Faculty of Medicine, The Hashemite University, Zarqa, Jordan.
Faculty of Medicine, Al Balqa Applied University, Al Salt, Jordan.
J Obstet Gynaecol. 2020 May;40(4):564-568. doi: 10.1080/01443615.2019.1635097. Epub 2019 Sep 3.
The objective of this study was to report the current Jordanian rate of cervical smear test uptake, and study changes in women's attitude to the smear test since the last published report in 2002. A prospective cross-sectional study of Jordanian women who at the time of the study were living in Jordan. The study period was from December 1 2018 to December 31 2018. Six hundred and twelve women were recruited, and the mean age was 36 years. Thirty-eight percent of the women in the study said they had had a smear test before. Of those who had ever had a test, 88% did so as a routine test. Of women who had never had a smear test, 61% said they had heard about the test, 50% of them did not give a 'logical' reason for not having a test. While the current rate is less than in 2002, more women recognised the test as being important. While the rate of cervical smear test uptake in Jordan remained low (38%), it is better than the rate in 2002 of 25.5%. Severe deficiencies in the knowledge of the test exist. Implementing a national cervical screening programme supported by media-led health education and promotion is likely to increase the test uptake and reduce incidence of cervical cancer.Impact statement The incidence of cervical cancer (CC) in high income countries has reduced through the implementation of cervical screening programmes, with subsequent early detection and treatment of precancerous lesions. Globally, 85% of the CC burden is in low income countries. Furthermore, the implementation of screening programmes has not been successful due to limited resources and a lack of infrastructure. The rates of cervical screening test uptake vary widely among different countries. Jordan's smear test uptake was 25% in 2002. The rate of cervical smear test uptake in Jordan has remained low (38%) compared to the rates in the developed countries. In addition, 12% of the cervical smears in our study were opportunistic. Our study recognised deficiencies in relation to public awareness of the importance and the details of the test. In clinical practice and in the absence of national screening programme, health care workers are encouraged to perform more opportunistic smears. This study provides education on the test. Researchers may consider investigating the barriers to cervical screening and therefore increase cervical screening uptake.
本研究旨在报告目前约旦的宫颈涂片检查接受率，并研究自 2002 年上一次发表报告以来，女性对涂片检查的态度变化。这是一项针对当时居住在约旦的约旦女性的前瞻性横断面研究。研究期间为 2018 年 12 月 1 日至 2018 年 12 月 31 日。共招募了 612 名女性，平均年龄为 36 岁。研究中有 38%的女性表示之前曾做过涂片检查。在曾做过检查的女性中，88%是作为常规检查做的。在从未做过涂片检查的女性中，61%表示听说过该检查，其中 50%未给出未做检查的“合理”原因。虽然目前的比例低于 2002 年，但更多的女性认为该检查很重要。虽然约旦的宫颈涂片检查接受率仍较低（38%），但优于 2002 年的 25.5%。对该检查的认识仍存在严重不足。实施由媒体主导的健康教育和宣传支持的国家宫颈筛查计划可能会增加检查率，降低宫颈癌的发病率。
在高收入国家，通过实施宫颈筛查计划，宫颈癌（CC）的发病率已降低，随后对癌前病变进行了早期发现和治疗。全球 85%的 CC 负担在低收入国家。此外，由于资源有限和基础设施缺乏，筛查计划的实施并不成功。不同国家的宫颈筛查检查接受率差异很大。2002 年，约旦的涂片检查接受率为 25%。与发达国家相比，约旦的宫颈涂片检查接受率一直较低（38%）。此外，我们的研究中有 12%的宫颈涂片是机会性的。我们的研究认识到公众对该检查的重要性和细节的认识存在不足。在临床实践中，在没有国家筛查计划的情况下，鼓励医护人员进行更多的机会性涂片检查。本研究提供了有关该检查的教育。研究人员可能会考虑调查宫颈癌筛查的障碍，从而提高宫颈癌筛查的接受率。
