London L
Food Workers' Medical Benefit Fund, Ray Alexander Clinic, Paarl, CP.
S Afr Med J. 1993 Mar;83(3):172-6.
Despite the high incidence of cancer of the uterine cervix among black South African women, many do not have access to cytological screening services. Data describing Papanicolaou smear coverage and factors related to coverage are presented from 9 surveys of rural women workers in the food canning and processing industry in the Cape. Adequacy of Pap smear coverage was assessed according to whether the respondent had ever previously had a Pap smear, or had had one in the 3 years preceding the survey. From the 3 surveys with the greatest generalisability, only 49-65% of workers reported adequate Pap smear coverage. Knowledge about Pap smears was lacking. At the same time, of those women with adequate coverage, many appeared to be receiving unnecessary routine Pap smears. It appears that the policy which makes the availability of Pap smears dependent upon acceptance of contraceptive services is responsible for both the lack of Pap smear coverage and the over-provision of smears in this group of women. An urgent review of state Pap smear policy is required and a coherent community-based educational programme to facilitate the prevention of cervical cancer should be implemented as soon as possible.
尽管南非黑人女性宫颈癌发病率很高，但许多人无法获得细胞学筛查服务。本文展示了对开普敦食品罐头和加工业农村女工进行的9次调查中有关巴氏涂片覆盖率及与覆盖率相关因素的数据。根据受访者是否曾做过巴氏涂片检查，或在调查前3年内是否做过，来评估巴氏涂片覆盖率是否充足。在具有最大普遍性的3次调查中，只有49% - 65%的工人报告巴氏涂片覆盖率充足。她们缺乏关于巴氏涂片检查的知识。与此同时，在那些覆盖率充足的女性中，许多人似乎在接受不必要的常规巴氏涂片检查。似乎那种将巴氏涂片检查的可获得性取决于是否接受避孕服务的政策，是导致这组女性巴氏涂片覆盖率低以及涂片检查过度提供的原因。迫切需要对国家巴氏涂片政策进行审查，并应尽快实施一项基于社区的连贯教育计划，以促进宫颈癌的预防。
