Arrossi Silvina
Consejo Nacional de Investigaciones Científicas yTécnicas/Centro de Estudios de Estado y Sociedad. Buenos Aires,Argentina.
Salud Publica Mex. 2019 Ene-Feb;61(1):86-94. doi: 10.21149/9257.
To assess the impact of HPV testing on longstanding problems faced by screening programs in Latin America, using the case of the Jujuy Demonstration Project (JDP) in Argentina.
. The study measured the level of impact produced by the introduction of HPV-testing on problems faced by cytology programs by analyzing modifications on specific problems produced during the JDP. Impact was classified as direct/indirect, and positive/negative.
Direct/positive impact was found in issues concerning age and screening frequency,cytology laboratories and screening sensitivity, and low coverage. Direct/negative impact was mainly related to the adherence to triage cytology by HPV+ women with self-collected-tests, and the delivery and labelling of samples. Indirect impact of HPV-Test was mostly positive, and related to the programmatic reorganization which was facilitated by the introduction of HPV testing.
HPV testing provides an opportunity window for improving primary screening, but does not solve programmatic problems.
以阿根廷胡胡伊示范项目（JDP）为例，评估人乳头瘤病毒（HPV）检测对拉丁美洲筛查项目长期面临问题的影响。
该研究通过分析JDP期间特定问题的变化，衡量引入HPV检测对细胞学项目所面临问题产生的影响程度。影响分为直接/间接、积极/消极。
在年龄和筛查频率、细胞学实验室和筛查敏感性以及低覆盖率等问题上发现了直接/积极影响。直接/消极影响主要与HPV阳性女性自行采集检测样本后对分流细胞学的依从性以及样本的运送和标记有关。HPV检测的间接影响大多是积极的，且与因引入HPV检测而促成的项目重组有关。
HPV检测为改善初级筛查提供了一个机会窗口，但并不能解决项目问题。
