AIM:To determine the knowledge, attitudes and practice of women living in peri-urban settlements with regard to screening for cervical cancer.
METHOD:A community-based questionnaire survey of 165 women living in a defined area of Khayelitsha, a peri-urban settlement on the outskirts of Cape Town.
RESULTS:Two hundred households were visited, with a response rate of 84%. Median age of respondents was 27.5 years. The majority of interviewees were married (53.3%), unemployed (61.5%), had an educational status of standard 4 or less (58.1%) and had been living in Cape Town for 4 years or more (64.3%). The median parity was 2 (range 0-11). Most interviewees were currently using contraception (52.4%). One-third (35.4%; 95% CI 28.1-42.7%) of interviewees had heard of the Pap smear. Of these women, most had obtained their information from the midwife obstetric unit (MOU), and this was the most commonly reported facility where Pap tests were known to be done. The majority of interviewees did not regard the test (or the prospect thereof) as embarrassing (88.4%), painful (89.1%) or harmful (90.9%), and indicated that they would have the test done (89.1%). The most important reason for choice of where the test should be done was proximity to place of residence (83.9%). More than one-third of interviewees reported having had a Pap test (37.2%; 95% CI 28.8-44.8%). The most common reason for not having had a test was that the interviewee had never heard of it (81.3%). Most had undergone the test at a MOU (65.6%), where it had been part of an antenatal work-up (80.3%). Fewer than half of the interviewees who had undergone a test knew the result of their test.
CONCLUSION:The antenatal, obstetric and family planning services in the area have been effective, to a limited extent, in providing information and conducting screening. However, these services are missing many opportunities to fulfill this function, and knowledge and practice of cervical cytology screening in this community are poor. With the implementation of a rational policy for screening in this area there is the potential to achieve good coverage.
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【Cervical cytology screening--knowledge, attitudes and practice in a peri-urban settlement.].
【宫颈细胞学筛查-城市周边住所的知识，态度和实践。】
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目的：确定居住在城市周边居民区的妇女在筛查宫颈癌方面的知识，态度和做法。
方法：一项基于社区的问卷调查，调查了165名生活在开普敦郊区郊区居民区Khayelitsha的妇女。
结果：探访了200户家庭，答复率为84％。受访者的中位数年龄为27.5岁。大部分受访者已婚（53.3％），失业（61.5％），受教育水平为4级或更低（58.1％），并且在开普敦居住了4年以上（64.3％）。中位数为2（范围为0-11）。目前，大多数受访者使用避孕药具（52.4％）。三分之一（35.4％; 95％CI 28.1-42.7％）的受访者听说过巴氏涂片检查。在这些妇女中，大多数是从助产士产科获得信息的，这是据报道进行巴氏检查最常见的设施。大多数受访者并不认为测试（或测试的前景）令人尴尬（88.4％），痛苦（89.1％）或有害（90.9％），并表示他们会进行测试（89.1％）。选择应在哪里进行测试的最重要原因是靠近居住地（83.9％）。超过三分之一的受访者表示接受了巴氏试验（37.2％; 95％CI 28.8-44.8％）。没有进行测试的最常见原因是受访者从未听说过测试（81.3％）。大多数人在谅解备忘录中接受了测试（65.6％），是产前检查的一部分（80.3％）。接受测试的受访者中，不到一半知道测试结果。
结论：该地区的产前，产科和计划生育服务在提供信息和进行筛查方面在一定程度上是有效的。但是，这些服务缺少实现此功能的许多机会，并且该社区中宫颈细胞学筛查的知识和实践很差。通过在这一领域实施合理的筛查政策，有可能实现良好的覆盖率。
方法：一项基于社区的问卷调查，调查了165名生活在开普敦郊区郊区居民区Khayelitsha的妇女。
结果：探访了200户家庭，答复率为84％。受访者的中位数年龄为27.5岁。大部分受访者已婚（53.3％），失业（61.5％），受教育水平为4级或更低（58.1％），并且在开普敦居住了4年以上（64.3％）。中位数为2（范围为0-11）。目前，大多数受访者使用避孕药具（52.4％）。三分之一（35.4％; 95％CI 28.1-42.7％）的受访者听说过巴氏涂片检查。在这些妇女中，大多数是从助产士产科获得信息的，这是据报道进行巴氏检查最常见的设施。大多数受访者并不认为测试（或测试的前景）令人尴尬（88.4％），痛苦（89.1％）或有害（90.9％），并表示他们会进行测试（89.1％）。选择应在哪里进行测试的最重要原因是靠近居住地（83.9％）。超过三分之一的受访者表示接受了巴氏试验（37.2％; 95％CI 28.8-44.8％）。没有进行测试的最常见原因是受访者从未听说过测试（81.3％）。大多数人在谅解备忘录中接受了测试（65.6％），是产前检查的一部分（80.3％）。接受测试的受访者中，不到一半知道测试结果。
结论：该地区的产前，产科和计划生育服务在提供信息和进行筛查方面在一定程度上是有效的。但是，这些服务缺少实现此功能的许多机会，并且该社区中宫颈细胞学筛查的知识和实践很差。通过在这一领域实施合理的筛查政策，有可能实现良好的覆盖率。
