National Cancer Control Institute, National Cancer Center, Goyang, Korea.
J Gynecol Oncol. 2012 Jan;23(1):16-21. doi: 10.3802/jgo.2012.23.1.16. Epub 2012 Jan 9.
The National Cancer Screening Program (NCSP) began in 1999. In this report, we evaluate the results of the NCSP for cervical cancer in 2009 and provide participation rates in an organized cervical cancer screening program in Korea.
Using data obtained from the National Cancer Screening Information System, cervical cancer screening participation rates were calculated. Recall rates, defined as the proportion of abnormal cases among women screened, were also estimated with 95% confidence intervals.
The target population of cervical cancer screening in 2009 included 4,577,200 Korean women aged 30 and over, 1,349,668 of whom underwent the Papanicolaou smear test (29.5% participation rate). Compared with the participation rate of women covered by the National Health Insurance Program (31.3%), the participation rate of women covered by the Medical Aid Program was lower (18.4%). Participation rates also varied in different age groups (the highest of 39.3% in women aged 50 to 59 and the lowest of 14.4% in those aged 70 and older), and different areas (the highest of 34.1% in Busan and the lowest of 21.5% in Chungnam). The overall recall rate for cervical cancer screening was 0.41% (95% confidence interval, 0.40 to 0.42).
According to our study, efforts to facilitate participation and reduce disparities in cervical cancer screening among Korean women are needed.
国家癌症筛查计划（NCSP）始于 1999 年。本报告评估了 2009 年 NCSP 对宫颈癌的结果，并提供了韩国有组织的宫颈癌筛查计划的参与率。
使用从国家癌症筛查信息系统获得的数据，计算了宫颈癌筛查的参与率。还使用 95%置信区间估计了召回率，即筛查妇女中异常病例的比例。
2009 年宫颈癌筛查的目标人群包括 4577200 名年龄在 30 岁及以上的韩国女性，其中 1349668 人接受了巴氏涂片检查（参与率为 29.5%）。与国家健康保险计划覆盖的女性（31.3%）相比，医疗补助计划覆盖的女性参与率较低（18.4%）。不同年龄组（50 至 59 岁女性的参与率最高为 39.3%，70 岁及以上女性的参与率最低为 14.4%）和不同地区（釜山的参与率最高为 34.1%，忠南的参与率最低为 21.5%）的参与率也有所不同。宫颈癌筛查的总召回率为 0.41%（95%置信区间为 0.40%至 0.42%）。
根据我们的研究，需要努力促进韩国女性参与宫颈癌筛查并减少差异。
