ارتباط خشونت خانگی علیه زنان با ضایعات پیش بدخیم و بدخیم سرویکس: مطالعه مروری

نوع مقاله: مروری

نویسندگان

1 مربی گروه داخلی جراحی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران.

2 دانشجوی کارشناسی ارشد آموزش مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: خشونت علیه زنان در جامعه‌ ایرانی و در کل جهان بیش از 50% می‌باشد. با وجود اینکه ارتباط خشونت خانگی با بیماری‌های مزمن و ناتوان‌کننده‌ زنان مشخص شده است. تاکنون مطالعه‌ مروری برای شناسایی ارتباط سرطان دهانه‌ رحم با خشونت خانگی انجام نشده است؛ لذا مطالعه‌ حاضر با هدف بررسی ارتباط خشونت علیه زنان با ضایعات پیش بدخیم و بدخیم سرویکس انجام شد.
روش کار: در این مطالعه مروری، با استفاده از کلمات کلیدی سرطان سرویکس و خشونت خانگی، در پایگاه‌های اطلاعاتی Pubmed، Science direct، Google scholar، SID، Magiran، Iranmedex و Scopus جستجو بین مقالات فارسی و انگلیسی موجود در بازه‌ زمانی 1990 تا سال 2015 انجام شد. بعد از مرور مقالات، در نهایت تعداد 16 مقاله‌ مرتبط نقد و بررسی شد.
یافته ها: احتمال ابتلاء به ضایعات درجه بالا و درجه پایین داخل اپی تلیومی سنگ فرشی و سرطان سرویکس با مدت زمانی که زنان تحت تأثیر خشونت قرار داشتند، ارتباط مستقیم داشت (05/0>p). زنان با تجربه‌ی هر سه نوع خشونت (فیزیکی، جنسی و روانی) بالاترین میزان ابتلاء به ضایعات دهانه‌ رحم و سرطان سرویکس را داشتند و زنان تحت خشونت تا سنین قبل از یائسگی، جهت تست پاپ اسمیر مراجعه نکرده بودند که خود منجر به تشخیص دیر هنگام ضایعات سرویکس شده بود.
نتیجه گیری: خشونت خانگی با خطر ابتلاء به ضایعات داخل اپی تلیومی سنگ فرشی و سرطان سرویکس و فراوانی مراجعه جهت انجام تست پاپ اسمیر ارتباط مثبت دارد. لذا می‌توان با آگاهی پرسنل بهداشتی درمانی و مسئولین مربوطه از این ارتباط، گامی جهت برنامه‌ریزی و اقدام مناسب برای غربالگری و شناسایی زنان تحت خشونت خانگی برداشت.

کلیدواژه‌ها


عنوان مقاله [English]

Association between Domestic Violence against Women with Pre-invasive and Invasive Cervical Lesions: A review study

نویسندگان [English]

  • Mostafa Rad 1
  • Marzieh Torkmannejad Sabzevari 2
1 Faculty member, Schoolof Nursing and Midwifery,Sabzevar University of Medical Sciences, Sabzevar, Iran
2 MSc. Student of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction:Violence against women is more than 50% in Iranian society and worldwide.Although the relationship between domestic violence and women's chronic and debilitative diseases has been known,so far, no review study which identifies the relationship between domestic violence and cervical cancer has not been done; so, this study was performed with aim to identifying the association between violence against women and pre-invasive and invasive cervical lesions.
Methods:In this reviewstudy, the English and Persian articles were searched from1990 to 2015 using the keywords of "cervical cancer" and "domestic violence" in the international databases of Pubmed,Science Direct, and Google scholar, SID,Magiran,and IranMedex. After reviewing the article, 16 related studies were critically evaluated. 
Results:Probability of complication with low-grade and high-grade squamous intraepithelial lesions had directly correlated with duration of time which the women suffer the domestic violence (P<0.05). Women with experience of three types of violence (physical, sexual and psychological) had the higher rate of complication with cervical cancer. Women with experience of violence had not referred for Pap smeartest until premenopausal period, which led to delayeddiagnosisof cervical cancer.
Conclusion:Domestic violence haspositive correlation with risk of squamous intraepithelial lesions morbidity, cervical cancer, and frequency of referring for Pap smear test. So, through awareness of health care managers and personnel of this association, a step can be performed for appropriate planning and measurement to screen and determine the women suffering domestic violence.

کلیدواژه‌ها [English]

  • Domestic violence
  • neoplasia
  • Pap Smear Test
  • Squamous Intraepithelial Lesions
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