A mobile unit : an effective service for cervical cancer screening among rural Thai women.
Background We carried out a systematic screening programme using a mobile unit with the purpose of increasing use of Papanicolaou (Pap) smear screening among rural Thai women.
The mobile unit campaign was carried out initially between January and February 1993 and then in 1996 in all the 54 rural villages in Mae Sot District, Tak Province, northern Thailand.
Methods To evaluate the effect of the programme on changes in knowledge and use of screening, we compared the results of three interview surveys of women, 18-65 years old, in villages selected by systematic sampling for each survey ; first in 1991 (before the operation of the programme), secondly in 1994 (one year after the first screening campaign), and last in 1997 (one year after the second campaign).
This report also compares data on Pap smears taken by the mobile unit with other existing screening services in the study area.
Results A total of 1603,1369, and 1576 women respectively, participated in each survey.
The proportion of women reported knowing of the Pap smear test increased from 20.8% in 1991 to 57.3% in 1994 and to 75.5% in 1997.
The proportion of women who had ever had a Pap smear increased from 19.9% in 1991 to 58.1% in 1994 and to 70.1% by 1997.
Screening by the mobile unit accounted for 85.2% of all cervical intraepithelial neoplasia (CIN) III and all invasive cancers identified among the Pap smears taken by screening services in the area between 1992 and 1996. (...)
Mots-clés Pascal : Tumeur maligne, Col utérus, Frottis cervical, Unité mobile, Service santé, Dépistage, Programme sanitaire, Evaluation, Homme, Femelle, Prévention, Thaïlande, Asie, Appareil génital femelle pathologie, Col utérus pathologie
Mots-clés Pascal anglais : Malignant tumor, Uterine cervix, Cervical smear, Mobile unit, Health service, Medical screening, Sanitary program, Evaluation, Human, Female, Prevention, Thailand, Asia, Female genital diseases, Uterine cervix diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0148106
Code Inist : 002B20C02. Création : 16/11/1999.