Dickinson J A, Leeder S R, Sanson-Fisher R W
Faculty of Medicine, University of Newcastle, NSW.
Med J Aust. 1988 Feb 1;148(3):128-31. doi: 10.5694/j.1326-5377.1988.tb112772.x.
Eight hundred and thirty-eight women who attended 36 general practitioners were asked when they had last undergone a cervical smear-test. Only 6% of women who were between 25 and 54 years of age had never undergone a smear-test, but in women who were younger and older than this age range the proportion was one-third. We estimated from this pattern of use of cervical smear-tests that only 60% of invasive cervical cancer is being prevented, and the major contribution to the remaining risk factors comes from women of over 55 years of age who either have not undergone a smear-test or had undergone one a long time previously. This information suggests that general practitioners and the public-health system should be more active in ensuring that all at-risk women undergo cervical smear-tests.
对前往36位全科医生处就诊的838名女性进行了询问，了解她们上次进行宫颈涂片检查的时间。年龄在25至54岁之间的女性中，只有6%从未进行过涂片检查，但在这个年龄范围之外的年轻女性和年长女性中，这一比例为三分之一。根据这种宫颈涂片检查的使用模式，我们估计只有60%的浸润性宫颈癌得到了预防，其余风险因素的主要来源是55岁以上未进行过涂片检查或很久以前进行过一次涂片检查的女性。这些信息表明，全科医生和公共卫生系统应更加积极地确保所有高危女性接受宫颈涂片检查。
