目的 了解本院北京籍妇女对宫颈癌筛查的认知及参与情况,分析其影响因素。方法 选择2015年1—2月在本院妇科门诊初诊的北京籍妇女525例行问卷调查。了解患者的一般情况,分析宫颈癌筛查相关知识的认知情况和宫颈癌筛查参与情况等。结果 完成宫颈癌筛查问卷调查者共521例。门诊妇女对宫颈癌筛查总体知晓率为49.1%。城区妇女对宫颈癌筛查认知度高于郊区妇女,不同文化程度和家庭经济收入水平的妇女对宫颈癌筛查认知度不同,差异均有统计学意义。从未参加过宫颈癌筛查及不规律参加宫颈癌筛查者分别占30.3%、40.3%。从未参加宫颈癌筛查的原因为对宫颈癌筛查不了解、因个人原因未参加或不愿参加、知道宫颈癌筛查但未重视者各占51.3%、32.9%和15.8%。结论 门诊妇女对宫颈癌筛查认知度低,针对郊区、文化程度及经济水平较低者,应进一步加强宫颈癌筛查知识宣传教育,并联合其他干预措施,提高宫颈癌筛查认知度和参与率,以早期发现宫颈癌及癌前病变。

Objective To characterize women’s knowledge about and participation in cervical cancer screening in Beijing, and explore associated factors. Methods Questionnaires were completed by women who had Beijing residence and who first visited to our hospital from January 2015 to February 2015. Awareness about cervical cancer and cervical cancer screening participation were analyzed by age, residence, educational level, profession and family income. Results A total of 521 women completed the questionnaires. The awareness rate of cervical cancer was 49.1%. Women’s awareness level living in the inner city was higher than that women living in suburbs. Knowledge differed by education level and family income. There were 30% of women who had never participated cervical cancer screening and 40.3% of women who participated irregularly. No knowledge about the screening program, no motivation to participate, having personal reasons for being unable to participate, and knowing the screening but not giving a priority accounted for 51.3%, 32.9%, and 15.8%, respectively. Conclusion The awareness of cervical cancer screening was low in outpatients, and awareness was associated with residence, educational level and family income. Women living in suburbs, having low income, and having a low educational level should be targeted in future program implementation.