Can Mobile Units Improve the Strategies for Cervical Cancer Prevention?
Can Mobile Units Improve the Strategies for Cervical Cancer Prevention?
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DOI：
10.1002/dc.21287
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发表时间：
2010-10-01
影响因子：
1.3
通讯作者：
Baracat, Edmund C.
中科院分区：
文献类型：
--
作者：
Mauad, Edmundo Carvalho;Nicolau, Sergio Mancini;Baracat, Edmund C.
宫颈癌是一个严重的公共卫生问题，在妇女在发展中国家，因为缺乏或无效的筛查计划。在巴西这样的大陆国家，获得医疗保健的几种偏见和公共卫生系统的不公平限制了适当预防宫颈癌的适当方案的实施。因此，本研究的目的是评估应用移动的单元（MU）进行宫颈癌筛查的结果。从2003年5月至2004年5月，为居住在圣保罗巴雷托斯县19个市辖区的20-69岁妇女提供了宫颈癌筛查。在9 560次检查中，2 964名妇女（31%）接受了筛查。MU行驶的中等距离为45公里。MU中妇女完成调查问卷和进行考试所花的时间中位数为20分钟。据观察，接受筛查的妇女中有17.0%从未接受过检测或在过去3年内没有重复检测。20 ~ 29岁、60 ~ 69岁、文化程度低、社会经济收入低的妇女中，阴性反应多见（P < 0.05）。MU可以显著克服公共卫生系统可及性的长期缺陷，为这些妇女提供参与筛查方案的机会。细胞病理学诊断。2010;38：727-730. (C)2009 Wiley-Liss，Inc.
Cervical cancer is a serious public health problem in women in developing countries because of absence or ineffectiveness of screening programs. Several biases to access medical care and inequity of public health system in a continental country like Brazil limit the implementation of adequate programs to appropriately prevent the cervical cancer. Therefore, the aim of this study was to evaluate the results of applying the mobile unit (MU) for cervical cancer screening. From May 2003 to May 2004, a cervical cancer screening was offered to women aged 20-69 years, residing in 19 municipal districts of the Barretos county region, in Sao Paulo. Out of the 9,560 examination available, 2,964 (31%) women underwent screening. The medium distance traveled by the MU was 45 km. The medium time spent by women in the MU for completion of the questionnaire and doing the exam was 20 minutes. It was observed that 17.0% of women screened had never had the test or had not had it repeated within the last 3 years. The negative response was more common among women aged 20 to 29 years and 60 to 69 years and among women with less schooling and lower socio-economic income (P < 0.05). MU can significantly overcome the chronic deficiency of public health system accessibility offering opportunity to these women to participate in screening programs. Diagn. Cytopathol. 2010;38:727-730. (C) 2009 Wiley-Liss, Inc.