目的 了解海南省从事宫颈癌筛查工作的基层医务人员宫颈癌防治知信行状况,为提高宫颈癌筛查项目实施效果提供依据。方法 于2019年3—6月按约为1∶5的比例选取海南省市县级医务人员60人和乡镇社区级医务人员288人为研究对象,采用问卷星对其宫颈癌防治知信行情况进行问卷调查,并对两组基层医务人员的一般情况、宫颈癌防治知识,以及接种人乳头瘤病毒(human papilloma virus,HPV)疫苗/宫颈癌筛查的意愿和行为进行分析。结果 本次调查共发放问卷348份,回收有效问卷327份,回收率94.0%。海南省从事宫颈癌筛查工作的基层医务人员宫颈癌防治知识整体知晓率为49.5%,市县级医务人员知晓率为77.1%,乡镇社区级医务人员知晓率为44.8%,两者比较差异有统计学意义(P<0.05)。从事宫颈癌筛查工作的市县级医务人员愿意接种HPV疫苗的比例(89.6%)低于乡镇社区级医务人员(96.1%),两者比较差异有统计学意义(P<0.05)。在行为方面,市县级医务人员实际接受过HPV疫苗接种的比例(31.3%)高于乡镇社区级医务人员(12.9%),两者比较差异有统计学意义(P<0.05),但实际接受过宫颈癌筛查的比例差异无统计学意义(P> 0.05)。结论海南省基层医务人员宫颈癌防治知识整体知晓率较低,仍有针对宫颈癌常见症状、宫颈癌筛查频次、宫颈癌筛查是否为一级预防等项目掌握程度不够的情况。需继续加强宫颈癌防治知识培训,尤其要重视乡镇社区级、低年资医务人员的培训工作,提高其工作积极性和对知识培训的重视程度,鼓励医务人员积极接受宫颈癌筛查并进行健康宣教,进一步提升妇女宫颈癌防治知识水平。

Objective To investigate the knowledge, belief, and practice of cervical cancer prevention and treatment among grassroots medical staff engaged in cervical cancer screening in Hainan Province, so as to provide the evidence for improving the implementation effectiveness of cervical cancer screening projects.Methods Self-designed questionnaire survey was conducted on the prevention and treatment of cervical cancer through Questionnaire Star from March to June 2019. According to the ratio of 1∶ 5, 60county-level medical staff and 288 township and community-level medical staff in Hainan were selected as subjects. The general situation, the knowledge of prevention and treatment of cervical cancer, and the willingness and behavior of human papilloma virus(HPV) vaccination and cervical cancer screening of the two groups of medical staff were analyzed.Results Totally 327 valid questionnaires were received out of 348(94. 0%) in this survey. The overall awareness rate of cervical cancer prevention and treatment among basic medical staffs engaged in cervical cancer screening in Hainan Province was 49. 5%. The awareness rate among medical staffs at county level was 77. 1%, which was significantly higher than that at township and community-level(44. 8%)(P< 0. 05). The proportion of medical staffs at county level(89. 6%) who were willing to accept HPV vaccination was significantly lower than that at township and community-level(96. 1%)(P< 0. 05). As for behaviors, the proportion of medical staffs at county level(31. 3%) who had received HPV vaccination was significantly higher than that at township and community level(12. 9%)(P< 0. 05). However,there was no difference in the proportion of medical staffs who had accepted cervical cancer screening between the two group(P>0. 05).Conclusion The overall awareness of cervical cancer prevention and treatment among grass-roots medical staff in Hainan Province is relatively low in terms of common symptom of cervical cancer, frequency of cervical cancer screening, and whether cervical cancer screening was the primary prevention. It is necessary to continue to strengthen the training on prevention and treatment of cervical cancer, especially to pay attention to the on the training of medical staffs at township and community-level, junior medical staffs and to improve their enthusiasm for work and attach importance to knowledge training. Medical staff need to be encouraged to actively accept cervical cancer screening and health education, so as to further improve the knowledge of cervical cancer prevention and treatment among women.