与塞尔维亚女性宫颈癌筛查相关的人口统计学和社会经济学因素。

Demographic and socioeconomic factors associated with cervical cancer screening among women in Serbia.

机构信息

Department of the High School of Health, Academy of Applied Studies Belgrade, Belgrade, Serbia.

Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia.

出版信息

Front Public Health. 2024 Jan 5;11:1275354. doi: 10.3389/fpubh.2023.1275354. eCollection 2023.

DOI:10.3389/fpubh.2023.1275354

PMID:38249409

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10796456/

Abstract

OBJECTIVES

Effective reduction of cervical cancer incidence and mortality requires strategic measures encompassing the implementation of a cost-effective screening technology. Serbia has made significant strides, introducing organized cervical cancer screening in 2012. However, various impediments to screening implementation persist. The aim of the study was to estimate the socioeconomic factors associated with cervical cancer screening among women in Serbia.

METHODS

Data from 2019 National Health Survey of the population of Serbia were used in this study. The study is cross sectional survey on a representative sample of the population of Serbia. Present total number of participants analyzed in survey 6,747.

RESULTS

In Serbia, 67.2% of women have done a Pap test at any time during their lives, of which 46.1% of women have undergone cervical cancer screening in the past 3 years. About a quarter of women have never undergone a Pap test in their life (24.3%). The probability of never having a Pap test have: the youngest age group (15-24 years) is 1.3 times more likely than the oldest age group (OR = 1.31), unmarried women 0.3 times more often than married women (OR = 0.37), respondents with basic education 0.9 times more often than married women (OR = 0.98), the women of lower socioeconomic status 0.5 times more often than respondents of high socioeconomic status (OR = 0.56).

CONCLUSION

Enhancement of the existing CCS would be the appropriate public health approach to decrease the incidence and mortality of cervical cancer in the Republic of Serbia.

摘要

目的

有效降低宫颈癌发病率和死亡率需要采取包括实施具有成本效益的筛查技术在内的战略措施。塞尔维亚已经取得了重大进展，于 2012 年推出了有组织的宫颈癌筛查。然而，筛查实施仍存在各种障碍。本研究旨在评估与塞尔维亚女性宫颈癌筛查相关的社会经济因素。

方法

本研究使用了 2019 年塞尔维亚全国健康调查的人口数据。该研究是对塞尔维亚人口的代表性样本进行的横断面调查。目前，调查中分析的总人数为 6747 人。

结果

在塞尔维亚，67.2%的女性在其一生中的任何时候都做过巴氏涂片检查，其中 46.1%的女性在过去 3 年内进行了宫颈癌筛查。大约四分之一的女性一生中从未做过巴氏涂片检查（24.3%）。从未做过巴氏涂片检查的女性概率为：年龄最小的组（15-24 岁）比年龄最大的组（OR=1.31）更有可能 1.3 倍，未婚女性比已婚女性更有可能 0.3 倍（OR=0.37），接受基础教育的受访者比已婚女性更有可能 0.9 倍（OR=0.98），社会经济地位较低的女性比社会经济地位较高的受访者更有可能 0.5 倍（OR=0.56）。