PDF(Pubmed)
Abstract：
Cervical cancer (CC) screening and prevention are crucial responsibilities of obstetrician-gynecologists (OB/GYNs). Our study aimed to investigate whether knowledge impacts OB/GYNs\' (n = 42) adherence to CC prevention measures by comparing them to non-OB/GYN physicians (n = 80). An anonymous questionnaire collected demographic information, personal screening habits and evaluated their knowledge of CC prevention. Results revealed that OB/GYNs exhibited superior knowledge of CC risk factors and prevention compared to non-OB/GYNs. Of note, a lower percentage of OB/GYN residents correctly identified the recommended upper age limit for cervical screening and for HPV vaccination compared to attending OB/GYNs (50% vs. 83%, p = 0.04 and 11% vs. 50%, p = 0.01, respectively). Despite these findings, most physicians from both groups recommended HPV vaccination. Cervical screening rates were similar between OB/GYNs and non-OB/GYNs (75% vs. 83%, p = 0.3). Half of OB/GYNs initiated their own cervical screening, similar to non-OB/GYNs. Interestingly, residents had higher HPV vaccination rates compared to attending physicians, irrespective of specialty (OB/GYNs - 38.89% vs. 4.76%, p = 0.0149; non-OB/GYNs - 51.06% vs. 15.38%, p = 0.0028). In conclusion, contrary to the assumption that physicians prioritize personal well-being, our study reveals the opposite. While skilled in guiding patients through CC screening and prevention, female OB/GYNs often neglect their own health. OB/GYNs must also be educated and supported in safeguarding their health, setting an essential example for patients.
摘要：
宫颈癌（CC）筛查和预防是妇产科医生（OB/GYN）的重要职责。我们的研究旨在通过与非OB/GYN医生（n=80）进行比较，来调查知识是否会影响OB/GYN（n=42）对CC预防措施的依从性。一份匿名问卷收集了人口统计信息，个人筛查习惯，并评估他们对CC预防的了解。结果显示，与非OB/GYN相比，OB/GYN对CC危险因素和预防具有更高的认识。值得注意的是，与参加OB/GYN相比，OB/GYN居民正确确定子宫颈筛查和HPV疫苗接种的推荐年龄上限的比例较低（50％vs.83%,p=0.04和11%vs.50%,分别为p=0.01)。尽管有这些发现,两组的大多数医生都建议接种HPV疫苗.OB/GYN和非OB/GYN的宫颈筛查率相似（75％与83%,p=0.3)。一半的妇产科医生开始了自己的宫颈筛查，类似于非OB/GYNs。有趣的是,与主治医生相比，居民的HPV疫苗接种率更高，不分专业（OB/GYNs-38.89%与4.76%,p=0.0149；非OB/GYNs-51.06%与15.38%，p=0.0028)。总之,与医生优先考虑个人福祉的假设相反，我们的研究揭示了相反的情况。在熟练指导患者进行CC筛查和预防的同时，女性妇产科医生往往忽视自己的健康。妇产科医生还必须接受教育和支持，以保护他们的健康，为患者树立重要榜样。
