Department of Family and Community Medicine, 8785University of California, San Francisco, CA, USA.
Beijing Office for Cancer Prevention and Control, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), 12519Peking University Cancer Hospital & Institute, Beijing, China.
Cancer Control. 2021 Jan-Dec;28:1073274820985792. doi: 10.1177/1073274820985792.
Uptake of cervical cancer screening services in Chinese migrant workers is unknown and may be lower than non-migrant workers in China.
We conducted a cross-sectional study among migrant and non-migrant women aged 21-65 at 7 provinces across China and administered a questionnaire investigating knowledge and attitudes regarding cervical cancer, human papillomavirus (HPV), and HPV vaccine. We used multivariable logistic regression to evaluate odds of previous cervical cancer screening in migrant workers.
737 women participated in the study. Mean age was 41.9 ± 7.2 years. 50.2% of the participants were migrant workers. 27.6% of the migrant workers reported previous cervical cancer screening compared to 33.2% of local participants. 36.6% migrant workers reported awareness of HPV compared to 40.2% of local participants. In adjusted analysis migrant status was not associated with increased odds of previous cervical cancer screening (aOR = 1.11 95%CI: 0.76-1.60). High school or higher education compared to less than high school education and employer-sponsored insurance compared to uninsured were associated with increased odds of previous cervical cancer screening (aOR = 2.15 95%CI: 1.41-3.27 and aOR = 1.67 95% CI: 1.14-2.45, respectively). Having heard of HPV compared to no awareness of HPV was associated with increased odds of cervical cancer screening (aOR = 2.02 95%CI: 1.41-2.91). Awareness of HPV among migrant workers was associated with increased odds of cervical cancer screening compared to migrant and local participants without awareness (aOR = 2.82 95% CI: 1.70-4.69 and 2.97 95%CI: 1.51-5.83, respectively).
Efforts to increase education opportunities, provide insurance, and promote HPV awareness could increase cervical cancer screening uptake in migrant women in China.
中国流动人口宫颈癌筛查服务的利用率尚不清楚，可能低于非流动人口。
我们在中国 7 个省份的 21-65 岁的流动人口和非流动人口妇女中进行了一项横断面研究，并对宫颈癌、人乳头瘤病毒（HPV）和 HPV 疫苗相关知识和态度进行问卷调查。我们使用多变量逻辑回归来评估流动人口以前接受宫颈癌筛查的几率。
737 名女性参与了研究。平均年龄为 41.9±7.2 岁。50.2%的参与者是流动人口。27.6%的流动人口报告了以前接受过宫颈癌筛查，而当地参与者为 33.2%。36.6%的流动人口报告了对 HPV 的认识，而当地参与者为 40.2%。调整分析后，流动人口身份与增加以前接受宫颈癌筛查的几率无关（调整比值比[aOR]=1.11，95%置信区间[CI]：0.76-1.60）。与未接受过高中或以下教育相比，接受过高中或以上教育和雇主赞助保险与增加以前接受宫颈癌筛查的几率有关（aOR=2.15，95%CI：1.41-3.27 和 aOR=1.67，95%CI：1.14-2.45）。与不知道 HPV 相比，听说过 HPV 与增加宫颈癌筛查的几率有关（aOR=2.02，95%CI：1.41-2.91）。与不知道 HPV 的流动人口相比，知道 HPV 的流动人口与增加宫颈癌筛查的几率有关（aOR=2.82，95%CI：1.70-4.69 和 aOR=2.97，95%CI：1.51-5.83）。
增加教育机会、提供保险和促进 HPV 意识的努力可能会增加中国流动人口妇女的宫颈癌筛查率。
