与临床医生愿意采用HPV自取样和自检用于宫癌查相关的因素
Luke Brennan1, Tiwaladeoluwa Adekunle2, Monica Kasting3,4
1Weldon School of Biomedical Engineering, College of Engineering, Purdue University, West Lafayette, IN, USA.
临床医生对人类乳头瘤病毒 (HPV) 自取样本和自检用于宫癌查的接受程度各不相同. 其他自我测试的经验可以增加采用率,这表明改善查率的前进道路.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 妇科 妇科 妇科 妇科
背景情况:
- 在美国,宫癌查率低于国家目标,需要创新方法.
- 人类乳头瘤病毒 (HPV) 自取样和自检为传统查方法提供了有效和可接受的替代方案.
- 临床医生对HPV自取样和自我检测的矛盾对广泛采用构成了障碍.
研究的目的:
- 确定影响临床医生对HPV自我抽样和自我测试态度的因素.
- 了解临床医生对新型宫癌查技术的看法.
主要方法:
- 一项混合方法研究,结合了量化调查 (n=248) 和对中西部临床医生的定性访谈 (n=23).
- 后勤回归分析用于检查与愿意支持HPV自取样和自我测试相关的因素.
主要成果:
- 农村地区的家庭医生和临床医生更愿意采用HPV自取样.
- 支持HPV自我测试的意愿与其他自我测试的先前经验正相关,与每月高查量负相关.
- 定性数据显示,临床专业和其他自我测试模式的经验塑造了临床医生的观点.
结论:
- 特定的临床医生群体,如家庭实践医生和农村环境中的医生,更容易接受HPV自取样.
- 以往对其他疾病进行自我测试的经验可能会促进对宫癌HPV自我测试的更广泛接受.
- 解决临床医生的观点对于成功实施自我采样和自我测试策略以提高宫癌查率至关重要.
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