207-3.176),居住在交通便利地区的女性的阴道镜检查参检率高于居住住在交通不便利或偏远地区农村女性(OR=2.014,95%CI:1.097-3.695);知晓"三早可根治约1/3的癌症"、"宫颈癌早期阶段"、"HPV感染是宫颈癌的必要病因"和"早期宫颈癌治疗方法"的女性参检率高于不知晓的女性(OR=1.817,95%CI:1.078-3.060;OR=2.061,95%CI:1.220-3.482;OR=2.539,95%CI:1.254-5.143;OR=1.820,95%CI:1.123-2.949);不认为阴道镜检查过程很难受的女性参检率较高(OR=2.159,95%CI:1.266-3.681).结论 在成年女性中应大力推行宫颈癌防治知识及筛查益处的健康教育活动,同时不断增强对卫生资源的可及性,提高宫颈癌筛查效率.
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