基于人群的随机实验性研究,以评估对宫癌查的接受和完成以及对宫癌查的偏好
Marcela Vieira Lordelo1, Cleyton Zanardo Oliveira2, Luisa Aguirre Buexm1
1Molecular Oncology Research Centre, Barretos Cancer Hospital, Barretos, Brazil.
PloS one
|August 9, 2024
概括
宫癌查接受度提高,当测试提供更接近家. 移动单位和自我采集方法显示出增加巴西妇女巴氏样本完成率的前景.
科学领域:
- 公共卫生 公共卫生
- 妇科 妇科医生 妇科
- 预防医学 预防医学
背景情况:
- 宫癌是一个重大的全球健康挑战,特别是在发展中国家.
- 尽管已经建立了像帕普检查这样的预防方法,但障碍仍然阻碍了许多巴西妇女的查机会.
- 针对低收入人群是有效控制宫癌的关键.
研究的目的:
- 评估不同宫癌查方法的接受度,偏好和完成率.
- 为了比较传统的巴氏涂抹与自我收集和移动单元方法.
- 确定改善服务不足社区查参与的策略.
主要方法:
- 一项社区试验涉及164名女性,她们的帕普检查史不充分.
- 在城市人口普查区内,根据收入和教育水平对参与者的分层.
- 随机分配给五组:医院Pap,移动单位Pap,尿液自收集,阴道自收集,或女性的选择.
主要成果:
- 总体而言,接受率 (92%) 和完成率 (84%) 均很高.
- 自我收集尿液和医院巴氏涂抹检查实现了100%的接受率.
- 移动单位帕普检查的接受率为64.5%,而阴道自取的接受率为91.4%.
结论:
- 在妇女家附近收集的宫癌查方法可能会提高参与率.
- 分散的查方法,包括自我收集,对于改善预防性测试的普及至关重要.
- 这些发现有助于开发创新的宫癌查策略,以克服进入障碍.
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