Bulletin of the Pan American Health Organization最新文献_第2页

Factors associated with Mexican women's familiarity with the purpose of the Pap test. 与墨西哥妇女熟悉巴氏试验目的相关的因素。

Bulletin of the Pan American Health Organization Pub Date : 1996-12-01

P Nájera Aguilar, E C Lazcano Ponce, P A de Ruíz, T Ramírez Sánchez, L Cantoral Uriza, M Hernández Avila

{"title":"Factors associated with Mexican women's familiarity with the purpose of the Pap test.","authors":"P Nájera Aguilar, E C Lazcano Ponce, P A de Ruíz, T Ramírez Sánchez, L Cantoral Uriza, M Hernández Avila","doi":"","DOIUrl":"","url":null,"abstract":"Use of health services is usually associated with a variety of factors, including the socioeconomic characteristics of the users, their familiarity with the usefulness of the services provided, and the acceptability and accessibility of those services. To study the factors associated with women's familiarity with the Pap test, a population-based study was carried out in Mexico City and two rural areas in the state of Oaxaca by means of household interviews. The sample consisted of 4208 women 15 to 49 years of age. Univariate, bivariate, and multivariate analyses were done using unconditional logistic regression; the independent variables were access to social security health services, age, education, housing quality, and place of residence (urban or rural); the dependent variable was the interview subject's familiarity with the purpose of the Pap test. The results were expressed as odds ratios with 95% confidence intervals. It was found that 41.5% of the women surveyed did not know the purpose of the Pap test, and that within this latter group, 97% had never had one. Factors found to be associated with not knowing the test's purpose were lack of access to the social security health services (OR = 1.9; 95% CI: 1.5-2.3); illiteracy (OR = 36.1; 95% CI: 17.9-72.7); and low socioeconomic level (OR = 2.9; 95% CI: 2.3-3.7). Also, rural dwellers had less familiarity with the Pap test than urban dwellers (OR = 0.5; 95% CI: 0.4-0.7). These results highlight the need to develop strategies for making the benefits of the Pap test known, bearing in mind the socioeconomic and cultural diversity of the populations involved.","PeriodicalId":75654,"journal":{"name":"Bulletin of the Pan American Health Organization","volume":"30 4","pages":"348-53"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19999974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Program for the control of cervical cancer in Peru. 秘鲁控制子宫颈癌方案。

Bulletin of the Pan American Health Organization Pub Date : 1996-12-01

引用次数: 0

Comparison of the cervical cytology test using the PAPNET method and conventional microscopy. PAPNET法与常规镜检宫颈细胞学检查的比较。

Bulletin of the Pan American Health Organization Pub Date : 1996-12-01

D Weissbrod, M Torres, A Rodríguez, I Ureña, J Estrada, M E Reyes, A J Carreto

{"title":"Comparison of the cervical cytology test using the PAPNET method and conventional microscopy.","authors":"D Weissbrod, M Torres, A Rodríguez, I Ureña, J Estrada, M E Reyes, A J Carreto","doi":"","DOIUrl":"","url":null,"abstract":"From August 1994 to June 1995, laboratories in 28 Mexican states and the Federal District submitted a total of 10098 diagnosed Pap test slides to Mexico's National Institute of Epidemiologic Diagnosis and Reference (INDRE) for reexamination by conventional methods and also by the automated PAPNET system in Suffern, New York, U.S.A. The aim was to determine the degree of agreement obtained by these various methods. Most of the slides examined (at least 78%) yielded negative results or merely indicated an inflammatory process; 8% to 14% indicated mild or moderate cervical dysplasia; and 2% to 3% indicated conditions ranging from severe dysplasia to invasive cervical cancer. Comparison of the state laboratory and INDRE diagnoses yielded a Kappa correlation coefficient of 0.62, near the lower limit of agreement, the agreement being poorest in cases where it was necessary to distinguish between degrees of abnormality. Although state laboratory underestimation appeared lowest with respect to cases of atypia and of mild, moderate, and severe dysplasia (between 12% and 20%), these percentages are alarming because it is at these stages that the patient may be treated to prevent evolution to carcinoma. While the Kappa correlation coefficient was better (0.80) when the INDRE and PAPNET diagnoses were compared, PAPNET showed only limited ability to distinguish between various pathologic alterations, and the percentages of underestimates (false negatives) obtained with PAPNET were also high. Overall, the results indicate a need to improve the quality of cervical cytology diagnoses at state public health laboratories in Mexico through stepped-up training and supervision. They also indicate that the use of PAPNET involves greater difficulty than does manual microscopic examination of cervical smears, and that a way still needs to be found to detect and review the false negative results generated by PAPNET before approving use of this technology.","PeriodicalId":75654,"journal":{"name":"Bulletin of the Pan American Health Organization","volume":"30 4","pages":"339-47"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19999973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Introduction to the special issue: timely detection of cervical cancer. 特刊简介:及时发现子宫颈癌。

