Catarino Rosa R, Vassilakos Pierre P, Royannez-Drevard Isabelle I, Guillot Cécile C, Alzuphar Stéphanie S, Fehlmann Aurore A, Meyer-Hamme Ulrike U, Petignat Patrick P
1Division of Gynaecology, Department of Gynaecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland, and 2Geneva Foundation for Medical Education and Research, Geneva, Switzerland.
J Low Genit Tract Dis. 2016 Apr;20(2):135-8. doi: 10.1097/LGT.0000000000000173.
Cervical screening is only efficient if a large part of eligible women participate. Our aim was to identify sociodemographic barriers to cervical screening and consider self-reported reasons to postpone screening.
Between September 2011 and June 2015, a questionnaire addressing reasons for nonparticipation in cervical screening was completed by 556 women who had not undergone a Pap test in the preceding 3 years. Pearson χ test was used to analyze differences between subgroups. Logistic regression was used to explore the association between sociodemographic characteristics and reasons for nonparticipation.
The main reasons for nonparticipation in cervical cancer screening were practical barriers, such as lack of time and the cost of screening. These barriers were more likely to be reported by working women, women who were not sexually active, and those without health insurance. Younger women, non-European women living in Switzerland, and childless women were more likely to have never participated in a screening program before (adjusted odds ratio [aOR], 3.15; 95% CI, 1.41-6.98; aOR, 2.76; 95% CI, 1.48-5.16; aOR, 1.74; 95% CI, 1.03-2.99, respectively).
Practical considerations seem to play a more important role in screening participation than emotional reasons and other beliefs. Particular attention should be paid to immigrant communities, where women seem more likely to skip cervical screening.
只有大部分符合条件的女性参与，宫颈筛查才会有效。我们的目的是确定宫颈筛查的社会人口学障碍，并考虑自我报告的推迟筛查的原因。
在2011年9月至2015年6月期间，556名在过去3年中未进行巴氏试验的女性完成了一份关于不参与宫颈筛查原因的问卷。采用Pearson χ检验分析亚组间差异。采用逻辑回归分析社会人口学特征与不参与原因之间的关联。
不参与宫颈癌筛查的主要原因是实际障碍，如时间不足和筛查费用。职业女性、无性活跃的女性以及没有医疗保险的女性更有可能报告这些障碍。年轻女性、居住在瑞士的非欧洲女性以及无子女的女性以前更有可能从未参加过筛查项目（调整后的优势比[aOR]分别为3.15；95%可信区间[CI]，1.41 - 6.98；aOR，2.76；95%CI，1.48 - 5.16；aOR，1.74；95%CI，1.03 - 2.99）。
实际考虑因素在筛查参与中似乎比情感原因和其他信念发挥更重要的作用。应特别关注移民社区，那里的女性似乎更有可能跳过宫颈筛查。
