Black Margaret E, Yamada Janet, Mann Valerie
School of Nursing, McMaster University & Hamilton Social and Public Health Services Department, 1200 Main St. W., 3N28H, Hamilton, ON L8N 3Z5.
Can J Public Health. 2002 Sep-Oct;93(5):386-93. doi: 10.1007/BF03404575.
To evaluate and summarize evidence of the effectiveness of interventions available to public health staff that could be used to increase cervical cancer screening to women.
A thorough literature review was conducted, articles screened for relevance and assessed for quality.
Of 42 relevant studies, 1 was rated 'strong', 18 'moderate' and 23 'weak'. Among the strong/moderate studies, 10 were aimed at disadvantaged women. The most frequently used intervention was mass media campaigns, alone or combined with individual strategies; followed by individual education using lay health educators; and last, letters of invitation. Thirteen of the moderate/strong studies evaluated strategies that reported statistically significant increases in Pap smear rates and other outcomes.
Strategies that combined mass media campaigns with direct tailored education to women and/or health care providers seemed most successful. The importance of accurate centralized cytology databases for recall is underscored.
评估并总结公共卫生工作人员可采用的干预措施有效性的证据，这些措施可用于提高女性宫颈癌筛查率。
进行了全面的文献综述，筛选文章的相关性并评估其质量。
在42项相关研究中，1项被评为“强”，18项为“中”，23项为“弱”。在强/中度研究中，10项针对弱势女性。最常用的干预措施是大众媒体宣传活动，单独或与个体策略相结合；其次是使用非专业健康教育工作者进行个体教育；最后是邀请函。13项中度/强研究评估了报告巴氏涂片率和其他结果有统计学显著增加的策略。
将大众媒体宣传活动与针对女性和/或医疗服务提供者的直接定制教育相结合的策略似乎最为成功。强调了准确的集中细胞学数据库对于召回的重要性。
