Who is getting Pap smears in urban Peru?
Who is getting Pap smears in urban Peru?
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DOI：
10.1093/ije/dyn118
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发表时间：
2008-08-01
影响因子：
7.7
通讯作者：
Garcia, Patricia
中科院分区：
文献类型：
--
作者：
Soldan, Valerie A. Paz;Lee, Frank H.;Garcia, Patricia
背景宫颈癌虽然通常可以通过巴氏涂片筛查来预防，但仍然是秘鲁妇女癌症相关死亡的主要原因。在秘鲁妇女的百分比和特点谁有或没有一个巴氏涂片尚未defined.Methods在城市社区随机试验的性传播感染（STI）/艾滋病毒预防在秘鲁，6712随机选择的妇女之间的18和29岁的20个城市进行了采访有关有宫颈巴氏涂片检查。只有30.9人做过巴氏涂片检查。经多因素分析，子宫颈抹片检查的主要预测因子为有性行为、有子女、完成中学教育及年龄增加。区域差异也被发现：从高原和雨林的妇女不太可能有巴氏涂片比妇女从coast.Conclusion寻求和接受巴氏涂片检查的规范尚未建立在性活跃的年轻秘鲁妇女。为了提高秘鲁的巴氏涂片检查覆盖率，宣传工作应针对服务不足的妇女和覆盖率较低的地区。
Background Cervical cancer, although usually preventable by Pap smear screening, remains the leading cause of cancer-related deaths among women in Peru. The percentages and characteristics of women in Peru who have or have not had a Pap smear have not been defined.Methods In an urban community randomized trial of sexually transmitted infection (STI)/HIV prevention in Peru, 6712 randomly selected women between the ages of 18 and 29 from 20 cities were interviewed regarding having had cervical Pap smears.Results Among women sampled, only 30.9 had had a Pap smear. By multivariate analysis, the main predictors of having a Pap smear were having had sex, having had children, completion of secondary education and increasing age. Regional variations were also found: women from the highlands and rainforest were less likely to have had Pap smears than women from the coast.Conclusion A norm of seeking and receiving Pap smears has not been established among sexually active young Peruvian women. To improve Pap smear coverage in Peru, promotion efforts should target underserved women and regions with less coverage.