Author:
Lin Wei,Huang Weikang,Mei Chaofan,Liu Peiyi,Wang He,Yuan Shixin,Zhao Xiaoshan,Wang Yueyun
Abstract
Abstract
Background
As a core part of the primary healthcare system, family doctor contract services (FDCS) may help healthcare providers promote cervical cancer screening to the female population. However, evidence from population-based studies remains scant. This study aimed to investigate the potential associations between the signing status of FDCS and cervical cancer screening practices in Shenzhen, China.
Methods
A cross-sectional survey among female residents was conducted between July to December 2020 in Shenzhen, China. A multistage sampling method was applied to recruit women seeking health services in community health service centers. Binary logistic regression models were established to assess the associations between the signing status of FDCS and cervical cancer screening behaviors.
Results
Overall, 4389 women were recruited (mean age: 34.28, standard deviation: 7.61). More than half (54.3%) of the participants had signed up with family doctors. Women who had signed up for FDCS performed better in HPV-related knowledge (high-level rate: 49.0% vs. 35.6%, P<0.001), past screening participation (48.4% vs. 38.8%, P<0.001), and future screening willingness (95.9% vs. 90.8%, P<0.001) than non-signing women. Signing up with family doctors was marginally associated with past screening participation (OR: 1.13, 95%CI: 0.99–1.28), which tended to be robust among women with health insurance, being older than 25 years old at sexual debut, using condom consistently during sexual intercourse, and with a low level of HPV related knowledge. Similarly, signing up with family doctors was positively associated with future screening willingness (OR: 1.68, 95%CI: 1.29–2.20), which was more pronounced among women who got married and had health insurance.
Conclusions
This study suggests that signing up with family doctors has positive associations with cervical cancer screening behaviors among Chinese women. Expanding public awareness of cervical cancer prevention and FDCS may be a feasible way to achieve the goal of cervical cancer screening coverage.
Funder
the Shenzhen Healthcare Research Project
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference34 articles.
1. Arbyn M, Weiderpass E, Bruni L, de Sanjosé S, Saraiya M, Ferlay J, et al. Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis. Lancet Glob Health. 2020;8:e191-203. https://doi.org/10.1016/S2214-109X(19)30482-6.
2. de Sanjosé S, Brotons M, Pavón MA. The natural history of human papillomavirus infection. Best Pract Res Clin Obstet Gynaecol. 2018;47:2–13. https://doi.org/10.1016/j.bpobgyn.2017.08.015.
3. Funston G, O’Flynn H, Ryan N, Hamilton W, Crosbie EJ. Recognizing gynecological cancer in primary care: risk factors, red flags, and referrals. Adv Ther. 2018;35:577–89. https://doi.org/10.1007/s12325-018-0683-3.
4. Chen Y, Xu Y, Wu D, Li Z, Zhang Z, Meng Y, et al. Survey of cervical cancer and precancerous lesion prevention knowledge within community health service centers in shanghai, china. Medicine (Baltimore). 2019;98:e15002. https://doi.org/10.1097/MD.0000000000015002.
5. Shenzhen Municipal Health Commission. Free screening service institutions list of cervical and breast cancer for women of screening age in Shenzhen. Available online: http://wjw.sz.gov.cn/gsgg/content/post_7963886.html. Accessed 20 June 2022.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献