Bulletin of the Pan American Health Organization Pub Date : 1996-12-01

S C Robles

引用次数: 0

Community promotion and dissemination of programs to prevent cervical cancer. 在社区推广及传播预防子宫颈癌的计划。

Bulletin of the Pan American Health Organization Pub Date : 1996-12-01

X Castañeda Camey, P Nájera Aguilar, E C Lazcano Ponce

引用次数: 0

Use of the Pap test by a population group in Buenos Aires. 布宜诺斯艾利斯某人群使用巴氏试验的情况。

Bulletin of the Pan American Health Organization Pub Date : 1996-12-01

E Klimovsky, E Matos

{"title":"Use of the Pap test by a population group in Buenos Aires.","authors":"E Klimovsky, E Matos","doi":"","DOIUrl":"","url":null,"abstract":"The study reported here sought to assess Pap test coverage of a group of asymptomatic Argentine women from the poor urban district of La Matanza in the Buenos Aires metropolitan area Initially, all 2495 women who voluntarily enrolled in a program for early detection of breast cancer between January 1991 and June 1993 were included. After removing those who did not meet various study criteria, there remained 779 study subjects with no gynecologic or mammary symptomatology. Two subgroups of these 779 were established-women who had received a Pap test at any time and those who had received such a test within the previous three years. Using these subgroups, the influence of certain sociodemographic and other variables upon the likelihood of Pap testing was assessed. The results indicated significant associations between past Pap testing and age, formal education, parity, and a family history of cancer Likewise, significant associations were found between Pap testing within the preceding three years and age, formal education, and parity. The study findings affirm the idea that it would be advisable to seek Pap testing for all study population women once every three years instead of every year. Since the study population was not necessarily representative of Buenos Aires population, however, and the findings could have been affected by self-selection and other biases, additional studies are needed to determine actual Pap test coverage among women of the metropolitan area.","PeriodicalId":75654,"journal":{"name":"Bulletin of the Pan American Health Organization","volume":"30 4","pages":"313-21"},"PeriodicalIF":0.0,"publicationDate":"1996-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19999970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The causal link between HPV and cervical cancer and its implications for prevention of cervical cancer. HPV与宫颈癌之间的因果关系及其对预防宫颈癌的意义。

Bulletin of the Pan American Health Organization Pub Date : 1996-12-01

N Muñoz, F X Bosch

引用次数: 0

Workshop on screening for cancer of the uterine cervix in Central America. 中美洲子宫颈癌筛检讲习班。

Bulletin of the Pan American Health Organization Pub Date : 1996-12-01

A B Miller, S C Robles

引用次数: 0

Screening for cervical cancer in Brazil. 巴西的子宫颈癌筛查。

Bulletin of the Pan American Health Organization Pub Date : 1996-12-01

P Naud, M Busetti, E Becker, A Camozzato, R Siegler, J Cavagnoli, E Machado, G Bender Lima, A R Timm