バンコク,タイのディンダングコミュニティの女性の子宮頸がんスクリーニングに関する知識,態度,実践:コミュニティベースの横断研究
Shina Oranratanaphan1, Kamonchanok Moonchai2, Natkrita Pohthipornthawat3
1Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
BMJ open
|August 31, 2025
まとめ
バンコクでは子宮頸がんのスクリーニングが適度に行われているが,ヒトパピローマウイルス (HPV) についての定期的な遵守と知識は低い. 都市部でのスクリーニングの改善には 対象を絞った健康教育が不可欠です
科学分野:
- 公衆衛生
- 腫瘍学
- 流行病学について
背景:
- 子宮頸がんは 特に低所得の都市部では 深刻な公衆衛生問題です
- 効果的な予防戦略の開発には 検診の行動を理解することが不可欠です
研究 の 目的:
- 子宮頸がんのスクリーニングに関する知識,態度,実践を評価する.
- バンコクのディンダングコミュニティの女性のスクリーニング普及に影響を与える要因を特定する.
主な方法:
- コミュニティーベースの横断調査が行われました.
- 高密度で低所得の都市部に住む25歳から65歳の女性428人がアンケートに回答しました.
- 収集されたデータには,スクリーニング歴,障壁,子宮頸がんとHPVの知識が含まれています.
主要な成果:
- 女性の65. 4%がスクリーニングを受けたと報告したが,定期的なスクリーニングの間隔は19. 1%しかなかった.
- 主な障壁は症状の欠如 (54. 7%) と手術に対する恐怖 (42. 1%) でした.
- 子宮頸がんの原因としてHPVに関する知識 (31. 8%) とHPVワクチンに関する知識 (23. 8%) は低い.
結論:
- 子宮頸がんのスクリーニング率は適度ですが,一貫した遵守と知識は最適ではありません.
- 地域社会の健康教育と 意識を高めるための介入と 定期的な検診が必要である.
- 検診の改善は 脆弱な都市部の人々の 子宮頸がん予防に不可欠です
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