Zafer E, Tanrιkulu P, Atakul T, Ömürlü I K, Yüksel H
Eur J Gynaecol Oncol. 2017;38(3):391-397.
Mortality and morbidity rates of cervical, breast, and colorectal cancers (CRC) can be decreased via effective screening strategies. Developing countries are to be expected to establish and implement their own programs.
To evaluate regional awareness and status of cervical, breast, and CRC screening, a questionnaire-based study was conducted in 500 volunteers from a Turkish community hospital.
Awareness rates were 57.4% for Pap smear, 61.2% for mammography, and 25.4% for CRC. Implementation rates were 19.2%, 23.9%, and 12%, respectively. Positive family history for gynecologic cancer and past cervical ablative procedure parameters were related to higher Pap smear rates. Educational level, breast self-exam, and positive Pap smear history parameters were related to higher mammography rates. Factors related to higher colorectal cancer screening rates were nulliparity and positive Pap smear history.
Cancer screening rates for this Turkish city are still below the expected levels despite recently revitalized national screening program. For success, it is essential not only to educate rural populations but also to train negligent healthcare providers regularly.
通过有效的筛查策略可降低宫颈癌、乳腺癌和结直肠癌（CRC）的死亡率和发病率。发展中国家应建立并实施自身的筛查项目。
为评估宫颈癌、乳腺癌和CRC筛查的地区认知度和现状，对一家土耳其社区医院的500名志愿者开展了一项基于问卷调查的研究。
巴氏涂片检查的知晓率为57.4%，乳房X光检查为61.2%，CRC为25.4%。实施率分别为19.2%、23.9%和12%。妇科癌症的阳性家族史和既往宫颈消融手术参数与更高的巴氏涂片检查率相关。教育水平、乳房自我检查和巴氏涂片检查阳性史参数与更高的乳房X光检查率相关。与更高的结直肠癌筛查率相关的因素是未生育和巴氏涂片检查阳性史。
尽管最近国家筛查项目重新启动，但这个土耳其城市的癌症筛查率仍低于预期水平。要取得成功，不仅要对农村人口进行教育，还要定期培训疏忽的医疗服务提供者。
