@Article{作者信息:doi / 10.2196/28885 =”股票,雅各布和易卜拉欣,Saduma和公园,劳伦斯Huchko,”梅根,title =“手机所有权和使用女性宫颈癌筛查在以社区为基础的环境在肯尼亚西部:观察性研究”,《=“JMIR公共卫生Surveill”=“2022”年,月=“君”,天=“7”,体积=“8”=“6”,页面=“e28885”,关键词= "手机;移动健康;移动健康;宫颈癌筛查;肯尼亚;人类乳头状瘤病毒;人乳头状瘤病毒测试”、抽象= "背景:手机所有权育龄妇女在肯尼亚西部没有被很好地描述,和我们对它的理解与求医行为是新生。理解访问和使用手机在这人口以及愿意参与移动健康干预是重要的改善以及更有效地实现移动健康策略。目的:本研究旨在描述模式的手机所有权和使用女性参加宫颈癌筛查和识别关键考虑使用SMS文本消息——引导链接治疗策略和其他编程对宫颈癌筛查在肯尼亚的影响。方法:分析是嵌套在一个集群随机试验评价各种策略基于人类乳头状瘤病毒(HPV)——宫颈癌筛查和预防在肯尼亚西部农村地区在2018年2月至11月之间。 A total of 3299 women were surveyed at the time of screening and treatment. Questionnaires included items detailing demographics, health history, prior care-seeking behaviors, and patterns of mobile phone ownership and use. We used bivariate and multivariable log-binomial regression to analyze associations between independent variables and treatment uptake among women testing positive for high-risk HPV. Results: Rates of mobile phone ownership (2351/3299, 71.26{\%}) and reported daily use (2441/3299, 73.99{\%}) were high among women. Most women (1953/3277, 59.59{\%}) were comfortable receiving their screening results via SMS text messages, although the most commonly preferred method of notification was via phone calls. Higher levels of education (risk ratio 1.23, 95{\%} CI 1.02-1.50), missing work to attend screening (risk ratio 1.29, 95{\%} CI 1.10-1.52), and previous cervical cancer screening (risk ratio 1.27, 95{\%} CI 1.05-1.55) were significantly associated with a higher risk of attending treatment after testing high-risk HPV--positive, although the rates of overall treatment uptake remained low (278/551, 50.5{\%}) among this population. Those who shared a mobile phone with their partner or spouse were less likely to attend treatment than those who owned a phone (adjusted risk ratio 0.69, 95{\%} CI 0.46-1.05). Treatment uptake did not vary significantly according to the type of notification method, which were SMS text message, phone call, or home visit. Conclusions: Although the rates of mobile phone ownership and use among women in western Kenya are high, we found that individual preferences for communication of messages about HPV results and treatment varied and that treatment rates were low across the entire cohort, with no difference by modality (SMS text message, phone call, or home visit). Therefore, although text-based results performed as well as phone calls and home visits, our findings highlight the need for more work to tailor communication about HPV results and support women as they navigate the follow-up process. ", issn="2369-2960", doi="10.2196/28885", url="https://publichealth.www.mybigtv.com/2022/6/e28885", url="https://doi.org/10.2196/28885", url="http://www.ncbi.nlm.nih.gov/pubmed/35671089" }