Multiple Center Research on Relationship Between Screening Quality and Detection of Cervical Cancer - Six Provinces, China, June-December 2021.

China CDC Weekly Pub Date : 2023-04-07 DOI:10.46234/ccdcw2023.038

Xiaosong Zhang, Weihong Chen, Xinxin Zhu, Hui Bi, Qingping Zhao, Yunfeng Fu, Lina Zhang, Chunmei Zhang, Ning Huang

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Abstract

What is already known about this topic?: The effective implementation of cervical cancer examination programs requires improved cervical cancer screening coverage and quality.

What is added by this report?: The detection rate of ≥high-grade squamous intraepithelial lesions (HSIL) in 6 hospitals was 19.6%. Not having undergone screening in the last 5 years and abnormal screening results had a negative association with detection of ≥HSIL, and abnormal screening results would increase the risk of detection by 75% compared with normal screening results. Additionally, low-grade, high-grade, and cancer of colposcopic impression were associated with a higher risk for detecting ≥HSIL.

What are the implications for public health practice?: It is essential to disseminate health knowledge about cervical cancer control to women in order to increase their awareness and screening rates. Additionally, it is necessary to further strengthen the training of professional staff to improve the quality of cervical cancer prevention, including screening, colposcopic examination, and follow-up for target female populations.

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宫颈癌筛查质量与发现之间关系的多中心研究 - 中国六省，2021 年 6 月至 12 月。

本专题的已知信息：宫颈癌检查项目的有效实施需要提高宫颈癌筛查的覆盖率和质量：6家医院的≥高级别鳞状上皮内病变（HSIL）检出率为19.6%。过去 5 年未接受筛查和筛查结果异常与≥HSIL 的检出率呈负相关，与正常筛查结果相比，筛查结果异常会使检出风险增加 75%。此外，低级别、高级别和阴道镜印象癌与检出≥HSIL 的较高风险有关。对公共卫生实践有何意义？向妇女宣传宫颈癌防治的健康知识，以提高她们对宫颈癌的认识和筛查率，这一点至关重要。此外，有必要进一步加强对专业人员的培训，以提高宫颈癌预防工作的质量，包括对目标女性人群进行筛查、阴道镜检查和随访。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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China CDC Weekly

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