Directorate of Force Health ProTection - Canadian Forces Health Services Group, Department of National Defence, 101 Colonel By Drive, Ottawa, ON, K1A 0K2, Canada.
Directorate of Force Health ProTection - Canadian Forces Health Services Group, Department of National Defence, 101 Colonel By Drive, Ottawa, ON, K1A 0K2, Canada; Faculty of Health Sciences, University of Ottawa, Montpetit Hall, 125 University, room 232, Ottawa, ON, K1N 6N5, Canada.
Cancer Epidemiol. 2020 Apr;65:101670. doi: 10.1016/j.canep.2020.101670. Epub 2020 Feb 10.
Military women are faced with unique circumstances, including frequent relocation and occupational factors that may influence their participation in routine cervical cancer screening. No data on programmatic participation in cervical cancer screening in Canadian Armed Forces women has been synthesized to date.
To estimate cervical cancer screening rates in Canadian military women using clinical and administrative data sources.
Actively serving Regular Force females who were >25 years of age between January 1st 2015 and December 31st 2017 were included in the study. Scanned documents containing Papanicolaou (Pap) test results were extracted from electronic health records and further linked to demographic data sources. Screening coverage rates were calculated over the three-year study period, and results were stratified by both military command and rank.
The study period yielded over 23,000 person-years of data. The average screening rate over this period was 77.7 %, and was highest in the 45-60 year age group. Variations in rates were observed by rank and command, with higher screening rates observed in Officers and Royal Canadian Navy staff. Overall, screening rates showed a declining trend for all groups across the study period.
Cervical cancer screening rates amongst CAF members are currently below recommended guidelines and appear to be declining. These trends mirror those observed more widely in the general Canadian population, and may be a consequence of recent changes to guidelines for both cervical cancer and human papillomavirus (HPV) screening.
女性军人面临着独特的情况，包括频繁的搬迁和职业因素，这些因素可能影响她们参与常规宫颈癌筛查。迄今为止，尚未综合加拿大武装部队女性参与宫颈癌筛查的项目数据。
使用临床和行政数据源估算加拿大军事女性的宫颈癌筛查率。
研究纳入了 2015 年 1 月 1 日至 2017 年 12 月 31 日期间年龄大于 25 岁的现役正规部队女性。从电子健康记录中提取包含巴氏涂片（Pap）检测结果的扫描文件，并进一步与人口统计数据源相关联。在三年的研究期间计算了筛查覆盖率，并按军种和军衔进行分层。
研究期间产生了超过 23000 人年的数据。在此期间，平均筛查率为 77.7%，在 45-60 岁年龄组最高。按军衔和军种划分，筛查率存在差异，军官和加拿大皇家海军人员的筛查率较高。总体而言，所有群体的筛查率在整个研究期间呈下降趋势。
加拿大武装部队成员的宫颈癌筛查率目前低于建议的指南，且呈下降趋势。这些趋势与加拿大普通人群中观察到的趋势相似，可能是宫颈癌和人乳头瘤病毒（HPV）筛查指南最近变化的结果。
