Maxwell C J, Bancej C M, Snider J, Vik S A
Departments of Community Health Sciences and Medicine, University of Calgary, AB.
Can J Public Health. 2001 Mar-Apr;92(2):127-33. doi: 10.1007/BF03404946.
Although routine Pap screening represents an effective tool in the early detection of cervical cancer, it remains underused by some Canadian women. This study examines selected sociodemographic, health, lifestyle, and system barriers to Pap test participation among 33,817 women aged 18+ years in the cross-sectional 1996-97 National Population Health Survey (NPHS). Among women 18 years and over, 87% reported ever having had a Pap test while 72% reported a recent (< 3 years) test. A report of ever and recent use was most common among women 25-34 (92% and 86.9%, respectively). Only 0.6% of recently screened women reported access problems. Among those without a recent test, most (53%) reported that they did not think it was necessary. Pap test use varied little across provinces and was less common among older and single women, those with lower education, a spoken language other than English, a birth place outside Canada and negative health and lifestyle characteristics.
尽管常规巴氏筛查是早期发现宫颈癌的有效手段，但仍有一些加拿大女性未充分利用这一手段。本研究在1996 - 1997年全国人口健康横断面调查（NPHS）中，对33,817名18岁及以上女性进行了巴氏试验参与情况的社会人口统计学、健康、生活方式及系统障碍方面的调查。在18岁及以上的女性中，87%的人报告曾做过巴氏试验，72%的人报告近期（<3年）做过试验。曾做过和近期做过巴氏试验的报告在25 - 34岁女性中最为常见（分别为92%和86.9%）。在近期接受筛查的女性中，只有0.6%的人报告存在检查障碍。在那些近期未做过检查的人中，大多数（53%）表示认为没有必要。巴氏试验的使用率在各省之间差异不大，在年龄较大、单身、教育程度较低、母语非英语、出生在加拿大境外以及健康和生活方式特征不佳的女性中不太常见。
