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| Screening of Cervical Cancer in Garze area and Women' s Cognition Degree Towards Cervical Cancer and HPV Related knowledge |
| REN Zhenzhima, CHEN Li, NIE Lian |
| Ganzi Tibetan Autonomous Prefecture People's Hospital, Sichuan Gansu 626000, China |
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Abstract Objective: To explore the screening of cervical cancer in women in Garze area and their cognition degree. Methods: The clinical data of 1913 women who underwent colposcopy biopsy after cervical cancer screening in the People' s Hospital of Ganzi Tibetan Autonomous Prefecture in the past 2 years were retrospectively analyzed. The results of colposcopy biopsy were used as the gold standard to analyze the diagnostic efficacy of each screening method. A total of 330 patients who participated in cervical cancer cognition survey were selected, and the differences in scores of cervical cancer screening belief scales among women of different ages, education levels, marital status and family monthly income. Results: Simple Thinprep cytology test (TCT)<simple human papillomavirus (HPV) examination <combined examination (all P<0.05), and the consistencies of HPV examination and combined examination with colposcopy biopsy results both were good (both Kappa>0.7). The results of cervical cancer screening belief scales scores showed age ranged from 19 to 29 years old >30~ years old >40~ years old (all P<0.05), and there was no statistical significance between age groups of 40~ years old, 50~ years old and 60~ years old (all P>0.05), and education level with junior high school and below>high school or technical secondary school>juniorcollege and above (all P<0.05), and married <unmarried/divorced (P<0.05), and the family monthly income with ~1500 yuan>~ 3000 yuan>~ 4500 yuan>4500 yuan or more (all P<0.05). The screening service access channels provided by the unit/community >physician recommendation >voluntary offer (all P<0.05). Conclusions: TCT combined with HPV examination is more effective in the diagnosis of cervical cancer. Conditional women recommend it as a screening project to investigate women's poor knowledge of cervical cancer and HPV. It is necessary to carry out targeted education and intervention in combination with individual conditions.
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2019, Vol. 25 
