与加纳晚期宫癌呈现相关的因素
Adu Appiah-Kubi1, Thomas O Konney2,3, Kwabena Amo-Antwi2,3
1School of Medicine, Department of Obstetrics and Gynecology, University of Health and Allied Sciences, PMB 31, Ho, Volta Region, Ghana.
Ghana medical journal
|July 14, 2023
概括
由于经济障碍和缺乏教育,大多数患有宫癌的加纳妇女在晚期出现. 低收入和农村居住与延迟诊断有关,阻碍了这种疾病的有效治疗.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 宫癌在全球范围内仍然是一个重大的健康挑战,特别是在低收入和中等收入国家.
- 晚期临床表现是导致宫癌患者预后不佳和高死亡率的主要原因.
研究的目的:
- 确定与加纳被诊断患有宫癌的妇女晚期临床表现相关的因素.
- 了解这一群体中早期检测和寻求治疗行为的障碍.
主要方法:
- 通过使用纸质问卷进行了横截面调查.
- 18岁及以上的351名经组织学确认的宫癌妇女在加纳库马西的Komfo Anokye教学医院 (KATH) 招募.
- 收集的数据包括人口统计信息,症状到医生的时间,寻求医疗保健的障碍以及查史.
主要成果:
- 大多数参与者 (95.2%) 患有晚期宫癌 (II期或更高).
- 寻求医疗保健的主要障碍包括财务限制 (50.0%),缺乏正规教育 (35.3%) 和失业 (33.6%).
- 晚期呈现与较低收入和农村居住有显著的关联,即使经过对年龄,平价和医疗保健设施距离进行调整. 绝大多数人从未接受过帕帕尼科劳 (Pap) 涂抹 (99.1%) 或最近接受过妇科检查 (99.3%).
结论:
- 高比例的加纳妇女患有子宫癌,目前处于晚期,不可手术的阶段.
- 社会经济因素,包括低收入和农村生活,是延迟提交的关键决定因素.
- 促进宫癌查和解决财务障碍的干预措施对于改善结果至关重要.
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