Seksualno ponašanje i prevalenca korišćenjaja skrining na karcinom grlića materice u Šumadijskom okrugu

Seksualno ponašanje i skrining na karcinom grlića materice

  • Vera Simić Medicinska škola “Beograd”, Beograd, Srbija
  • Nataša Mihailović Institut za javno zdrvlje Kragujevac, Kragujevac, Srbija
  • Snežana Radovanović Univerzitet u Kragujevcu, Fakultet medicinskih nauka, Katedra za Socijalnu medicinu, Kragujevac, Srbija
  • Sanja Kocić Univerzitet u Kragujevcu, Fakultet medicinskih nauka, Katedra za Socijalnu medicinu, Kragujevac, Srbija
  • Svetlana R Radevic Fakultet medicinskih nauka Univerzitet u Kragujevcu
  • Ivana Simić Vukomanović Univerzitet u Kragujevcu, Fakultet medicinskih nauka, Katedra za Socijalnu medicinu, Kragujevac, Srbija
DOI: https://doi.org/10.5937/afmnai40-42914
Ključne reči: žene reproduktivnog perioda, seksualno ponašanje, Papa test

Sažetak


Uvod/cilj: Reproduktivno zdravlje i skrining na karcinom grlića materice predstavljaju javnozdravstveni prioritet. Cilj istraživanja je procena seksualnog ponašanja i utvrdjivanje prevalence skrininga na karcinom grlica materice u Šumadijskom okrugu.

Metodi: Istraživanje je sprovedno kao studija preseka. Studijsku populaciju činilo je 510 osoba ženskog pola starosti (18-49 godina) sa teritorije Šumadijskog okruga, Srbija. Kao instrument istraživanja korišćen je anonimni, standardizovani upitnik iz protokola istraživanja STEPwise Approach to Noncommunicable Disease Risk Factor Surveillance, Svetske zdravstvene organizacije (STEPS).

Rezultati: Tokom prvog seksualnog odnosa, 60,1% ispitivane populacije je koristila neko od kontraceptivnih sredstva dok tokom poslednjeg odnosa to nije učinilo čak 72,5% ispitanica. Svaka peta ispitanica nikada u životu nije uradila Papa test (22,8%) odnosno to nije učinilo čak 85,0% ispitanica starosti 19-29 godina (p< 0,001),   svavaka treća ispitanica sa završenom osnovnom školom (28,4%) (p= 0,009) i svaka treć ispitanca koja nije u braku (33,3%) (p= 0,01) .

Zaključak: Aktivnosti bi trebalo usmeriti na povećanje pristupačnosti i dostupnosti ustanova i usluga za skrining na karcinom grlića materice kao i pobolјšanje resursnih kapaciteta (kadrovi, prostor, oprema).

 

Biografija autora

Svetlana R Radevic, Fakultet medicinskih nauka Univerzitet u Kragujevcu

Socijalna medicina

Reference

 




  1. WHO. Reproductive health. Cited 2022, November 9th, Available at: https://www.who.int/westernpacific/health-topics/reproductive-health




  2. WHO. Family planning/Contraception. Cited 2022, December 8th Aveilable at: https://www.who.int/news-room/fact-sheets/detail/family-planning-contraception




 




  1. Uredba o nacionalnom programu očuvanja i unapređenja seksualnog i reproduktivnog zdravlјa građana republike srbije ("Sl. glasnik RS", br. 120/2017).




 




  1. Uredba o nacionalnom programu za prevenciju raka grlića materice, Sl. Glasnik RS 73/2013.




 




  1. Musa J, Achenbach CJ, O'Dwyer LC, Evans CT, McHugh M, Hou L, Simon MA, Murphy RL, Jordan N. Effect of cervical cancer education and provider recommendation for screening on screening rates: A systematic review and meta-analysis. PLoS One 2017; 12(9):e0183924.




https://doi.org/10.1371/journal.pone.0183924


 


 




  1. World Health Organization. WHO STEPS surveillance manual: the WHO STEPwise approach to chronic disease risk factor surveillance/Noncommunicable Diseases and Mental Health, World Health Organization 2017




 




