湖北省天门市某院宫颈癌筛查阳性人群召回情况分析

Analysis of the situation of women with cervical cancer screening positive returned to Tianmen city hospital of Hubei province

目的:调查宫颈癌筛查阳性人群召回情况及可能影响因素。方法:2016年6月～2017年1月本院行宫颈脱落细胞(TCT)检查的3500名女性临床资料,对TCT筛查阳性者建议召回进一步检查与治疗,分析影响召回的因素。结果:共筛查了3500例女性,TCT阳性276例(7. 9%);阳性者召回180例,召回率65.2%;单因素分析显示召回组与未召回组在年龄、家庭年收入、文化水平、生活地区、TCT筛查后健康教育、职业、婚姻情况等均具有差异(P<0.05),而有无子女、合并妇科疾病等两组未见差异(P>0.05);多因素分析显示,年龄>50岁(OR=1.074,95%CI 1.001～1.152)、家庭年收入<19999元(OR=0.633,95%CI 0.449～0.892)、初中及以下文化水平(文盲:OR=0.417,95%CI 0.230～0.757、小学及初中:OR=0.638,95%CI 0.455～0.895)、居住地农村(OR=2.324,95%CI 1.566～3.448)、未婚/离异/丧偶(OR=2.832,95%CI 1.744～4.598)均是TCT筛查阳性者召回失败的独立影响因素。结论:本院宫颈癌筛查阳性人群召回情况不容乐观,年龄较大、家庭年收入低、居住农村、文化水平低下以及未婚均可能影响TCT筛查阳性者召回进一步检查与治疗,应引起关注。

Objective: To investigate the situation of women with cervical cancer screening positive returned to hospital, and to analyze its influencing factors. Methods: The data of 3500 women who experienced thinprep cytologic test(TCT) from June 2016 to 2017 January were analyzed. And among them, the women with positive TCT were required to return to hospital for further examination and treatment. The univariate analysis and logistic regression analysis were used to study the influencing factor for women returned to hospital. Results: The rate of TCT positive was 7.9%(276 women with positive TCT). And among these women with TCT positive, 180(65.2%) women returned to hospital. The univariate analysis showed that there were significant different between the women with different age, family income, education level, living area, health education after TCT screening, occupation, or marital status(P<0.05), but no difference was found between the women with or without child, or whether suffered from gynecological diseases(P>0.05). Multivariate analysis showed that the age over 50 years old(OR=1.074,95%CI=1.001-1.152), annual family income less than 19,999 yuan(OR=0.633,95%CI=0.449-0.892), educational level below junior high school(illiteracy, OR=0.417,95%CI=0.230-0.757;below junior high school, OR=0.638, 95%CI=0.455-0.895), unmarried/divorced/widowed(OR=2.832, %95 CI: 1.213-14.062),the residence in rural areas(OR=2.324, 95%CI: 1.083-9.354) were independent factors for women returned to hospital. Conclusion: The rate of women with TCT positive is low. The older age, low family income, low living level, low education level and unmarried maybe the influence factors of women returning to hospital for further treatment.