背景:宫颈癌,列为全球第四最常见的妇科癌症,在2018年,估计有570,000人丧生,并导致31.1万例新病例。这种疾病不成比例地影响了生活在贫困中的人们,并且在医疗保健系统薄弱的国家中更为普遍。低收入和中等收入国家,特别是在撒哈拉以南非洲,由于获得疫苗的机会有限,面临更高的发病率和死亡率,筛选,和治疗。世界卫生组织建议对25岁以上的女性进行定期筛查,到2030年为低收入和中等收入国家设定90-70-90的目标。尽管以前的知识有限,该研究旨在评估2024年埃塞俄比亚女性医疗保健专业人员宫颈癌筛查实践和相关因素的汇总患病率.
目的:本研究旨在综合埃塞俄比亚女性卫生工作者宫颈癌筛查实践及相关因素的现有文献。
方法:通过GoogleScholar的搜索引擎搜索研究,PubMed,科克伦图书馆使用关键词/MeSH术语进行搜索宫颈癌;利用;预防实践。使用CochranQ检验和I2统计量评估异质性。使用具有95%置信区间的随机效应模型进行合并的患病率和比值比估计。
结果:本系统综述和荟萃分析包括7项研究。埃塞俄比亚女性卫生工作者中宫颈癌筛查的总体汇总患病率为18%。工作地点(OR=2.858;95%CI:0.412,5.305),知识(OR=3.457;95%CI:2.314,4.601),工作经验(OR=5.421;95%CI:4.178,6.664),诊断(OR=10.787;95%CI:06.197,15.377)和曾经接受过宫颈癌患者的护理(OR=2.93;95%CI:2.004,3.856)是女性医护人员中与宫颈癌筛查实践显著相关的合并相关因素.
结论:发现宫颈癌筛查预防措施的实施不理想。我们的发现强调了在这些人群中提高认识的重要性,这对于动员当地社区至关重要。必须向女性卫生工作者提供有关宫颈癌的持续教育。卫生部应与各种组织合作,以确保所有医疗机构都能获得具有成本效益的筛查服务。
BACKGROUND: Cervical cancer, ranking as the fourth most common gynecological cancer worldwide, claimed an estimated 570,000 lives and resulted in 311,000 new cases in 2018. This disease disproportionately affects those living in poverty and is more prevalent in countries with weak healthcare systems. Low and middle-income nations, particularly in Sub-Saharan Africa, face higher incidence and mortality rates due to limited access to vaccines, screening, and treatment. The world health organization recommends regular screening for women from age 25, setting a 90-70-90 target for low- and middle-income countries by 2030. Despite limited previous knowledge, the study aims to assess the pooled prevalence of cervical cancer screening practices and associated factors among female healthcare professionals in Ethiopia in 2024.
OBJECTIVE: The study aimed to synthesize the existing literature on cervical cancer screening practice and associated factors among female health workers in Ethiopia.
METHODS: Studies were searched through the search engine of Google Scholar, PubMed, and Cochrane Library. Searching was made using Keywords/ MeSH terms Cervical cancer; utilization; Preventive practice. Heterogeneity was assessed using the Cochran Q test and I2 statistics. A random-effects model with a 95% confidence interval was used for the pooled prevalence and odds ratio estimations.
RESULTS: Seven studies were included in this systematic
review and meta-analysis. The overall pooled prevalence of cervical cancer screening practice among female health workers in Ethiopia was 18%. Work place(OR = 2.858;95% CI: 0.412, 5.305),knowledge(OR = 3.457; 95% CI: 2.314, 4.601), work experience(OR = 5.421; 95% CI:4.178,6.664),being diagnosed(OR = 10.787; 95% CI: 06.197,15.377) and ever cared of cervical cancer patient (OR = 2.93; 95% CI: 2.004, 3.856) were the pooled associated factors that are significantly associated with cervical cancer screening practice among female health care worker.
CONCLUSIONS: The implementation of preventive measures for cervical cancer screening was found to be suboptimal. Our findings underscore the importance of enhancing awareness among this demographic, which is crucial in mobilizing local communities. It is imperative to provide continuous education to female health workers regarding cervical cancer. The Ministry of Health should collaborate with various organizations to ensure the accessibility of cost-effective screening services in all healthcare facilities.