Division of Nursing, KK Women's and Children's Hospital, Singapore.
Ann Acad Med Singap. 2021 Feb;50(2):135-140. doi: 10.47102/annals-acadmedsg.2020293.
Globally, cervical cancer is the fourth most common cancer in women, with about 85% occurring in low-middle income countries (LMIC) and an age-standardised incidence rate of more than 15 per 100,000. It is largely preventable through HPV vaccination and cervical cancer screening. In Singapore, 18% of the foreign domestic workforce hail from Indonesia, the Philippines, Myanmar, and India. However, there is no data on preinvasive cervical disease and cervical cancer in foreign domestic workers (FDWs) and the aim of this pilot programme is to determine the baseline screen positive rate of high-grade intraepithelial in this population.
A total of 322 FDWs were offered HPV screening through the Helping Our Helper (HOH) pilot programme. Data from this pilot programme were analysed and reported using simple descriptive statistics.
Out of the 322 FDWs who registered for HPV screening, 68.6% participated. There was a 22.2% screen-positive rate; 10% of those who screened positive for high-risk HPV had histologically confirmed high-grade cervical intraepithelial neoplasia. This result is similar to other data on cervical cancer screening in Singaporeans. This pilot project screened less than 1% of the eligible FDWs in Singapore.
The findings of this pilot programme suggest that there is public health value in providing cervical cancer screening to FDWs. Improving cervical cancer screening by increasing awareness and including routine cervical cancer screening as part of the employment medical examination should be studied.
在全球范围内，宫颈癌是女性中第四常见的癌症，约 85%发生在中低收入国家（LMIC），年龄标准化发病率超过每 10 万人 15 例。通过 HPV 疫苗接种和宫颈癌筛查，这种疾病在很大程度上是可以预防的。在新加坡，18%的外籍家庭佣工来自印度尼西亚、菲律宾、缅甸和印度。然而，目前还没有关于外籍家庭佣工（FDW）中宫颈前病变和宫颈癌的数据，本试点项目的目的是确定该人群中高级别上皮内瘤变的基线筛查阳性率。
共有 322 名 FDW 通过“帮助我们的助手（HOH）”试点计划接受 HPV 筛查。对该试点项目的数据进行了分析，并使用简单的描述性统计进行了报告。
在登记接受 HPV 筛查的 322 名 FDW 中，有 68.6%的人参与了筛查。筛查阳性率为 22.2%；22 名筛查出高危型 HPV 阳性的人中，有 10%的人组织学证实为高级别宫颈上皮内瘤变。这一结果与新加坡其他宫颈癌筛查数据相似。本试点项目仅筛查了新加坡符合条件的 FDW 的不到 1%。
该试点项目的结果表明，为 FDW 提供宫颈癌筛查具有公共卫生价值。应研究通过提高认识并将常规宫颈癌筛查纳入就业体检的一部分来提高宫颈癌筛查率。
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