Kritpetcharat Onanong, Wutichouy Wiwat, Sirijaichingkul Suchat, Kritpetcharat Panutas
Department of Pathology, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.
Asian Pac J Cancer Prev. 2012;13(11):5501-4. doi: 10.7314/apjcp.2012.13.11.5501.
Cervical cancer is an important woman's health problems worldwide, especially in low socio-economic countries. The aim of this study was to compare the Pap smear screening results between Akha hill tribe and urban women who live in Chiang Rai province, Thailand. Screening was conducted for 1,100 Akha women and 1,100 urban women who came to have the Pap smear at Chiangrai Prachanukroh Hospital and 1 private cytology laboratory from January to June 2008. The demographic characteristics and factors related to abnormal Pap smears of these women were gathered using closed model questionnaires. Abnormal Rap smears were defined according to the Bethesda 2001 system. The results showed that the prevalence of abnormal Pap smears was 12.2% in Akha women and 4.5% in urban women. The highest prevalence of Pap abnormalities was found in the 41-50 years age group in both populations (4.5% in Akha and 1.7% in urban women). In both populations, abnormal Pap smears were found in <21 years age groups. From the questionnaires, the possible risk factors related to the higher prevalence of abnormal Pap smears in Akha women were early age at marriage (≤17 years), high frequency pregnacies and high parity and no/low education level. In conclusion, cervical cancer control by education and early detection by Pap smear screening is necessary for hill tribe women. More Pap smear screening service units should be set to improve the coverage for the risk group women who got married in young age, especial in ethnic groups.
宫颈癌是全球重要的女性健康问题，在社会经济水平较低的国家尤为突出。本研究旨在比较泰国清莱府阿卡山地部落女性与城市女性的巴氏涂片筛查结果。2008年1月至6月，对1100名到清莱普拉查努克罗医院和1家私立细胞学实验室进行巴氏涂片检查的阿卡女性和1100名城市女性进行了筛查。使用封闭式问卷收集这些女性的人口统计学特征以及与巴氏涂片异常相关的因素。异常巴氏涂片根据2001年贝塞斯达系统进行定义。结果显示，阿卡女性巴氏涂片异常患病率为12.2%，城市女性为4.5%。在两个群体中，41 - 50岁年龄组的巴氏涂片异常患病率最高（阿卡女性为4.5%，城市女性为1.7%）。在两个群体中，<21岁年龄组也发现了异常巴氏涂片。从问卷中可知，阿卡女性巴氏涂片异常患病率较高的可能危险因素包括早婚（≤17岁）、高频率怀孕和多产以及未接受教育/低教育水平。总之，对于山地部落女性而言，通过教育控制宫颈癌以及通过巴氏涂片筛查进行早期检测是必要的。应设立更多的巴氏涂片筛查服务单位，以提高对年轻结婚的高危群体女性，尤其是少数民族女性的筛查覆盖率。
