Objective To explore influence factors on compliance to colposcopy in cervical cancer screening and propose corresponding strategies.Methods The multistage,stratified,randomly,non-probability sampling was used to choose one street and four towns from Daxing District of Beijing and a cervical cancer screening cohort was established for two years.Women with positive result at first screening stage were given a face to face interview and then were required to have further colposcopy tests with reservation within 6 months.Results Of 458 women with positive result in the first screening procedure,301(65.7%)women had taken colposcopy screening test in given period under instruction,while 157(34.3%) failed.The multiple logistic regression showed that,compared to younger women aged 30~,women aged 40~ had 1.958(1.207-3.176) times the odds,of taking colposcopy examination.Besides,compared to women living in the most remote rural areas with poor transportation,women living in areas close to testing site for colposcopy had 2.014(1.097-3.695) times the odds,of taking follow-up colposcopy examination.Women with good awareness of four aspects of knowledge including "More than 1 of 3 of all lives lost to cancer could be saved by early detection followed by early diagnosis and treatment","early stages of cervical cancer","HPV is a necessary cause of cervical cancer","treatment of early stage cervical cancer",were more likely to take colposcopy test in given period than women with little awareness,with 1.817(1.078-3.060),2.061(1.220-3.482),2.539(1.254-5.143),1.820(1.123-2.949) times the odds,respectively.Women not fear of pain during screening tests had higher compliance rate,with 2.159(1.266-3.681) times the odds of taking colposcopy test than those who were.Conclusion In women,extensive health education projects focusing on cervical cancer prevention and cure knowledge and the great significance of screening should be vigorously implemented.

<正>背景:在转移性肾细胞癌(metastatic renal cellcarcinoma,mRCC)患者中,姑息性肾切除术前(cy-toreductive nephrectomy,CN)应用全身性靶向治疗的时机尚未明确。目的 :姑息性肾切除术前应用靶向药物治疗,评估术后并发症的发生率。实验设计及研究对象:

Objective To investigate the awareness status of knowledge on cervical cancer prevention and cure as well as relevant influencing factors to provide basis for developing corresponding intervention measures.Methods An epidemiological questionnaires survey was conducted among 2000 women recruited by the stratified cluster sampling after distributing propaganda materials in Daxing District,Beijing.Results The awareness rate about cervical cancer among women was rather low ranged from 15.8%(HPV infection was the main cause of developing cervix cancer) to 75.5%(keeping sexual hygiene was good for cervix cancer prevention).Multifactorial analysis indicated educational level,district,uptake of cervical cancer screening test or gynecologic examination in the past 5 years and annually average income of family members were major factors influencing awareness of women.The higher level of education the women were,the higher knowledge awareness rate the women had and so were the women with higher annually average income of family members.Among the 2000 women,the screening rate in past five year was 36% and no significant difference were found between urban and rural groups.Lack of knowledge or wrong perception towards cervical cancer screening and the subsequent physical and mental fear were the main factor influencing the screening rate among women in Daxing District.Conclusion Intelligible health education pattern should be applied to improve women's awareness of cervical cancer related knowledge especially among women with low education and low income in rural areas,which will help raise screening rate and contribute to the success of any cervical cancer prevention program.

在当今竞争日趋激烈的社会环境中,现代职业女性要面临工作、生活、家庭等来自各个方面的压力,很容易罹患各种妇科疾病.因此,进行常规妇科疾病筛查,对妇科疾病,尤其是妇科肿瘤的早期发现、治疗尤为重要.