Chang Alexander R, Sewell Harriet
Department of Anatomical and Cellular Pathology, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong, S.A.R., China.
Acta Cytol. 2002 May-Jun;46(3):475-80. doi: 10.1159/000326864.
To provide a brief review of the history and demographics of the Vietnamese asylum-seeking population in Hong Kong and their possible effects on the initiation of a cervical cytology screening program at a Hong Kong detention center.
Analysis of case histories, questionnaires and interviews with women in a detention center identified demographic features related to Pap smear history, knowledge of the Pap test, age at first intercourse and cigarette smoking status among women aged 17 years and over. Analysis of Pap smear uptake following initiation of a screening program was undertaken.
Of the 1,171 women in the detention center who were eligible for a Pap smear, 536 (45.8%) actually obtained one, although enrollment, which was strong at the initial offering, slowed considerably as the program progressed. None of the women had had a Pap smear prior to leaving Vietnam. Knowledge of the utility and risk status criteria for Pap testing was very limited. The majority (77.9%) of the subjects started sexual activity after age 20 years, and three (0.6%) smoked. There were four (0.2%) abnormal smears identified among those tested.
Convincing evidence was obtained that the Pap test was not widely used in Vietnam among the asylum-seeking population, and its role in preventing cervical cancer was not well known to the women studied. The initial strong uptake of the Pap smear was not maintained. That may be attributable to psychosocial factors associated with detention under harsh conditions and trauma associated with fleeing Vietnam.
简要回顾香港越南寻求庇护人群的历史和人口统计学特征，以及这些特征可能对香港某拘留中心启动子宫颈细胞学筛查项目产生的影响。
对某拘留中心女性的病历、问卷及访谈进行分析，以确定与巴氏涂片检查史、巴氏试验知识、初次性交年龄及17岁及以上女性吸烟状况相关的人口统计学特征。对筛查项目启动后的巴氏涂片检查接受情况进行了分析。
在拘留中心符合巴氏涂片检查条件的1171名女性中，536名（45.8%）实际接受了检查，尽管项目初期报名踊跃，但随着项目推进，报名人数大幅放缓。这些女性在离开越南之前均未进行过巴氏涂片检查。对巴氏试验的效用和风险状况标准的了解非常有限。大多数（77.9%）受试者在20岁以后开始性行为，3名（0.6%）吸烟。在接受检查的人中发现4例（0.2%）涂片异常。
有确凿证据表明，在越南寻求庇护人群中，巴氏试验并未广泛应用，且研究中的女性对其在预防宫颈癌方面的作用并不了解。巴氏涂片检查最初的高接受率未能持续。这可能归因于与恶劣条件下被拘留相关的心理社会因素以及与逃离越南相关的创伤。
