摩洛哥和巴基斯坦妇女对宫癌查和HPV自取样验收的知识和看法在西班牙加泰罗尼亚:一项混合方法研究
Jone G Lurgain1, Paula Peremiquel-Trillas2,3,4,5, Hakima Ouaarab-Essadek6
1Department of Public Health, Environments and Society, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK. jone.lurgain@gmail.com.
BMC health services research
|November 21, 2025
概括
在西班牙,由于信息缺口和信任问题,许多移民妇女更喜欢临床医生的宫癌查,而不是自取样本. 对文化敏感的教育和解决自我有效性问题是改善HPV测试采用率的关键.
科学领域:
- 公共卫生 公共卫生
- 妇科瘤学 妇科瘤学
- 健康差异 在健康上的差异
背景情况:
- 宫癌 (CC) 查参与仍然不平等,特别是影响来自低资源国家的移民妇女.
- 人类乳头瘤病毒 (HPV) 自取样本是一种潜在的策略,可以接触到未经查的人群,但其可接受性在各族群之间有所不同.
- 这项研究是西班牙首次评估在加泰罗尼亚的摩洛哥和巴基斯坦移民妇女中HPV自取样的可接受性.
研究的目的:
- 探索加泰罗尼亚的摩洛哥和巴基斯坦妇女对CC查和HPV自取样本的知识,感知和态度.
- 识别这些移民社区吸收HPV自取样的障碍和促进因素.
主要方法:
- 一种混合方法的方法,涉及8个焦点小组讨论和22个半结构面试.
- 展示HPV自取样设备,然后进行家庭试验和可接受性调查.
- 调查评估了查偏好,自我有效性,对结果的信任以及愿意重复使用该方法的意愿.
主要成果:
- 发现的重大障碍包括缺乏CC查信息和关于HPV风险的误解.
- 大多数 (56%) 试过至少一个自取样设备,但大多数参与者更喜欢临床医生为基础的查.
- 提出的关键问题与正确的样本采集和对测试准确性的不信任有关.
结论:
- 提高对CC查益处的认识和提供文化上适当的信息对于HPV自取样实施至关重要.
- 在引入利用HPV自取样本的有组织查计划之前,解决自我有效性问题至关重要.
- 建议采用以同行为基础的方法,使用文化定制的材料来提高信心,并鼓励采用HPV自取样.
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