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目的伴侣暴力与宫颈癌及其他妇科医学状况之间存在相关关系。但是,目前宫颈癌筛查与伴侣暴力之间关系的研究尚无定论。因此,本文着力研究伴侣暴力与颈癌筛查不足之间的关系。方法研究对象为45～50岁的7 312名妇女,她们参加过1996～2004年以人口为基准的妇女健康调查的澳大利亚纵向研究项目。通过邮件问卷的方式妇女自述巴氏涂片的频率调查。结果与从未经历伴侣暴力的妇女相比,至少8年前就经历伴侣暴力的妇女更能说明当前筛查的不足(OR:1.42,95%CI:1.21～1.66)。对已知的阻碍预防检查因素(教育、收入管理、婚姻状况、全科医生的就诊、慢性病)及抑郁症进行调整后,伴侣暴力与巴氏实验不足之间有关联性(OR:1.20,95%CI:1.01～1.42)。但是这种关联一旦将选择全科医生的途径加入到模型中就没有了显著性(OR:1.18,95%CI:0.99～1.40)。结论本研究的意义并非证实宫颈癌筛查与伴侣暴力之间的负面关系,而在于表明选择医生的良好途径似乎能显著降低这种负面关系。
There is a relationship between the partner violence and cervical cancer and other gynecological conditions. However, the current research on the relationship between cervical cancer screening and partner violence is inconclusive. Therefore, this article focuses on the relationship between partner violence and cervical cancer screening inadequacies. Methods The study population consisted of 7 312 women between the ages of 45 and 50 who participated in an Australian longitudinal study of the 1996-2004 population-based women’s health survey. Frequency of Women Readying Pap Test by Mail Questionnaire. RESULTS: Women who experienced partner violence at least 8 years ago were more likely to report current deficits than those who had never experienced partner violence (OR: 1.42, 95% CI: 1.21-1.66). Adjusted for partner violence and lack of Pap tests after adjusting for known factors that prevent examination (education, income management, marital status, general practitioner visits, chronic conditions) and depression (OR: 1.20, 95 % CI: 1.01 ~ 1.42). However, there was no significant association (OR: 1.18, 95% CI: 0.99 to 1.40) for this association once the general practitioner option was added to the model. Conclusions The significance of this study is not to confirm the negative relationship between cervical cancer screening and partner violence but rather to show that a good way to choose a doctor seems to significantly reduce this negative relationship.