农村妇女子宫颈癌相关知识及行为的探索性潜在类别分析

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目的:了解项目地区农村妇女子宫颈癌相关知识知晓情况及相关高危行为的潜在类别,为开展针对性的健康教育工作提供科学依据。方法:通过整群抽样选取三江镇30~59岁妇女进行子宫颈癌防治知识及相关高危行为的问卷调查,采用探索性潜在类别分析提取研究对象子宫颈癌防治知识知晓情况及相关危险行为的潜在类别。比较不同危险行为类别的人口学特征和防治知识知晓类别构成。结果:提出4类知识知晓类型分别为:基础知识缺乏者(32.04%),认知威胁者(25.01%),知识较差者(24.12%)以及知识较丰富者(18.82%)。提出4类行为类型为:低危行为者(57.04%),孕产频繁者(21.04%),卫生习惯较差者(16.97%)以及高危行为者(4.96%)。高危行为者中50~59岁者、未正式上过学以及家庭人均年收入在1 200元以下者所占比例均较其他行为类型者高;与低危行为者相比,高危行为者子宫颈癌防治知识差,所占比例大;与孕产频繁者、低危行为者相比,卫生习惯较差者子宫颈癌防治知识差,所占比例大。结论:项目地区农村妇女子宫颈癌防治专业知识较为缺乏,相关高危行为亦占有一定比例。高危行为者应作为重点干预对象,结合其不同特征构成,采取针对性的健康教育干预举措。 OBJECTIVE: To understand the awareness of cervical cancer related knowledge among rural women in the project area and potential categories of related high-risk behaviors so as to provide a scientific basis for carrying out targeted health education. Methods: A questionnaire survey on cervical cancer prevention and control and related high-risk behaviors among 30- to 59-year-old women in Sanjiang Town was selected by cluster sampling. Potential categories of cervical cancer prevention and control knowledge and related risk behaviors were extracted by exploratory potential category analysis category. Demographic characteristics of different categories of risk behaviors and categories of prevention knowledge were compared. Results: Four types of knowledge awareness were proposed: basic knowledge deficiency (32.04%), cognitive threat (25.01%), poor knowledge (24.12%) and knowledgeable people (18.82%). Four types of behavior were proposed: low-risk behaviors (57.04%), frequent pregnancies (21.04%), poor hygiene habits (16.97%) and high-risk behaviors (4.96%). The proportion of high-risk actors aged 50-59, who did not go to school formally, and whose per capita annual household income was less than 1 200 yuan was higher than that of other types of behaviors. Compared with those with low-risk behaviors, Cancer prevention knowledge is poor, the proportion of large; and those with frequent pregnancies, low-risk actors, poor health habits of cervical cancer prevention knowledge, accounting for a large proportion. Conclusion: Women with cervical cancer in rural areas in the project area lack professional knowledge of prevention and treatment, and related high-risk behaviors also occupy a certain proportion. High-risk actors should be the focus of intervention, combined with its different characteristics constitute, take targeted health education interventions.
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