Cervical Cancer Screening Among Adult Women in China, 2010
Cervical Cancer Screening Among Adult Women in China, 2010
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DOI：
10.1634/theoncologist.2014-0303
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发表时间：
2015-06-01
期刊：
影响因子：
5.8
通讯作者：
Wang, Linhong
中科院分区：
文献类型：
--
作者：
Wang, Baohua;He, Minfu;Wang, Linhong
导论.宫颈癌是中国女性最常见的癌症之一。世界卫生组织（WHO）建议对宫颈癌进行常规筛查，WHO全球监测框架建议每个国家监测宫颈癌筛查。然而，关于中国妇女宫颈癌筛查行为的信息很少。我们使用了2010年中国慢性病和危险因素监测系统的数据，其中包括51，989名18岁及以上的女性。我们报告的比例的妇女谁曾报告有巴氏（巴氏）试验，分层的社会人口特征和地理区域。进行多变量logistic回归模型以校正潜在的混杂因素。总体而言，51，989名妇女中有21%报告曾进行过巴氏试验。据报告，30-39岁妇女的比例最高（30.1%，95%置信区间，26.8%-33.4%）。在所有地理区域，农村妇女报告进行过巴氏试验的可能性始终低于城市妇女。在报告曾进行过巴氏试验的妇女中，82%的人报告在过去3年中进行了最近一次试验。年龄在30-49岁、文化程度高、已婚、有城镇医疗保险是报告曾做过检查的相关因素。我们的研究结果表明，筛查计划需要加强沿着更强烈地关注特定的人口群体。需要制定国家宫颈癌筛查指南和全面的执行战略，使所有妇女都能获得筛查服务。
Introduction. Cervical cancer is one of the most commonly diagnosed cancers among women in China. The World Health Organization ( WHO) recommends routine screening for cervical cancer, and the WHO Global Monitoring Framework suggests that every nation monitors cervical cancer screening. However, little information is available on cervical cancer screening behavior among women in China.Methods. We used data from the 2010 China Chronic Disease and Risk Factor Surveillance System that included 51,989 women aged 18 years and older. We report the proportion of women who reported ever having had a Papanicolaou ( Pap) test, stratified by sociodemographic characteristics and geographic region. Multivariable logistic regression modeling was performed to adjust for potential confounders.Results. Overall, 21% of 51,989 women reported having ever had a Pap test. The highest proportion was reported among women aged 30-39 years (30.1%, 95% confidence interval, 26.8%-33.4%). In all geographic regions, women in rural areas were consistently less likely than women in urban areas to report having had a Pap test. Among women who reported ever having a Pap test, 82% reported having the most recent test in the past 3 years. Factors associated with reporting ever having a test were being aged 30-49 years, higher education, being married, and having urban health insurance.Conclusion. Our results indicate that screening programs need to be strengthened along with a more intense focus on specific demographic groups. National cervical cancer screening guidelines and comprehensive implementation strategies are needed to make screening services available and accessible to all women.