CAJ | 학술논문

目的：了解新疆南部地区农村维吾尔族妇女对宫颈癌及人乳头瘤病毒（HPV）感染相关知识的认知程度，为我区今后的宫颈癌防治提供健康教育干预基础。方法在新疆和田地区墨玉县对6000名妇女进行宫颈癌相关知识的问卷调查，包括是否了解宫颈癌危险因素、宫颈癌筛查方法、早期诊断及 HPV 与宫颈癌的关系，对获取的资料进行统计学分析。结果（1）年龄＞45岁女性认知度较＜45岁者认知度差；农民的认知度低于非农民，差异有统计学意义；女性随着文化程度的升高，无认知度者频率有下降趋势，家庭收入越高，认知度越好。（2）有肿瘤家族史的妇女认知度较无家族肿瘤史的女性高。（3）孕次及产次≤3次的妇女认知度好，结婚次数越多认知度越差，差异有统计学意义（P ＜0．001）。（4）多因素分析结果显示文化程度低、无肿瘤家族史、未做过妇检和涂片的女性认知度低的危险性较大。结论维吾尔族女性宫颈癌认知度非常低，年龄＞45岁、文件程度低、无肿瘤家族史、家庭收入低、孕产次多、结婚次数多、不采取避孕措施的女性为今后工作的重点教育对象。需要加强对当地女性的教育工作；敦促女性参加定期普查及宫颈癌筛查，尽可能减少生活中 HPV 感染及宫颈病变的危险因素的发生，从而降低新疆维吾尔族女性宫颈癌发病率。
목적：료해신강남부지구농촌유오이족부녀대궁경암급인유두류병독（HPV）감염상관지식적인지정도，위아구금후적궁경암방치제공건강교육간예기출。방법재신강화전지구묵옥현대6000명부녀진행궁경암상관지식적문권조사，포괄시부료해궁경암위험인소、궁경암사사방법、조기진단급 HPV 여궁경암적관계，대획취적자료진행통계학분석。결과（1）년령＞45세녀성인지도교＜45세자인지도차；농민적인지도저우비농민，차이유통계학의의；녀성수착문화정도적승고，무인지도자빈솔유하강추세，가정수입월고，인지도월호。（2）유종류가족사적부녀인지도교무가족종류사적녀성고。（3）잉차급산차≤3차적부녀인지도호，결혼차수월다인지도월차，차이유통계학의의（P ＜0．001）。（4）다인소분석결과현시문화정도저、무종류가족사、미주과부검화도편적녀성인지도저적위험성교대。결론유오이족녀성궁경암인지도비상저，년령＞45세、문건정도저、무종류가족사、가정수입저、잉산차다、결혼차수다、불채취피잉조시적녀성위금후공작적중점교육대상。수요가강대당지녀성적교육공작；돈촉녀성삼가정기보사급궁경암사사，진가능감소생활중 HPV 감염급궁경병변적위험인소적발생，종이강저신강유오이족녀성궁경암발병솔。
Objective To provide the basis for health educational intervention of the prevention and treat-ment of cervical cancer by investigating the awareness of cervical cancer and HPV in Uyghur women from rural area of Sothern Xinjiang.Method 6000 Uyghur women who from the rural area of Mo Yu in Xin-jiang Hotan were questionnaires about the knowledge of risk factor of cervical cancer,The screening meth-od of cervical cancer,about the early diagnoses and the relationship between cervical cancer and HPV.The statistical analysis were made based on data from the materials.Results (1)the awareness of women over the age of 45 lower than under the age of 45.The Peasants awareness were lower than the non-peasants, The difference was statistically significant.The women who with the improvement of cultural level,the awareness frequency about cervical cancer was downtrend.The higher their level is the more they house-hold income.(2)The awareness of women who have the family history of cancer was higher than those women who haven family history of cancer.(3)The women of awareness were good which Gravidity and Parity ≤3.The worse of their awareness level is,the more times of marriage.The difference was statisti-cally significant.(4)The results of multiple factor analysis revealed that the women will become more danger which the low level of education,haven′t family history of cancer and have never done for Gyneco-logical Examination and Pap smear.Conclusion In this research fond that Uyghur women′s level of awareness were generally low;Going through the analyses cognitive related risk factors turn out that the women which the age of over 45,low educational level,haven′t family history of cancer,The low income of family.The more gravidity and parity and didn′t take contraceptive measures were the important educa-tional object for the work with the future.Therefore to be strength the educational work for women in lo-cal places.It is very necessary that to increased the awareness of local medical workers about cervical canc-er and regarded produced the various types of publicity and education as the theme of the TV program with the future work.By strengthening health education and urged women to participated in the census and cer-vical cancer screening on a regular basis.With the aim of decreased incidence rate of cervical cancer among the Uyghur women in Xing Jiang going through reduced the infection of Hpv in daily life and a risk factor for cervical lesions as much as possible.