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在莱索托的艾滋病毒感染妇女中,宫癌查延迟和相关因素:一种混合方法研究

Michelle T Harder^1,2, Moliehi Mokete³, Frédérique Chammartin^1,2

¹Division of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, Totengässlein 3, Basel, 4051, Switzerland.

BMC women's health

|October 1, 2024

概括

在莱索托,近一半的艾滋病毒感染妇女经历了宫癌查延迟. 有限的认识和社会影响是关键障碍,突出了针对性健康运动的必要性.

科学领域:

在瘤学瘤学.
公共卫生公共卫生
传染性疾病传染性疾病

背景情况:

宫癌是全球重要的健康问题,特别是对于患有人类免疫缺陷病毒 (HIV) 的女性来说.
定期查对于预防宫癌发病率和死亡率至关重要.
莱索托有很高的艾滋病毒负担,增加了女性人口的风险.

研究的目的:

量化评估子宫癌查在莱索托艾滋病毒感染妇女的普及率.
在这个人群中对延迟宫癌查的原因进行定性探索.
为了识别有信息的公共卫生干预,及时进行宫癌查的障碍.

主要方法:

在VITAL试验 (NCT04527874) 中,从2020年10月到2022年3月,采用混合方法方法.
使用多变量混合效应逻辑回归对3790名接受抗逆转录病毒治疗 (ART) 的妇女的数据进行定量分析.
通过对16名女性进行深入采访,收集了定性数据,并使用专题分析进行了分析.

主要成果:

在47.9%的女性中,宫癌查延迟,而40.5%的女性从未进行过查.
年轻 (18-24岁) 和老 (60岁以上) 的年龄组,以及更短的ART持续时间 (<6个月) 与更高的查延迟有关.
关键障碍包括有限的意识,误解,对他人的经验的恐惧和低个人动机.

结论:

宫癌查延迟在莱索托艾滋病毒感染妇女中很普遍.
内部因素,如意识低,动机低,以及负面的社会影响,大大阻碍了查.
未来的宣传和查活动必须解决这些已识别的障碍,以改善吸收.

关键词:

获得护理服务的机会.非洲非洲非洲宫癌查宫癌查艾滋病病毒艾滋病病毒艾滋病病毒莱索托莱索托是一个国家.混合方法混合方法.定性研究是一种定性研究.

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