Zodzika Jana, Krumina Krista, Jermakova Irina, Kojalo Una, Plisko Olga, Santare Daiga, Rezeberga Dace, Lazdane Gunta
Department of Obstetrics and Gynaecology, Riga Stradins University, Riga, Latvia.
Department of Gynaecology, Riga East University Hospital, Riga, Latvia.
Eur J Contracept Reprod Health Care. 2021 Feb;26(1):23-28. doi: 10.1080/13625187.2020.1824269. Epub 2020 Oct 30.
The aims of the study were to find out why some post-reproductive aged women did not participate in the organised cervical cancer screening programme in Latvia and to clarify factors that would motivate them to take part.
A cross-sectional study was carried out between January and July 2017 among female patients in three general practitioner (GP) practices. GP practice nurses used the Latvian national health service database to identify women aged 25-70 who had not participated in the organised programme for the last 3 years. Participants were asked to complete a specially developed questionnaire. The results were then compared between three age groups: 25-34, 35-49 and 50-70 years.
Included in the study were 523 out of 992 women who had not attended screening; 41% were in the age group 50-70 years. Post-reproductive aged women statistically significantly more often did not take part in the programme because of lack of time (26.4%), too great a distance to the gynaecology screening clinic (10.4%), lengthy appointment waiting time (8.5%) and a belief that a smear test was unnecessary for them (8.5%); 32.1% of women in this age group indicated that if the cervical screen could be carried out by their GP it would facilitate their participation in the programme.
Post-reproductive aged women in Latvia often do not attend cervical cancer screening. Analysis of personal and organisational barriers confirmed that the involvement of GPs would encourage older women to participate in the organised screening programme.
本研究旨在找出拉脱维亚一些绝经后老年女性未参加有组织的宫颈癌筛查项目的原因，并明确促使她们参与的因素。
2017年1月至7月间，在三家全科医生诊所对女性患者开展了一项横断面研究。全科医生诊所的护士利用拉脱维亚国家医疗服务数据库，确定过去3年未参加该有组织项目的25至70岁女性。参与者被要求填写一份专门设计的问卷。然后对三个年龄组（25至34岁、35至49岁和50至70岁）的结果进行比较。
992名未参加筛查的女性中有523名纳入研究；41%在50至70岁年龄组。绝经后老年女性未参加该项目在统计学上更常见的原因是：缺乏时间（26.4%）、到妇科筛查诊所的距离太远（10.4%）、预约等待时间过长（8.5%）以及认为涂片检查对她们来说不必要（8.5%）；该年龄组32.1%的女性表示，如果宫颈癌筛查能由她们的全科医生进行，将有助于她们参与该项目。
拉脱维亚绝经后老年女性经常不参加宫颈癌筛查。对个人和组织障碍的分析证实，全科医生的参与将鼓励老年女性参与有组织的筛查项目。