  1. Maimaiti N, Tekin HH, Sener MM. Level of knowledge and attitude towards HIV/AIDS among undergraduate students in Konya, Turkey. J Community Med Health Educ. 2018;8(624):2161-0711




 




  1. Simic Vukomanovic I, Djukic A, Kocic, S, Zdravkovic N, Djukic S, Radevic S et al. Reproductive Health and Risk Factors of Non-Comunicable Disease in Female Stu-dent Population (Stepwise Approach). Ser J Exp Clin Res, 2021.




https://doi.org/10.2478/sjecr-2020-0001


 




  1. Zin NM, Ishak I, Manoharan K. Knowledge, attitude and practice towards sexually transmitted diseases amongst the inmates of women shelters homes at Klang Valley. BMC public health. 2019;19(4):1-7.




https://doi.org/10.1186/s12889-019-6863-5


 


 




  1. Shah MA, Shah NM, Chowdhury RI, Menon I. Unmet need for contraception in Kuwait: issues for health care providers. Soc Sci Med. 2004; 59(8):1573-80.




https://doi.org/10.1016/j.socscimed.2004.01.033


 




  1. World Health Organization: From Evidence to Policy: Expanding Access to Family Planning: Strategies to increase use of long-acting and permanent contraception. Geneva, Switzerland: World Health Organization; 2012.




 




  1. Kumar A, Singh A. Trends and Determinants of Unmet Need for Family Planning in Bihar (India): Evidence from National Family Health Surveys. Adv Appl Sociol. 2013; 3(2):157-163.




http://dx.doi.org/10.4236/aasoci.2013.32021


 


 




  1. Campo S, Askelson NM, Spies EL, Losch M. Ambivalence, communication and past use: Understanding what influences women’s intentions to use contraceptives. Psychology, health & medicine. 2012; 17(3):356-365.




https://doi.org/10.1080/13548506.2011.608432


 




  1. Đukić A, Kocić S, Zdravković N, Đukić S, Simić Vukomanović I, Radovanović S i ost. Povezanost hroničnih nezaraznih bolesti i reproduktivnog zdravlјa u populaciji žena centralne Srbije (STEPwise Approach)” – praktikum. Fakultet medicinskih nauka Univerziteta u Kragujevcu, 2020




  2. Garland SM, Steben M, Sings HL, James M, Lu S, Railkar R, Barr E, Haupt RM, Joura EA. Natural history of genital warts: analysis of the placebo arm of 2 random-ized phase III trials of a quadrivalent human papillomavirus (types 6, 11, 16, and 18) vaccine. The Journal of infectious diseases. 2009;199(6):805-14




https://doi.org/10.1086/597071







  1. Jovanović V. Uticaj znanja i stavova žena o karcinomu grlića materice i papa testu na njihovu participaciju u skriningu. (disertacija). Kragujevac: Fakultet medicinskih nauka Univerziteta u Kragujevcu, 2016




 




  1. Soneji S, Fukui N. Socioeconomic determinants of cervical cancer screening in Latin America. Rev Panam Salud Publica. 2013; 33(3):174-82.




 




  1. Petkeviciene J, Ivanauskiene R, Klumbiene J. Sociodemographic and lifestyle determinants of non-attendance for cervical cancer screening in Lithuania, 2006-2014. Public Health. 2018; 156:79-86.91.




https://doi.org/10.1016/j.puhe.2017.12.014


 




  1. Baptista AD, Simão CX, Santos VCGD, Melgaço JG, Cavalcanti SMB, Fonseca SC, Vitral CL. Knowledge of human papillomavirus and Pap test among Brazilian university students. Rev Assoc Med Bras (1992). 2019;65(5):625-632.




https://doi.org/10.1590/1806-9282.65.5.625


 




  1. Döbrőssy L, Kovács A, Budai A. Inequalities in cervical screening practices. Orv Hetil 2015; 156(24):955-63.




https://doi.org/10.1556/650.2015.30162


 

Objavljeno
2025/12/19
Broj časopisa
Vol. 40 Br. 4 (2023): Acta facultatis medicae Naissensis
Rubrika
Originalni rad / Original article