了解乌干达女性和男性对宫癌查的看法:一项定性研究
Kathryn Bouskill1, Glenn J Wagner2, Mahlet Gizaw2
1RAND Corporation, 1776 Main Street, Santa Monica, CA, 90411, USA. gwagner@rand.org.
BMC cancer
|August 1, 2024
概括
让男性伴侣参与宫癌查讨论对于增加吸收至关重要. 了解配偶支持和解决障碍可以显著改善乌干达妇女的健康状况.
科学领域:
- 公共卫生 公共卫生
- 妇科瘤学 妇科瘤学
- 社会科学研究 社会科学研究
背景情况:
- 宫癌在乌干达等发展中国家是可以预防的威胁,那里的查率很低 (5%).
- 现有的研究发现了查的障碍,但男性伴侣的作用仍未得到充分探索.
- 仅有有限的数据可以比较查和未查妇女及其伴侣之间的障碍和促进因素.
研究的目的:
- 探索影响子宫癌查采用的障碍和促进因素.
- 调查男性配偶支持在宫癌查决策中的作用.
- 为了比较已经接受查的妇女和没有接受查的妇女,以及她们的男性伴侣之间的观点.
主要方法:
- 进行了7个焦点小组:3个与查过的女性,3个与未查过的女性,1个与男性伴侣.
- 利用定性主题分析来解释焦点组数据.
- 探索了影响查决策和配偶参与的因素.
主要成果:
- 确定了影响查决策的关键因素:耻辱,可用性,对手术的误解和配偶支持.
- 男性伴侣的观点各不相同,从完全支持到对盆腔检查和对性活动的潜在影响犹不决.
- 配偶支持成为查普及的重要促进者.
结论:
- 女性与男性伴侣之间的对话对于提高宫癌查的普及至关重要.
- 干预措施必须解决已识别的障碍和促进者,以增加查需求.
- 解决配偶影响对于通过增加查来减轻宫癌的负担至关重要.
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