Background/Objectives: Cervical cancer causes high mortality rates globally despite the existence of cervical cancer screening. The purpose of this study is to investigate the factors limiting Romanian women’s participation in cervical cancer screening, focusing on socio-demographic characteristics, health practices, sexual history, and personal health views.Methods: A cross-sectional study was conducted with a representative sample of 1605 women aged 25 to 64 from all regions of Romania. Computer-Assisted Telephone Interviewing was performed in February and March 2020. Logistic regression models assessed the impact of socio-demographic characteristics, psychosocial factors, sexual health history, and personal beliefs on non-participation, which were quantified using the odds ratio.Results: A percentage of 25.1% of women had never been screened for cervical cancer. Higher education and income levels were linked to higher screening rates. The adjusted odds for a lack of HPV awareness were significantly high (aOR: 2.45, 95% CI: 1.85–3.25), highlighting a gap in health knowledge affecting screening behavior. Not receiving a referral to a specialist from the primary care physician (aOR: 2.96, 95% CI: 2.09–4.19) was strongly associated with increased odds of non-participation. Personal beliefs about cancer prevention, health misconceptions, perceived costs, and stigma emerged as significant contributors to cervical cancer screening participation.Conclusions: Analyzing predictors influencing participation in cervical screening is crucial for public health in Romania, which has high cervical cancer mortality and low participation rates in cervical cancer screening. To improve participation, we recommend enhanced physician referrals, HPV awareness campaigns, addressing social stigma, and widespread communication about screening availability.
背景/目的：尽管宫颈癌筛查已广泛开展，但该疾病仍在全球范围内导致较高的死亡率。本研究旨在探讨限制罗马尼亚女性参与宫颈癌筛查的影响因素，重点关注社会人口学特征、健康行为、性行为史及个人健康观念。 方法：本研究采用横断面调查设计，通过计算机辅助电话访谈系统于2020年2月至3月期间，对来自罗马尼亚所有地区的1605名25-64岁女性代表性样本进行调查。采用逻辑回归模型分析社会人口学特征、心理社会因素、性健康史及个人信念对未参与筛查行为的影响，并通过比值比进行量化评估。 结果：25.1%的女性从未接受过宫颈癌筛查。高等教育水平及较高收入与较高的筛查率相关。对HPV认知不足的校正后比值比显著偏高（aOR：2.45，95% CI：1.85–3.25），凸显了健康知识缺口对筛查行为的影响。未获得初级保健医生的专科转诊（aOR：2.96，95% CI：2.09–4.19）与筛查未参与率的显著升高密切相关。个人对癌症预防的认知误区、健康误解、费用顾虑及社会污名化等因素均对筛查参与度产生重要影响。 结论：在宫颈癌死亡率较高而筛查参与率较低的罗马尼亚，分析影响宫颈筛查参与度的预测因素对公共卫生具有重要意义。为提高筛查参与率，建议加强医生转诊机制、开展HPV认知教育、消除社会污名化，并广泛宣传筛查服务的可及性。
肿瘤(癌症)患者之家