ABSTRACT
Resumen Objetivos: Estimar la asociación entre tener conocimientos acerca del cáncer de cuello uterino (CaCu) y re alizarse una prueba de Papanicolaou (PAP) en mujeres peruanas mayores de 30 años. Materiales y métodos: Se realizó un análisis secundario de la Encuesta Demográfica y de Salud Familiar de los años 2015 al 2017. El nivel conocimiento fue evaluado utilizando las preguntas: ¿considera usted que el cáncer se puede prevenir?, ¿alguna vez ha oído hablar del CaCu?, ¿alguna vez ha oído hablar del virus del papiloma humano (VPH)? y ¿considera que el VPH puede causar CaCu? La variable dependiente fue la realización de un PAP en los dos últimos años. Para estimar la asociación se utilizaron modelos lineales generalizados de la familia Poisson crudos y ajustados. La medida de asociación fue la razón de prevalencia ajustada (RPa) con sus respectivos intervalos de confianza al 95% (IC 95%). Resultados: Se analizaron datos de 21 563 mujeres. La prevalencia de haberse realizado un PAP en los últimos dos años fue 52,4%. Se encontró que, quienes respondieron que se puede prevenir el cáncer (RPa = 1,09; IC 95%: 1,01-1,17), que habían oído hablar del CaCu (RPa = 1,27; IC 95%: 1,14-1,40) o del VPH (RPa = 1,20; IC 95%:1,13-1,28) o que respondieron que el VPH podía causar CaCu (RPa = 1,21; IC 95%: 1,11 1,33) tuvieron una mayor prevalencia de haberse realizado un PAP en los últimos dos años. Conclusiones: Tener conocimientos sobre CaCu y VPH se asoció con haberse realizado un PAP en los últimos dos años.
Abstract Objetives: To estimate the association between having knowledge about cervical cancer (CC) and having a Pap test (PAP) in Peruvian women over 30 years old. Materials and Methods: A secondary analysis of the Demographic and Family Health Survey of the years 2015 to 2017 was carried out. The level of knowledge was evaluated using the questions, do you think that cancer can be prevented?, Have you ever heard of CC?, Have you ever heard of human papillomavirus (HPV)? And do you think HPV can cause CC? The dependent variable was the realization of a PAP in the last two years. To estimate the association, generalized linear models of the raw and adjusted Poisson family were used. The measure of association was the adjusted prevalence ratio (aPR) with its respective 95% confidence intervals (95% CI). Results: Data from 21 563 women were analyzed. The prevalence of having performed a PAP in the last two years was 52.4%. It was found that, those who responded that cancer can be prevented (aPR = 1.09; 95% CI: 1.01-1.17), who had heard of CC (aPR = 1.27; 95% CI: 1.14-1 , 40) or HPV (aPR = 1.20; 95% CI: 1.13-1.28) or who responded that HPV could cause CC (aPR = 1.21; 95% CI: 1.11-1.33) had a higher prevalence of having performed a PAP in the last two years. Conclusions: Having knowledge about CC and HPV has been associated with having performed a PAP in the last two years.
Subject(s)
Adult , Female , Humans , Uterine Cervical Neoplasms , Health Knowledge, Attitudes, Practice , Papanicolaou Test , Peru/epidemiology , Uterine Cervical Neoplasms/prevention & control , Uterine Cervical Neoplasms/epidemiology , Health Care Surveys , Papanicolaou Test/statistics & numerical dataABSTRACT
Objective To better understand the knowledge, attitude, practice status of sexual dysfunction (SD) in medical staffs in field of reproductive health in Tianjin. Methods Using random, stratified and clustered sampling ap-proach, we selected 507 medical staffs in field of reproductive healthcare in Tianjin. Self-administered questionnaire on sex-ual dysfunction KAP was employed to survey the general condition, to understand SD knowledge and their attitude to SD, to perceive SD prevalence of the medical staffs and their demand to sexual dysfunction training. Results The people who re-spond to our survey had high awareness to SD, but they are lack of knowlege in mechanism on sexual behavior and female SD related knowledge. Multiple-factor analysis indicated that young age group respondants(β=-0.827,P=0.018)and medical staffs from high-tier medical institutions (β=-0.223, P=0.048) showed higher awareness. When they suffered SD, 49.28%re-spondants would see doctor immediately, 36.85% informants chosen temporary observation, and 9.73% informants shown negative altitude. Minority (17.14%) of medical staff are able to confirmed SD to themselves and 90.48% of medical staff de-mand training on SD related knowledge. Conclusion It’s necessary to perform continuing education to medical staffs via different intervention, so as to improve their cognitive level and attitude to SD, and these can help them providing better ser-vice to their patients and the public.