Shelley J M, Irwig L M, Simpson J M, Macaskill P
Department of Public Health, University of Sydney, Australia.
Health Educ Res. 1991 Sep;6(3):267-77. doi: 10.1093/her/6.3.267.
A health education campaign designed to encourage women between the ages of 18 and 70, especially 'older' women (defined as those 50 and over), to have a Pap smear took place in New South Wales (NSW), Australia in early 1988. The campaign involved the mass media, some related community activities and mailing of an educational package to all General Practitioners. According to a sample survey the media campaign was recalled by just over 40% of its target audience. Outcome evaluation was based on the analysis of Pap smear records for a representative 10% sample (N = 338 000) of women registered with the Australian universal health insurance scheme in NSW and three control States. From logistic regression models we estimate that, for women over 50 years and older in NSW, there was a 30% increase overall in Pap smears during the 4 months following the campaign and a 50% increase amongst those who had not had a smear in the previous 2 years. Smaller increases were observed in some other States. Increases of 13-20% were observed among the younger age groups in NSW. Although the campaign appears to have prompted short-term increases in screening rates, the effect is too small to make a substantial impact on the size of the under-screened population.
1988年初，澳大利亚新南威尔士州开展了一场健康教育活动，旨在鼓励18至70岁的女性，尤其是“老年”女性（定义为50岁及以上）进行巴氏涂片检查。该活动涉及大众媒体、一些相关社区活动，并向所有全科医生邮寄了一个教育包。根据一项抽样调查，略超过40%的目标受众回忆起了媒体宣传活动。结果评估基于对新南威尔士州以及三个对照州参加澳大利亚全民健康保险计划登记的女性中具有代表性的10%样本（N = 338 000）的巴氏涂片记录分析。从逻辑回归模型中我们估计，对于新南威尔士州50岁及以上的女性，在活动后的4个月里，巴氏涂片检查总体增加了30%，在过去两年未进行涂片检查的女性中增加了50%。在其他一些州观察到的增幅较小。新南威尔士州较年轻年龄组的增幅为13%至20%。尽管该活动似乎促使筛查率短期内有所提高，但效果太小，无法对筛查不足人群的规模产生实质性影响。
