Mexico City physicians' awareness about cervical cancer prevention: implications for cancer screening.
BACKGROUND
In spite of an early cancer detection program (CCSP), Mexico has a mortality rate for cervical cancer of 16.5 per 100,000 women.


METHODS
A cross-sectional study of 330 physicians at the Mexico City General Hospital evaluated their knowledge of the CCSP, etiology, diagnostic alternatives, and treatment guidelines. Variance analysis was the statistical procedure used. Replies to a questionnaire about cervical cancer prevention awareness were scored on a scale from 1 to 9.


RESULTS
According to the awareness scale, the global average classification was 4.4, with 50% of the physicians scoring 4 or less. There was no difference in the CCSP knowledge scores of gynecologists (mean 4.92, 95% CI 4.2-5.3), oncologists (mean 4.85, 95% CI 4.3-5.5), pathologists (mean 5.23, 95% CI 4.9-5.6), and those in other specialties (mean 4.29, 95% CI 4.2-5.0), p > 0.05. Many respondents attributed CCSP's lack of effectiveness to public apathy (68.12%).


CONCLUSIONS
The effectiveness of the CCSP can be improved by educating health professionals if this education is combined with elimination of obstacles to its use. More information is needed to justify revising how doctors are educated in terms of not only quality of the training but also the contents of pre- and postgraduate training programs.
Arillo-Santillan
E
E
Teaching Department, Academic Secretariat, National Public Health Institute, Cuernavaca, Morelos, Mexico.
Nigenda
G
G
Sanchez-Prado
V M
VM
de Ruiz
P A
PA
Najera-Aguilar
P
P
Lazcano-Ponce
E C
EC
D000704:Analysis of Variance; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008511:Medicine; D008800:Mexico; D013038:Specialization; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000517:prevention & control*