Knowledge of human papillomavirus and cervical cancer screening practice among Uzbekistan women
우즈베키스탄 여성에서의 인유두종바이러스 감염에 대한 지식과 자궁경부암 검진 행태
- 주제(키워드) human papillomavirus , cervical cancer , women , screening , knowledge
- 발행기관 고려대학교 대학원
- 지도교수 최승아
- 발행년도 2022
- 학위수여년월 2022. 8
- 학위명 석사
- 학과 및 전공 대학원 보건학협동과정
- 세부전공 역학 및 의료정보학 전공
- 세부분야 해당없음
- 원문페이지 56 p
- 실제URI http://www.dcollection.net/handler/korea/000000269411
- UCI I804:11009-000000269411
- DOI 10.23186/korea.000000269411.11009.0001332
- 본문언어 영어
초록/요약
We aimed to assess the association between the knowledge and practice of cervical cancer screening among Uzbekistan women. A baseline survey was conducted for 445 women aged 2059 years who visited one of the three health centers of Tashkent, Uzbekistan in December 2020. A questionnaire on the knowledge of human papillomavirus (HPV) infection and cervical cancer screening practice was used. We analyzed the knowledge score which is defined as a sum of the number of correct answers for the knowledge questions and prevalence of cervical cancer screening practice. We calculated the adjusted relative risk (RR) of 1) never been screened, and 2) no screening within two years for each of demographic characteristics and low knowledge score (< median). The median knowledge score was 10. Women who had ever been screened for cervical cancer were 63.1%, and 64.8% of them reported that their last cervical cancer screening test was within 2 years. A history of sexually transmitted disease was associated with a lower risk of never been screened (adjusted RR = 0.43, 95% confidence interval [CI]: 0.24, 0.78) and no screening within two years (0.54, 95% CI: 0.30, 0.99). No university graduation was associated with higher risk of no screening within 2 years (1.57, 95% CI: 1.00, 2.47). Association between knowledge of HPV and screening practice was not observed. This study provides a context for the conception of effective cervical cancer prevention strategies.
more목차
Abstract I
Abbreviations and Glossary III
I. Introduction 1
1. Epidemiology and burden of cervical cancer 1
2. High-risk human papillomavirus and cervical cancer 1
3. Cervical cancer screening 3
4. HPV and cervical cancer epidemiology in Uzbekistan 4
5. Risk factors for lack of knowledge about HPV 6
6. Risk factors for inappropriate screening practice 6
7. Study purposes 7
II. Methods 8
1. Study population 8
2. Questionnaire 8
3. Statistical analysis 9
III. Results 11
1. Basic characteristic of study population 11
2. Assessing women’s knowledge about HPV and cervical cancer 13
3. Assessing risk factors for insufficient knowledge about HPV and cervical cancer 15
4. Assessing the practice of cervical cancer screening according to the level of women’s knowledge 19
5. Assessing risk factors for inappropriate cervical cancer screening 21
6. Sensitivity analysis 23
IV. Discussion 25
V. Conclusion 29
References 30
국문요약(Summary in Korean) 38
Appendix
1. Questionnaires 41
