Sawaya George F, Iwaoka-Scott A Yuri, Kim Sue, Wong Sabrina T, Huang Alison J, Washington A Eugene, Pérez-Stable Eliseo J
Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, School of Medicine, San Francisco, CA, USA.
Am J Obstet Gynecol. 2009 Jan;200(1):40.e1-7. doi: 10.1016/j.ajog.2008.07.015. Epub 2008 Oct 30.
Guidelines support ending cervical cancer screening in women aged 65-70 years and older with previous normal testing, but little is known about older women's attitudes and beliefs about ending screening.
We conducted face-to-face interviews with 199 women aged 65 and older in English, Spanish, Cantonese, or Mandarin.
Most interviewees were nonwhite (44.7% Asian, 18.1% Latina, and 11.6% African American). Most (68%) thought lifelong screening was either important or very important, a belief held more strongly by African American (77%) and Latina (83%) women compared with women in other ethnic groups (P < .01). Most (77%) had no plans to discontinue screening or had ever thought of discontinuing (69%). When asked if they would end screening if recommended by their physician, 68% responded "yes."
The majority of these women believe that lifelong cervical cancer screening is important. Many women, however, reported that they would end screening if recommended by their physician.
指南支持对65岁及以上且既往检查结果正常的女性停止宫颈癌筛查，但对于老年女性对停止筛查的态度和看法知之甚少。
我们用英语、西班牙语、粤语或普通话对199名65岁及以上的女性进行了面对面访谈。
大多数受访者为非白人（44.7%为亚洲人，18.1%为拉丁裔，11.6%为非裔美国人）。大多数（68%）认为终身筛查很重要或非常重要，非裔美国女性（77%）和拉丁裔女性（83%）相比其他种族女性更强烈地持有这种观点（P <.01）。大多数（77%）没有停止筛查的计划，或者从未想过停止筛查（69%）。当被问及如果医生建议是否会停止筛查时，68%的人回答“会”。
这些女性中的大多数认为终身宫颈癌筛查很重要。然而，许多女性表示，如果医生建议，她们会停止筛查。
