Vincent A L, Greene J N, Hoercherl S, McTague D
Department of Internal Medicine, College of Medicine, Health Sciences Center, University of South Florida, USA.
J Fla Med Assoc. 1997 Jun-Jul;84(5):302-7.
In the South, especially Appalachia, the incidence of invasive cervical cancer has remained high relative to the rest of the United States. Populous Florida now stands third among states by incidence and fifth from last in Pap screening. During the 1994 survey, 2,059 Florida women chosen as a multi-stage cluster sample were interviewed concerning their use of screening Pap smears. Never-participation in screening percentages were significantly higher in Hispanic women (14.7%), those sharing household incomes of less than $10,000 (13.2%), and women limited to a high school education (10.7%), but not among respondents older than 64 years of age (8.7%). Despite continued annual physician contact by most, yearly Pap smears fell to only 57.0% among women aged 55-64 years. It is important that physicians target these women and use any appropriate clinical contact to educate them about risk factors for cervical cancer while encouraging regular, continued use of this life-saving test.
在南方，尤其是阿巴拉契亚地区，浸润性宫颈癌的发病率相对于美国其他地区一直居高不下。人口众多的佛罗里达州现在在发病率方面位居各州第三，在巴氏涂片筛查方面则排名倒数第五。在1994年的调查中，选取了2059名佛罗里达女性作为多阶段整群样本，就她们使用巴氏涂片筛查的情况进行了访谈。从未参与筛查的比例在西班牙裔女性（14.7%）、家庭收入低于1万美元的女性（13.2%）以及受教育程度仅为高中的女性（10.7%）中显著更高，但在64岁以上的受访者中并非如此（8.7%）。尽管大多数女性每年都与医生有接触，但在55至64岁的女性中，每年进行巴氏涂片检查的比例仅降至57.0%。医生针对这些女性并利用任何适当的临床接触来向她们传授宫颈癌的风险因素，同时鼓励她们定期持续使用这种救命检查，这一点很重要。
