Matsuura Yusuke, Yoshioka Makoto, Nakata Akinori, Haraga Miki, Hachisuga Toru, Mori Koji
Department of Nursing of Human Broad Development, School of Health Sciences, University of Occupational and Environmental Health, Japan.
Department of Human, Information and Life Sciences, School of Health Sciences, University of Occupational and Environmental Health, Japan.
J UOEH. 2019;41(3):327-333. doi: 10.7888/juoeh.41.327.
The consultation rate for uterine cervical cancer screening in Japan is markedly low in comparison with other developed countries. The purpose of this study is to investigate the trends in uterine cervical cancer screening during regular company checkups and to identify potential problems. Questionnaires were sent to occupational health physicians through Sansuiken (Alumni Association of the University of Occupational and Environmental Health, Japan). Overall, 127 valid responses showed that Papanicolaou (Pap) tests are conducted in 100 companies (79%). The detailed information from 50 of the 100 responses was analyzed. Mandatory cervical cancer screenings are performed at just 6 companies (12%). Pap test are started at 30 years of age at 9 of 49 companies, and only 18 of 49 companies (37%) start Pap tests for employees at 20 years old. Of the 86,695 women, 31,294 (36%) received cervical cancer screening. Abnormal Pap test results were detected in 3.0%. Although cervical cancer screening rates have slightly increased compared to our previous studies (17% in 2004, 23% in 2008), it remains at a low level. Complete examinations with colposcopy and punch biopsy were carried out in 70% (61 of 87 women) of those with an abnormal Pap test. Twelve of 26 companies had no information about detailed examination results. It is important to note that cervical cancer incidence and mortality are increasing among young women in Japan. Occupational physicians and health nurses should manage female health education and care at the workplace, by including uterine cervical cancer screening in the growing female working population.
与其他发达国家相比，日本子宫颈癌筛查的咨询率明显较低。本研究的目的是调查定期公司体检期间子宫颈癌筛查的趋势，并找出潜在问题。通过三穗会（日本职业与环境卫生大学校友会）向职业健康医生发放了问卷。总体而言，127份有效回复表明，100家公司（79%）进行了巴氏涂片检查。对100份回复中的50份详细信息进行了分析。只有6家公司（12%）进行强制性宫颈癌筛查。在49家公司中的9家，巴氏涂片检查从30岁开始，在49家公司中只有18家（37%）在员工20岁时开始进行巴氏涂片检查。在86,695名女性中，31,294名（36%）接受了宫颈癌筛查。巴氏涂片检查结果异常的检出率为3.0%。尽管与我们之前的研究相比（2004年为17%，2008年为23%），宫颈癌筛查率略有上升，但仍处于较低水平。对巴氏涂片检查结果异常的女性，70%（87名中的61名）进行了阴道镜检查和活检的全面检查。26家公司中有12家没有详细检查结果的信息。需要注意的是，日本年轻女性中的宫颈癌发病率和死亡率正在上升。职业医生和健康护士应在工作场所管理女性健康教育和护理，将子宫颈癌筛查纳入不断增加的职业女性群体中。
