50岁之后的宫颈癌筛查：近乎绝迹？

Cervical cancer screening after 50: near extinction?

作者信息

Abdullah Nik N, Daud Suzanna, Al-Kubaisy Waqar, Saari Izni S, Saad Siti R

机构信息

Population Health & Preventive Medicine, Faculty of Medicine, Universiti Teknologi MARA (UiTM), 47000 Selangor, Malaysia.

Obstetrics & Gynaecology Discipline, Faculty of Medicine, Universiti Teknologi MARA (UiTM), Selangor, Malaysia.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2016 Nov;206:136-140. doi: 10.1016/j.ejogrb.2016.09.011. Epub 2016 Sep 21.

DOI:10.1016/j.ejogrb.2016.09.011

PMID:27693934

Abstract

OBJECTIVES

The objectives of this study were to determine the prevalence and predictors of Pap smear screening among women aged 50 years and older.

STUDY DESIGN

This cross-sectional study was conducted at two large urban health centres in Selangor. A total of 515 women aged 50 and older were recruited.

RESULTS

The mean age of the respondents was 58.83±7.05, with a range of 50- 83 years. The prevalence of Pap smear screening was 39.22% (n=202). From the multivariate analysis, Pap smear screening was significantly associated with health care provider advice (adjusted odds ratio (AOR)=18.75; 95% CI=8.30, 42.37); tertiary (AOR=11.26; 95% CI=1.50, 84.68) and secondary education level (AOR=9.47; 95% CI=1.43, 62.84); use of contraception (AOR=2.90; 95% CI=1.48, 5.69); heart disease (AOR=0.22; 95% CI=0.05, 0.97); and worry about Pap smear results (AOR=0.20; 95% CI=0.09, 0.42).

CONCLUSION

The prevalence of Pap smear screening in the older women is unsatisfactory. Health care provider advice, education level, use of contraception, heart disease and worry about Pap smear results were predictors of undergoing Pap smear screening in this study population.

摘要

目的

本研究的目的是确定50岁及以上女性巴氏涂片筛查的患病率及预测因素。

研究设计

这项横断面研究在雪兰莪州的两个大型城市健康中心进行。共招募了515名50岁及以上的女性。

结果

受访者的平均年龄为58.83±7.05岁，年龄范围为50至83岁。巴氏涂片筛查的患病率为39.22%（n = 202）。多因素分析显示，巴氏涂片筛查与医疗保健提供者的建议显著相关（调整优势比[AOR]=18.75；95%置信区间[CI]=8.30，42.37）；高等教育（AOR=11.26；95% CI=1.50，84.68）和中等教育水平（AOR=9.47；95% CI=1.43，62.84）；使用避孕药具（AOR=2.90；95% CI=1.48，5.69）；心脏病（AOR=0.22；95% CI=0.05，0.97）；以及对巴氏涂片结果的担忧（AOR=0.20；95% CI=0.09，0.42）。