Coory Michael D, Fagan Patricia S, Muller Jennifer M, Dunn Nathan A M
Queensland Health, Brisbane QLD, Australia.
Med J Aust. 2002 Nov 18;177(10):544-7. doi: 10.5694/j.1326-5377.2002.tb04949.x.
To investigate the extent of participation in cervical cancer screening among women who live in discrete rural and remote Indigenous communities in Queensland.
Descriptive analysis of data from the Queensland Health Pap Smear Registry for the period March 1999 to February 2001.
Women aged 20-69 years who had given their address of usual residence as one of 13 discrete rural and remote Indigenous communities in Queensland.
Proportion of women who participated in cervical screening over a two-year period ("biennial participation percentage") and variation in participation across the 13 communities.
Overall, the biennial participation percentage in the Indigenous communities was 41.1%. This was 30% lower (risk ratio, 0.70; 95% CI, 0.67-0.72) than that for the rest of Queensland. There was statistically significant variation among communities, with biennial participation percentage ranging from 19.9% to 63.5%.
The variation in participation across the communities suggests that the problem of low participation among Indigenous women is not intractable. Achieving participation rates similar to the highest rates found in our study would be of major benefit to Indigenous women.
调查居住在昆士兰州分散的农村和偏远原住民社区的女性参与宫颈癌筛查的程度。
对1999年3月至2001年2月期间昆士兰卫生组织子宫颈抹片登记处的数据进行描述性分析。
年龄在20 - 69岁之间，其常住地址为昆士兰州13个分散的农村和偏远原住民社区之一的女性。
两年内参与宫颈癌筛查的女性比例（“两年参与率”）以及13个社区之间参与率的差异。
总体而言，原住民社区的两年参与率为41.1%。这比昆士兰州其他地区低30%（风险比，0.70；95%可信区间，0.67 - 0.72）。各社区之间存在统计学上的显著差异，两年参与率从19.9%到63.5%不等。
各社区参与率的差异表明，原住民女性参与率低的问题并非难以解决。实现与我们研究中最高参与率相似的参与率将对原住民女性大有裨益。
