Division of Urology, Department of Surgery, Far Eastern Memorial Hospital, Ban Ciao, Taipei, Taiwan.
Prev Med. 2011 Jul-Aug;53(1-2):82-4. doi: 10.1016/j.ypmed.2011.05.002. Epub 2011 May 8.
Using a nationwide population-based database in Taiwan, this study compares use of Pap smear testing by nurses and the general population.
We compared 1093 practicing female nurses and 5465 randomly selected female patients from the 2006 National Health Insurance (NHI) database to evaluate the likelihood of receiving at least one Pap smear during a three-year period.
We found that 48.9% of the nurses and 56.2% of comparison subjects received a Pap test from 2004 to 2006 in Taiwan. Regression analysis showed that practicing female nurses were less likely to receive a Pap smear compared with the general population (OR=0.42, 95% CI=0.35-0.50, p<0.001), after adjusting for monthly incomes, number of ob/gyn ambulatory care visits, urbanization level and the geographic location of the communities where subjects resided.
Nurses were less likely to undergo cervical screening than the general population, despite ease of access and a national health insurance system providing universal coverage to residents of Taiwan. Efforts to raise the Pap screening rate among nurses may require addressing unique cultural and occupational concerns.
本研究利用台湾全国性的人口基础数据库，比较了护士和一般人群巴氏涂片检测的使用情况。
我们比较了 2006 年国家健康保险（NHI）数据库中 1093 名执业女性护士和 5465 名随机选择的女性患者，以评估她们在三年内至少接受一次巴氏涂片检查的可能性。
我们发现，在台湾，48.9%的护士和 56.2%的对照组在 2004 年至 2006 年期间接受了巴氏涂片检查。回归分析显示，与一般人群相比，执业女性护士接受巴氏涂片检查的可能性较低（OR=0.42，95%CI=0.35-0.50，p<0.001），调整了月收入、妇产科门诊就诊次数、城市化水平和居住社区的地理位置等因素后。
尽管台湾的国家健康保险制度为居民提供了全民覆盖，但护士接受宫颈癌筛查的可能性低于一般人群，可能需要解决独特的文化和职业问题，以提高护士的巴氏涂片筛查率。
