Virtanen Anni, Nieminen Pekka, Malila Nea, Luostarinen Tapio, Anttila Ahti
HYKS, naistentautien klinikka.
Duodecim. 2013;129(16):1709-17.
Participation rate in the national cervical cancer screening programme is currently less than 70% in Finland. A new potential method of increasing the attendance are self-taken samples for hrHPV-testing.
All cervical cancer screening non-attendees in 22 municipalities received first a reminder letter. Non-attendees after the reminder letter were offered a self-sampling device.
Reminder letters increased total participation from 72.6% to 79.9%, and self-sampling tests further to 83.4%. If reminder letters were sent with fixed appointments, participation was significantly higher (30 vs. 14%).
If self-sampling is used after the recommended two invitations, overall screening attendance could reach the desired 80% to 85%.
目前芬兰全国宫颈癌筛查项目的参与率低于70%。一种新的提高参与率的潜在方法是自行采集样本进行高危型人乳头瘤病毒（hrHPV）检测。
22个市镇所有未参加宫颈癌筛查的人首先收到一封提醒信。收到提醒信后仍未参加的人可获得一个自行采样装置。
提醒信使总参与率从72.6%提高到79.9%，自行采样检测进一步将参与率提高到83.4%。如果提醒信随固定预约发送，参与率显著更高（30%对14%）。
如果在推荐的两次邀请后使用自行采样，总体筛查参与率可达到理想的80%至85%。
