Taylor R J, Mamoon H A, Morrell S L, Wain G V
NSW Cervical Screening Program, Westmead Hospital, New South Wales, Australia.
Aust N Z J Public Health. 2001;25(1):55-61. doi: 10.1111/j.1467-842x.2001.tb00551.x.
To examine differentials and time trends in self-reported Pap test rates by migrant status from the 1989/90 and 1995 Australian National Health Surveys (NHS).
Unit record data for females with the variables of interest were extracted from the 1989/90 and 1995 NHS and combined. The dichotomous outcome variables were 'ever had a Pap test' and 'had a Pap test within three years'. The principal study factor was country-of-birth, but language spoken at home (English or not) was also examined. The indirect age-standardised screening ratio was used to calculate proportions of 'ever had a Pap test' and 'had a Pap test within three years' and differences were tested statistically using logistic regression analysis for each year of survey by migrant status.
Odds ratios for rates of reporting 'ever had a Pap test' were significantly lower in women born in southern Europe, Italy, other countries, southern Asia, Middle East, Greece and South-East Asia compared with Australian-born. Reported rates of 'ever had a Pap test' were significantly higher in the 1995 NHS (p<0.001). There were significant increases in screening for the Australian-born, New Zealand-born, and women born in southern Europe, South-East Asia, South Asia and Italy, and both English and non-English speakers over the 1989/90 and 1995 NHSs. Odds ratios for reporting 'had a Pap test within three years' showed significantly lower ORs for women born in the UK, Other countries, Middle East, Greece, and South-East Asia compared with the Australian-born.
This study reveals differentials in reported Pap test behaviour by country-of-birth in Australia and that reported screening rates have improved from the 1989/90 NHS to 1995 NHS in most country-of-birth groups.
通过1989/90年和1995年澳大利亚国民健康调查（NHS），研究按移民身份划分的自我报告巴氏试验率的差异及时间趋势。
从1989/90年和1995年的NHS中提取具有相关变量的女性个体记录数据并合并。二分结局变量为“曾做过巴氏试验”和“在三年内做过巴氏试验”。主要研究因素是出生国家，但也考察了在家中说的语言（是否为英语）。采用间接年龄标准化筛查率来计算“曾做过巴氏试验”和“在三年内做过巴氏试验”的比例，并通过对每次调查年份按移民身份进行逻辑回归分析来检验差异是否具有统计学意义。
与澳大利亚出生的女性相比，出生在南欧、意大利、其他国家、南亚地区、中东地区、希腊和东南亚地区的女性报告“曾做过巴氏试验”的比值比显著更低。在1995年的NHS中，报告的“曾做过巴氏试验”的比率显著更高（p<0.001）。在1989/90年和1995年的NHS期间，澳大利亚出生的、新西兰出生的，以及出生在南欧、东南亚、南亚和意大利的女性，无论说英语还是不说英语的女性，筛查率均有显著提高。与澳大利亚出生的女性相比，出生在英国、其他国家、中东地区、希腊和东南亚地区的女性报告“在三年内做过巴氏试验”的比值比显著更低。
本研究揭示了澳大利亚按出生国家划分的报告巴氏试验行为的差异，并且在大多数出生国家组中，报告的筛查率从1989/90年的NHS到1995年的NHS有所提高。
