Chumworathayi Bandit, Yuenyao Pissamai, Luanratanakorn Sanguanchoke, Pattamadilok Jeerichuda, Chalapati Wadwilai, Na-Nhongkai Chulaluk
Department of Obstetrics and Gynecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand
Asian Pac J Cancer Prev. 2007 Jul-Sep;8(3):353-6.
Our objective was to assess the efficiency of an appointment-letter intervention aimed to increase uptake of cervical cancer screening in women between 35 and 65 years of age. From January, 2007, we randomly recruited 320 women, not screened for at least 5 years, from the Samliem inner-city community, Khon Kaen, Northeast Thailand. A total of 150 women 35, 40, 45, 50, 55, 60 and 65 years of age were assigned to the intervention group according to Thai National Cancer Institute's ( TNCI) strategy. A further 170 women between 36-39, 41-44, 46-49, 51-54, 56-59 and 61-64 years of age were assigned to the control group. Baseline interviews were conducted for all women in both groups by one of the researchers in January, who also provided culturally-sensitive health education emphasizing the need for screening. Then appointment letters were sent only to women in the intervention group in February, with the last date for an appointment being March 31st. In April of 2007, immediately post-intervention, screening-coverage interviews were performed in both groups for comparison. There was a significant increase in the Pap smear screening-coverage rate in the intervention group compared with the control group (44.67% vs. 25.88%, p=0.001). Therefore, the appointment-letter intervention produced a significant effect on increasing Pap smear coverage in this group of women.
我们的目标是评估一项预约信干预措施的效果，该措施旨在提高35至65岁女性宫颈癌筛查的接受率。从2007年1月起，我们从泰国东北部孔敬府三廉市中心社区随机招募了320名至少5年未接受筛查的女性。根据泰国国家癌症研究所（TNCI）的策略，将150名年龄为35、40、45、50、55、60和65岁的女性分配到干预组。另外170名年龄在36 - 39、41 - 44、46 - 49、51 - 54、56 - 59和61 - 64岁之间的女性被分配到对照组。1月份，由一名研究人员对两组所有女性进行基线访谈，该研究人员还提供了强调筛查必要性的具有文化敏感性的健康教育。然后，仅在2月份向干预组女性发送预约信，预约的最后日期为3月31日。在2007年4月，干预刚结束后，对两组进行筛查覆盖率访谈以作比较。与对照组相比，干预组巴氏涂片筛查覆盖率显著提高（44.67%对25.88%，p = 0.001）。因此，预约信干预措施对提高该组女性巴氏涂片覆盖率产生了显著效果。
