背景:宫颈癌是女性中最常见的癌症之一,在世界范围内造成显著的死亡率和发病率。自实施宫颈癌筛查以来,这些数字已大大减少。尽管如此,在许多国家进行筛查,包括沙特阿拉伯,仍然是次优的。
方法:在2021年5月至11月期间,对居住在吉达的385名年龄在21-65岁的女性进行了横断面研究。沙特阿拉伯。数据是使用四部分在线调查收集的:人口统计学特征,宫颈癌筛查状态,接受宫颈癌筛查的预测因素,和筛选的障碍。
结果:在完成调查的385名女性中,只有大约三分之一(33.4%)在他们的生活中的某个时候进行了巴氏涂片检查。在单变量分析中发现与筛查状态(具有Pap检验)显着相关的因素是年龄增加,教育水平,月收入,感知到得宫颈癌的风险,关于巴氏试验的信息来源,有一个家庭医生,家庭医生建议做巴氏试验,正在做妇科检查,过去拜访妇科医生,既往妇科疾病史,堕胎史在多变量分析中,仅发现四个因素与筛查状态显着相关:年龄,月收入,过去做过妇科检查,以及家庭医生的推荐,到目前为止影响最大。
结论:吉达市宫颈癌筛查率相对较低。家庭医生推荐的巴氏试验对筛查状况影响最大。这些结果支持家庭医生在促进预防性医疗保健筛查测试中的重要作用。结果还表明,沙特阿拉伯有必要开展教育计划,以促进妇女的宫颈癌筛查。
BACKGROUND: Cervical cancer is one of the most common cancers among females, contributing to significant mortality and morbidity worldwide. These numbers have significantly decreased since the implementation of cervical cancer screening. Despite that, screening in many countries, including Saudi Arabia, remains suboptimal.
METHODS: A cross-sectional study was conducted between May to November 2021 among 385 women aged 21-65 years who live in Jeddah, Saudi Arabia. The data were collected using a four-part online survey: demographic characteristics, cervical cancer screening status, predictors of undergoing cervical cancer screening, and barriers to screening.
RESULTS: Among the 385 women who completed the survey, only around one-third (33.4%) had a Pap smear at some point in their lives. The factors that were found to be significantly associated with the screening status (having a Pap test) in the univariate analysis are increasing age, education level, monthly income, perceived risk of getting cervical cancer, source of information about Pap test, having a family doctor, recommendation by the family doctor to have a Pap test, undergoing a gynecological examination, visiting a gynecologist in the past, history of previous gynecological complaint, and history of abortion. In the multivariable analysis, only four factors were found to be significantly associated with the screening status: age, monthly income, undergoing a gynecological examination in the past, and the recommendation by the family doctor, which by far had the largest effect.
CONCLUSIONS: Cervical cancer screening rate is relatively low in the city of Jeddah. The recommendation of a Pap test by the family doctor had the largest impact on screening status. These results support the important role of family physicians in promoting screening tests for preventive healthcare. The results also suggest the need for education programs to promote cervical cancer screening among women in Saudi Arabia.