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宫颈癌筛查人群对自取样尿液 HPV 检测的接受度及 影响因素分析.

Objective The aim of this study was to explore the acceptance and influencing factors of self-collected urine samples for human papillomavirus (HPV) testing in cervical cancer screening among eligible women, and to provide scientific evidence for promoting this testing in low resource areas. Methods...

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Publicado en:Practical Oncology Journal Vol. 39; no. 5; pp. 412 - 418
Autores principales: 李一凡, 秦川玉, 曾玺, 陆娅胶, 廖光东, 康乐妮, 杨英, 周敏, 郄明蓉, 杨春霞, 李静
Formato: research tables/charts Journal Article
Publicado: Journal of Practical Oncology Editorial Office 2025
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Practical Oncology Journal
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      dt: 2025
      vid: 39
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      pub: Journal of Practical Oncology Editorial Office
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        189660816
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        189660816
        10.11904/j.issn.1002-3070.2025.05.008
        189660816
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        atl: 宫颈癌筛查人群对自取样尿液 HPV 检测的接受度及 影响因素分析.
      aug:
        au:
          李一凡
          秦川玉
          曾玺
          陆娅胶
          廖光东
          康乐妮
          杨英
          周敏
          郄明蓉
          杨春霞
          李静
        affil: 四川大学华西公共卫生学院/ 四川大学华西第四医院(成都 610041).
      sug:
        subj:
          Papillomavirus Infections Urine
          Human Papillomavirus Viruses Analysis
          Cervix Neoplasms Diagnosis
          Cervix Neoplasms Prevention and Control
          Self-Diagnosis
          Specimen Handling
          Cancer Screening
          Human
          Female
          Adult
          Middle Age
          Aged
          Cross Sectional Studies
          China
          Sociodemographic Factors
          Health Knowledge
          Questionnaires
          Attitude to Health Evaluation
          Papillomavirus Vaccine Administration and Dosage
          Vaccination Status
          Data Analysis Software
          Chi Square Test
          Univariate Statistics
          Multiple Logistic Regression
          Multivariate Analysis
          Age Factors
          Educational Status
          Income
          Confidence Intervals
          Odds Ratio
          Communication
          Health Education
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Female
      ab:
        Objective The aim of this study was to explore the acceptance and influencing factors of self-collected urine samples for human papillomavirus (HPV) testing in cervical cancer screening among eligible women, and to provide scientific evidence for promoting this testing in low resource areas. Methods A population-based cross-sectional study was conducted from 2022 to 2023 at the Maternal and Child Health Hospital in Shuangliu district, Chengdu City Sichuan Province. The study subjects were women aged 21 to 69 years old, and a customized questionnaire was used to conduct general information and acceptance surveys on the participants. Results A total of 2, 062 women were included, with an average age of 51. 58±9. 34 years. Among them, 1, 501 (72. 79%) women believed that self-sampling urine was very easy. However, although 1, 333 (64. 65%) women were still willing to accept doctor sampling as a cervical cancer screening method, only 729 (35. 35%) were more willing to accept self-sampling urine HPV testing. Age, educational level, annual household income, awareness of HPV, HPV vaccination status, and a sense of shame about the doctor′s sampling process were all associated with the acceptance of self-collected urine HPV testing among women undergoing cervical cancer screening (P<0. 001) . The results of multivariate logistic regression analysis indicated that older women (OR= 0. 965, 95% CI:0. 951 -0. 979) and those who were not familiar with HPV (OR= 0. 760, 95% CI:0. 602-0. 961) were more likely to undergo self sampling urine HPV testing, while those with junior high school education (OR = 1. 330, 95% CI:1. 053-1. 682), high school education or above (OR= 1. 990, 95% CI:1. 401-2. 827), and a sense of shame towards the doctor′s sampling process (OR= 2. 314, 95% CI:1. 706 -3. 142) were more likely to undergo self sampling urine for HPV testing. Conclusions Most women believe that self sampling urine for HPV testing is very easy, but compared to doctor sampling, only some women choose to self sample urine for HPV testing. Key health education interventions should be carried out for older and lower educated populations to promote acceptance of urine HPV testing.
        目的 探讨适龄女性对自取样尿液人乳头瘤病毒 (human papilloma virus, HPV) 检测用于宫颈癌筛查的接受度 及影响因素, 为在低资源地区推广该检测提供科学依据。 方法 2022—2023 年于四川省成都市双流区妇幼保健院开展以人 群为基础的横断面研究, 研究对象为 21~ 69 岁女性, 采用自定义问卷对参与者进行一般情况和接受度调查。 结果 共纳入 2 062 名女性, 平均年龄为 51. 58±9. 34 岁, 1 501 名 (72. 79% ) 女性认为尿液自取样非常容易。 1 333 名 (64. 65% ) 女性更愿意 接受医生取样作为宫颈癌筛查取样方法, 仅 729 名 (35. 35% ) 女性更愿意接受自取样尿液 HPV 检测。 年龄、学历水平、家庭 年收入、是否知道 HPV、是否接种过 HPV 疫苗、是否对医生取样过程有羞耻感均与筛查女性对自取样尿液 HPV 检测的接受 度有关 ( P <0. 001)。 多因素 logistic 回归分析结果表明, 年龄越大 (OR = 0. 965, 95% CI: 0. 951 ~ 0. 979) 、不了解 HPV (OR = 0. 760, 95% CI: 0. 602~ 0. 961) 的筛查女性更难接受自取样尿液 HPV 检测, 而学历为初中 (OR = 1. 330, 95% CI: 1. 053 ~ 1. 682) 、高中及以上 (OR= 1. 990, 95% CI: 1. 401~ 2. 827) 、对医生取样过程有羞耻感 (OR = 2. 314, 95% CI: 1. 706 ~ 3. 142) 的 筛查女性更容易接受自取样尿液 HPV 检测。 结论 多数女性认为自取样尿液 HPV 检测非常容易, 但是相较于医生取样, 仅 部分女性会选择自取样尿液 HPV 检测, 对于高年龄者和低教育水平人群应进行重点健康教育干预。
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Chinese
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