The Study On The Compliance Of Cervical Cancer Screening Among Women Of Reproductive Age In Shenyang

Objective: To screen the compliance status of cervical cancer in women of reproductive age in Shenyang by questionnaire,and to explore the factors affecting compliance,so as to provide theoretical basis for the subsequent development of corresponding intervention program.Methods: This study was descriptive.First,based on the compliance questionnaire designed by domestic investigators Ren Jiaping and Luo Huiling,five clinical gynecologists were consulted in two rounds to complete the revision of the questionnaire.Secondly,a preliminary test was conducted,and 30 women(aged 21 – 49 years)were selected for the preliminary test in the communities of nine districts in Heping District,Shenhe District,Huanggu District,Yuhong District,Dadong District,Tiexi District,Hunnan District,Shenbei New District,and others in Shenyang City using convenience sampling to examine the reliability and semantic compliance of the questionnaire.Finally,a formal trial was entered,and between July 2019 and December 2019,528 women of reproductive age were selected for the questionnaire.EpiData software was used for double data entry,SPSS software was used for data analysis,and mean ± standard deviation was used for data description,and statistical methods included univariate analysis and regression analysis.Results: 1.In this study,528 questionnaires were distributed,528 questionnaires were returned,and 517 questionnaires were valid,with an effective rate of 97.9%.The mean age of the study subjects was 32.73 ± 6.845 years,awareness of cervical cancer disease knowledge was 45.2%,cervical cancer screening was 42.7%,and good screening compliance was 41%.The revised cervical cancer screening compliance questionnaire consists of 20 items and four dimensions(knowledge level,life impact,obstacle factors,and health awareness).2.Credibility test results: The Cronbach ’α coefficient of the scale was 0.733.The specific Cronbach’s alpha coefficients of each dimension were: 0.703,0.756,0.842,and 0.899.The range of I-CVI was 0.8-1 and S-CVI was 0.909 for each item.The construct validity KMO was 0.883,P < 0.001,and the cumulative variance contribution rate was 59.648%.3.A total of 22 independent variables with statisticalsignificance by univariate analysis and backup independent variables with significance according to previous literatures were included in the regression equation,and 6 variables had statistical significance.According to the degree of influence,they were: whether to actively acquire cervical cancer-related knowledge,whether to fear the examination process,whether to know the pathogenic factors of cervical cancer,common methods of cervical cancer screening,age and marriage.Conclusion: 1.Cervical cancer screening compliance scale has good reliability and validity.2.Women of reproductive age in Shenyang had a low level of cervical cancer-related knowledge and low compliance with cervical cancer screening.3.Age,marriage,whether to actively acquire cervical cancer-related knowledge,know the pathogenic factors of cervical cancer,know the common methods of cervical cancer screening and fear of the examination process are the influencing factors of cervical cancer screening compliance in women of reproductive age in Shenyang.