Döbrőssy Lajos, Kovács Attila, Budai András
Országos Tisztifőorvosi Hivatal Budapest, Gyáli út 2-6., 1097.
Orv Hetil. 2015 Jun 14;156(24):955-63. doi: 10.1556/650.2015.30162.
Theoretically, the cytology-based cervical screening is capable of early detection of precancerous epithelial lesions of cervix uteri and its cancer, and of early referral to treatment. In this way, screening can inmprove the quality of life of the patients and reduce mortality from the target disease. Unfortunately, this often remains unexploited, because there might be inequalities on both "supply" and "demand" side of screening. In addition to the geopolitical situation of a country, inequalities might result from differences in the health care systems, and heavy access to the screening services. On the other hand, the socioeconomic status, the health-conciousness of the target population, and their knowledge and information of the benefits and potential harms of screening examination might have a bearing on the acceptance or refusal of the offered screening. Efforts need to be made to increase the uptake of cervical screening programmes.
从理论上讲，基于细胞学的宫颈癌筛查能够早期发现子宫颈上皮癌前病变及其癌症，并能早期转诊进行治疗。通过这种方式，筛查可以提高患者的生活质量，并降低目标疾病的死亡率。不幸的是，这一潜力往往未得到充分发挥，因为在筛查的“供应”和“需求”方面可能都存在不平等现象。除了一个国家的地缘政治情况外，不平等还可能源于医疗保健系统的差异以及获得筛查服务的机会严重不均。另一方面，社会经济地位、目标人群的健康意识以及他们对筛查检查的益处和潜在危害的了解和信息，可能会影响他们对所提供筛查的接受或拒绝。需要做出努力以提高宫颈癌筛查项目的参与率。
