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

HE Lu; QIN Mengxia; LI Sitian; LI Wenai; CAI Yutong; CAO Xi; WU Dahong

doi:10.16462/j.cnki.zhjbkz.2024.06.013

Volume 28 Issue 6

Jun. 2024

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HE Lu, QIN Mengxia, LI Sitian, LI Wenai, CAI Yutong, CAO Xi, WU Dahong. 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[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(6): 702-709. doi: 10.16462/j.cnki.zhjbkz.2024.06.013

Citation:

HE Lu, QIN Mengxia, LI Sitian, LI Wenai, CAI Yutong, CAO Xi, WU Dahong. 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[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(6): 702-709. doi: 10.16462/j.cnki.zhjbkz.2024.06.013

Citation:

HE Lu, QIN Mengxia, LI Sitian, LI Wenai, CAI Yutong, CAO Xi, WU Dahong. 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[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(6): 702-709. doi: 10.16462/j.cnki.zhjbkz.2024.06.013

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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

doi: 10.16462/j.cnki.zhjbkz.2024.06.013

HE Lu^{1, 2, 3
,
,},
QIN Mengxia¹,
LI Sitian¹,
LI Wenai⁴,
CAI Yutong¹,
CAO Xi¹,
WU Dahong¹

1.
Department of Social Medicince, School of Public Health, Shanxi Medical University, Taiyuan 030001, China
2.
Rural Health and Health Development Research Cente, Taiyuan 030001, China
3.
MOE Key Laboratory of Coal Environmental Pathogenicity and Prevention, Shanxi Medical University, Taiyuan 030001, China
4.
Shanxi Shangning Health Examination Center, Taiyuan 030001, China

Funds:

Basic Research Program of Shanxi Province 202203021221183

More Information

Corresponding author: HE Lu, E-mail: heluhl2013@163.com
Received Date: 2024-01-06
Rev Recd Date: 2024-05-12

Available Online: 2024-07-13

Publish Date: 2024-06-10

Abstract

Abstract

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 $\chi^2$ 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), 2.690(95% CI: 2.143-3.377, P < 0.001), 3.114(95% CI: 2.323-4.174, 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: 0.984-1.962, P=0.062), 1.327(95% CI: 0.958-1.840, P=0.089), 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), respectively], 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 cancer,
- Knowledge, attitude and practice,
- Influencing factors,
- Women,
- Screening behavior

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References(11)

References

[1]	于洗河, 张景茹, 降海蕊, 等. 中国女性1990—2019年宫颈癌和乳腺癌疾病负担分析[J]. 中国公共卫生, 2022, 38(5): 534-538. DOI: 10.11847/zgggws1136776. Yu XH, Zhang JR, Jiang HR, et al. Disease burden of cervical cancer and breast cancer in chinese women in 1990 and 2019[J]. Chin J Public Health, 2022, 38(5): 534-538. DOI: 10.11847/zgggws1136776.
[2]	Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3): 209-249. DOI: 10.3322/caac.21660.
[3]	张仲华, 刘晨瑛, 任会叶, 等. 2003―2018年间中国女性宫颈癌发病与死亡趋势研究[J]. 中华疾病控制杂志, 2022, 26(1): 14-20. DOI: 10.16462/j.cnki.zhjbkz.2022.01.003. Zhang ZH, Liu CY, Ren HY, et al. Analysis and prediction of the incidence and mortality trends of cervical cancer in Chinese womenfrom 2003 to 2018 from 2003 to 2018[J]. Chin J Dis Control Prev, 2022, 26(1): 14-20. DOI: 10.16462/j.cnki.zhjbkz.2022.01.003.
[4]	孙丹丹, 张敬, 张秀清, 等. 基于健康信念模型的济南市女性宫颈癌筛查行为影响因素研究[J]. 现代预防医学, 2021, 48(19): 3600-3604. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202119031.htm Sun DD, Zhang J, Zhang XQ, et al. Research on the influencing faactors women's cervical cancer screening behavior in Jinan based on the health belief model[J]. Modern Preventive Medicine, 2021, 48(19): 3600-3604. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202119031.htm
[5]	张梅, 包鹤龄, 王丽敏, 等. 2015年中国宫颈癌筛查现况及相关因素分析[J]. 中华医学杂志, 2021, 101(24): 1869-1874. DOI: 10.3760/cma.j.cn112137-20210108-00054 Zhang M, Bao HL, Wang LM, et al. Status and related factors of cervical cancer screening in China in 2015[J]. Nati Med J Chin, 2021, 101(24): 1869-1874. DOI: 10.3760/cma.j.cn112137-20210108-00054
[6]	Di JL, Rutherford S, Wu J L, et al. Knowledge of cervical cancer screening among health care workers providing services across different socio-economic regions of China[J]. Asian Pac J Cancer Prev, 2016, 17(6): 2965-2972.
[7]	夏嘉蔚, 杨永彬, 葛正好, 等. 基于健康信念模式的上海市社区妇女宫颈癌筛查行为影响因素研究[J]. 现代预防医学, 2022, 49(5): 819-823. Xia JW, Yang YB, Ge ZH, et al. Research of factors associated with cervical cancer screening behavior among communitywomen in Shanghai based on health belief model[J]. Modern Preventive Medicine, 2022, 49(5): 819-823.
[8]	杨文蕾, 田甜, 万德芝, 等. 中国3省女性宫颈癌防治知信行现况调查及影响因素分析[J]. 中国健康教育, 2017, 33(10): 876-880. DOI: 10.16168/j.cnki.issn.1002-9982.2017.10.003 Yang WL, Tian T, Wan DZ, et al. Survey on status of knowledge, attitude, and practice about cervical cancer prevention and control and its influencing factors among Chinese women[J]. Chinese Journal of Health Education, 2017, 33(10): 876-880. DOI: 10.16168/j.cnki.issn.1002-9982.2017.10.003
[9]	卞晨阳, 罗彦, 周亮, 等. 2019—2020年湖北省农村居民健康素养水平比较[J]. 中国健康教育, 2022, 38(6): 508-510, 516. DOI: 10.16168/j.cnki.issn.1002-9982.2022.06.006 Bian CY, Luo Y, Zhou L, et al. Comparison of health literacy level of rural residents in Hubei Province from 2019 to 2020[J]. Chinese Journal of Health Education, 2022, 38(6): 508-510, 516. DOI: 10.16168/j.cnki.issn.1002-9982.2022.06.006
[10]	黎卓涵, 艾春玲, 马溯阳, 等. 中国宫颈癌筛查影响因素[J]. 中国老年学杂志, 2022, 42(14): 3427-3431. DOI: 10.3969/j.issn.1005-9202.2022.14.016. Li ZH, Ai CL, Ma SY, et al. Influencing factors of cervical cancer screening in China[J]. Chinese Journal of Gerontology, 2022, 42(14): 3427-3431. DOI: 10.3969/j.issn.1005-9202.2022.14.016.
[11]	Doran EM, Doidge M, Aytur S, et al. Understanding farmers' conservation behavior over time: a longitudinal application of the transtheoretical model of behavior change[J]. J Environ Manage, 2022, 323: 116136. DOI: 10.1016/j.jenvman.2022.116136