中国现代医生2025，Vol.63Issue(12)：5-9,5.DOI:10.3969/j.issn.1673-9701.2025.12.002
山西省武乡县宫颈癌筛查随访不足研究
Study on underscreening among cervical cancer in Wuxiang County,Shanxi Province
摘要
Abstract
Objective To analyze the prevalence and risk factors of underscreening among cervical cancer screening participants in Wuxiang County,Shanxi Province in 2019,providing evidence-based support for optimizing mobilization strategies.Methods Data from cervical cancer screening programs conducted between 2019 and 2024 in Wuxiang County were retrospectively collected.The follow-up screening behaviors of women screened in 2019 were analyzed,and factors associated with underscreening were identified.Results A total of 3759 women underwent cervical cancer screening in 2019.Among them,492 women(13.09％)with abnormal primary screening results requiring follow-up in 12 months,yet only 43(8.74％)completed;2154 women(57.30％)with negative liquid-based cytology testing(LCT)results needed re-screening after 3 years,701(32.54％)completed;1113 women(29.61％)with negative HPV/combined results needed re-screening after 5 years,734(65.95％)completed.Overall,2299 women(60.69％)exhibited underscreening.Multivariate analysis showed that underscreening was more likely among community residents than rural residents(OR=2.309,P=0.018),older women(OR=1.065,P＜0.001),those in organized screening compared to opportunistic screening(OR=3.789,P＜0.001),those undergoing LCT(OR=4.607,P＜0.001)or combined screening instead of human papillomavirus testing(OR=3.624,P＜0.001),and those with abnormal screening results(OR=6.859,P＜0.001).Conclusion Substantial proportions of cervical cancer screening participants demonstrate poor adherence to guideline-recommended screening intervals,and particularly need to focus on older women and those with abnormal screening results.Implementation of electronic screening record systems and emphasizing knowledge of periodical screening in health education could enhance compliance with"70％screening coverage"target for cervical cancer prevention.关键词
宫颈癌/筛查/人乳头瘤病毒/筛查随访不足Key words
Cervical cancer/Screening/Human papillomavirus/Underscreening分类
临床医学引用本文复制引用
王慧珂,朱奕潼,石晓频,张钹,韩锦秀,赵丽红,魏兰芬,丁晗玥,乔友林..山西省武乡县宫颈癌筛查随访不足研究[J].中国现代医生,2025,63(12):5-9,5.基金项目
中央高水平医院临床科研专项项目(2022-PUMCH-D-003) （2022-PUMCH-D-003）
