Department of Health Education and Promotion, School of Public Health, International Campus, Tehran University of Medical Sciences, Tehran, Iran.
Department of Public Health, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia.
Eur J Public Health. 2018 Dec 1;28(6):1156-1162. doi: 10.1093/eurpub/cky197.
Cervical cancer screening reduced cancer morbidity and mortality in developed countries. Health education interventions are expected to enhance screening and early detection. Thus, this review is aimed to see the effectiveness of the interventions in cervical cancer screening uptake.
Online databases (PubMed/MEDLINE/PubMed Central, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science and Google Scholar) were searched for all published eligible research articles in the past 12 years (as of January 2005-2017). A total of 17 research articles were included. The interventions were classified as 'individual level', 'community level' and 'cultural sensitive educations' which contains various interventions in their content as compared with usual care. A quality coding system was assessed using Cochrane checklists and rated by each researcher independently and the average score was given accordingly. This study was registered in PROSPERO 2017: CRD42017060405.
The review dovetailed 17 studies. Ten studies (58.82%) were conducted in the United States, three in Iran (17.65%) and one each in Malaysia, China, Cameroon and Nigeria (23.53%). Almost all levels of the interventions boosted the screening uptake and the Pap test. However, the individual level health education interventions were prioritized in many of the studies.
The review indicated that health education interventions have immense contributions in boosting the screening uptake. However, the effectiveness varies with study setting, populations and the way of delivery. Therefore, the limited quality of the studies indicated that further research is required to develop a simple and effective intervention to boost cervical cancer screening uptake.
在发达国家，宫颈癌筛查降低了癌症发病率和死亡率。健康教育干预措施有望提高筛查率和早期发现率。因此，本综述旨在评估这些干预措施对宫颈癌筛查参与度的影响。
在过去 12 年（截至 2005 年 1 月至 2017 年 1 月），我们在线数据库（PubMed/MEDLINE/PubMed Central、EMBASE、Cochrane 对照试验中心注册库、Web of Science 和 Google Scholar）中搜索了所有已发表的合格研究文章。共纳入 17 篇研究文章。干预措施分为“个体层面”、“社区层面”和“文化敏感性教育”，与常规护理相比，这些干预措施包含了各种不同的内容。我们使用 Cochrane 清单对质量编码系统进行评估，并由每位研究人员独立评分，然后给出平均分。本研究已在 PROSPERO 2017 注册：CRD42017060405。
本综述共纳入 17 项研究。其中 10 项研究（58.82%）在美国进行，3 项在伊朗（17.65%）进行，1 项在中国、马来西亚、喀麦隆和尼日利亚（23.53%）进行。几乎所有层面的干预措施都提高了筛查参与度和巴氏涂片检查率。然而，在许多研究中，个体层面的健康教育干预措施被优先考虑。
本综述表明，健康教育干预措施在提高筛查参与度方面具有重要作用。然而，其效果因研究背景、人群和实施方式而异。因此，研究质量有限表明，需要进一步研究开发简单有效的干预措施来提高宫颈癌筛查参与度。
