Bao H L, Wang L H, Wang L M, Fang L W, Zhang M, Zhao Z P, Cong S
Division of Cancer Prevention and Control, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Feb 10;39(2):208-212. doi: 10.3760/cma.j.issn.0254-6450.2018.02.014.
To estimate the cervical and breast cancer screening coverage and related factors among women aged 35-69 years who were in the National Cervical and Breast Screening Program, to provide evidence for improving cervical and breast cancer control and prevention strategy. Data used in this study were abstracted from the 2013 Chinese Chronic Diseases and Risk Factors Surveillance Program. A total of 66 130 women aged 35-64 years and 72 511 women aged 35-69 years were included for this study. Weighted prevalence, (with 95% confidence interval, ) was calculated for complex sampling design. Rao-Scott (2) method was used to compare the screening coverage among subgroups. A random intercept equation which involved the logit-link function, was fitted under the following five levels: provincial, county, township, village and individual. Fix effects of all explanatory variables were converted into with 95%. In 2013, 26.7% (95%: 24.6%-28.9%) of the 35-64 year-old women reported that they ever had been screened for cervical cancer and 22.5% (95% : 20.4%-24.6%) of the 35-69 year-olds had ever undergone breast cancer screening. Lower coverage was observed among women residing in rural and central or western China than those in urban or eastern China (<0.000 1). The coverage among women aged 50 years or older was substantially lower than those aged 35-49 years. Those who were with low education level, unemployed, low household income and not covered by insurance, appeared fewer number on this cervical or breast cancer screening program (<0.000 1). Women living in rural and western China were having less chance of receiving the breast cancer screening (<0.05), but the difference was not statistically significant. It is essential to strengthen the community-based cervical and breast cancer screening programs, in order to increase the coverage. More attention should be paid to women aged 50 years or older, especially those socioeconomically disadvantaged ones.
为评估参加国家宫颈癌和乳腺癌筛查项目的35 - 69岁女性的宫颈癌和乳腺癌筛查覆盖率及相关因素，为改进宫颈癌和乳腺癌防控策略提供依据。本研究使用的数据摘自2013年中国慢性病与危险因素监测项目。本研究共纳入66130名35 - 64岁女性和72511名35 - 69岁女性。针对复杂抽样设计计算加权患病率（及其95%置信区间）。采用Rao - Scott（2）法比较各亚组的筛查覆盖率。在省级、县级、乡级、村级和个体五个层面拟合了一个涉及logit链接函数的随机截距方程。所有解释变量的固定效应转换为95%的[此处原文似乎不完整]。2013年，35 - 64岁女性中有26.7%（95%：24.6% - 28.9%）报告曾接受宫颈癌筛查，35 - 69岁女性中有22.5%（95%：20.4% - 24.6%）曾接受乳腺癌筛查。居住在农村以及中国中部或西部的女性筛查覆盖率低于城市或东部女性（<0.0001）。50岁及以上女性的筛查覆盖率显著低于35 - 49岁女性。教育程度低、失业、家庭收入低且未参保的女性参加宫颈癌或乳腺癌筛查项目的人数较少（<0.0001）。居住在农村和西部的女性接受乳腺癌筛查的机会较少（<0.05），但差异无统计学意义。必须加强基于社区的宫颈癌和乳腺癌筛查项目，以提高覆盖率。应更多关注50岁及以上女性，尤其是那些社会经济地位不利的女性。
