Shim Seung Hyuk, Kim Hyeongsu, Sohn In Sook, Hwang Han Sung, Kwon Han Sung, Lee Sun Joo, Lee Ji Young, Kim Soo Nyung, Lee Kunsei, Chang Sounghoon
Department of Obstetrics and Gynecology, Konkuk University School of Medicine, Seoul, Korea.
Department of Preventive Medicine, Konkuk University School of Medicine, Seoul, Korea.
J Gynecol Oncol. 2017 Sep;28(5):e63. doi: 10.3802/jgo.2017.28.e63. Epub 2017 May 26.
The rates of participation in the Korean nationwide cervical cancer screening program and the rates of abnormal test results were determined.
The database of the National Health Insurance Service (NHIS) was used during the study period (2009-2014).
The participation rate increased from 41.10% in 2009 to 51.52% in 2014 (annual percentage change, 4.126%; 95% confidence interval [CI]=2.253-6.034). During the study period, women ≥70 years of age had the lowest rate of participation (range, 21.7%-31.9%) and those 30-39 years of age the second-lowest (27.7%-44.9%). The participation rates of National Health Insurance beneficiaries (range, 48.6%-52.5%) were higher than those of Medical Aid Program (MAP) recipients (29.6%-33.2%). The rates of abnormal results were 0.65% in 2009 and 0.52% in 2014, with a decreasing tendency in all age groups except the youngest (30-39 years). Every year the abnormal result rates tended to decrease with age, from the age groups of 30-39 years to 60-69 years but increased in women ≥70 years of age. The ratio of patients with atypical squamous cells of undetermined significance compared with those with squamous intraepithelial lesions increased from 2.71 in 2009 to 4.91 in 2014.
Differences related to age and occurring over time were found in the rates of participation and abnormal results. Further efforts are needed to encourage participation in cervical cancer screening, especially for MAP recipients, elderly women and women 30-39 years of age. Quality control measures for cervical cancer screening programs should be enforced consistently.
确定韩国全国宫颈癌筛查项目的参与率和检查结果异常率。
研究期间（2009 - 2014年）使用了国民健康保险服务（NHIS）的数据库。
参与率从2009年的41.10%增至2014年的51.52%（年百分比变化为4.126%；95%置信区间[CI]=2.253 - 6.034）。研究期间，70岁及以上女性的参与率最低（范围为21.7% - 31.9%），30 - 39岁女性的参与率次之（27.7% - 44.9%）。国民健康保险受益人的参与率（范围为48.6% - 52.5%）高于医疗救助计划（MAP）受助者（29.6% - 33.2%）。2009年异常结果率为0.65%，2014年为0.52%，除最年轻组（30 - 39岁）外，所有年龄组的异常结果率均呈下降趋势。每年异常结果率往往随年龄增长而下降，从30 - 39岁年龄组到60 - 69岁年龄组，但70岁及以上女性的异常结果率有所上升。意义不明确的非典型鳞状细胞患者与鳞状上皮内病变患者的比例从2009年的2.71增至2014年的4.91。
在参与率和异常结果率方面发现了与年龄及时间相关的差异。需要进一步努力鼓励参与宫颈癌筛查，尤其是针对MAP受助者、老年女性和30 - 39岁女性。应持续加强宫颈癌筛查项目的质量控制措施。
