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Primary Study on Providing a Basic System for Uterine Cervical Screening in a Developing Country: Analysis of Acceptability of Self-sampling in Lao PDR

  • Yoshida, Tomomi (Department of Laboratory Sciences, Graduate School of Health Sciences, Gunma University) ;
  • Nishijima, Yoshimi (Department of Laboratory Sciences, Graduate School of Health Sciences, Gunma University) ;
  • Hando, Kiyomi (The Non-Government Organization, International Support and Partnership for Health (ISAPH)) ;
  • Vilayvong, Soulideth (Department of Pathology, Faculty of Medicine, University of Health Sciences Lao PDR) ;
  • Arounlangsy, Petsamone (Department of Pathology, Faculty of Medicine, University of Health Sciences Lao PDR) ;
  • Fukuda, Toshio (Department of Laboratory Sciences, Graduate School of Health Sciences, Gunma University)
  • 발행 : 2013.05.30

초록

Background: Most developing countries have been unable to implement well-organized health care systems, especially comprehensive Pap smear screening-based programs. One of the reasons for this is regional differences in medical services, and a low-cost portable cervical screening system is necessary. To improve regional discrepancies in cervical screening systems, we investigated the usefulness and acceptability of cervical selfsampling by liquid-based cytology (LBC) for 290 volunteers in the Lao PDR. Materials and Methods: Following health education with comprehensive documents, cervical self-sampling kits by LBC were distributed in three provincial, district, and village areas to a total of 290 volunteers, who were asked to take cytology samples by themselves. Subsequently, the acceptability of self-sampling was evaluated using a questionnaire. Results: The documents were well understood in all three regions. Regarding the acceptability of self-sampling, the selections for subsequent screening were 62% self-sampling, 36% gynecologist-sampling, 1% either method, and 1% other methods. The acceptability rates were higher in the district and the village than in the province. For the relationship between acceptability and pregnancy, the self-sampling selection rate was higher in the pregnancy-experienced group (75%) than in the pregnancy-inexperienced group (60%). For the relationship between selection of self-sampling and experience of screening, the self-sampling selection rate was higher in the screening-inexperienced group (62%) than in the screening-experienced group (52%). Conclusions: Our data show that this new way forward, involving a combination of self-sampling and LBC, is highly acceptable regardless of age, educational background, and residence in rural areas in a developing country.

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참고문헌

  1. Aral SO, Soskoline V, Joesoef RM, O'Reilly KR (1991). Sex partner recruitment as risk factor for STD: clustering of risky modes. Sex Transm Dis, 18, 10-7. https://doi.org/10.1097/00007435-199101000-00003
  2. Breen N, Wagener DK, Brown ML, Davis WW, Ballard-Barbash R (2001). Progress in cancer screening over a decade: results of cancer screening from the 1987, 1992 and 1998 National Health Interview Surveys. J Natl Cancer Inst, 93, 1704-13. https://doi.org/10.1093/jnci/93.22.1704
  3. Casey MM, Call KT, Klingner JM (2001). Are rural residents less likely to obtain recommended preventive healthcare services? Am J Prev Med, 21, 182-8. https://doi.org/10.1016/S0749-3797(01)00349-X
  4. Chavez LR, Hubbell FA, Mishra SI, Valdez RB (1997). The influence of fatalism on self-reported use of Papanicolaou smear. Am J Prev Med, 13, 418-24.
  5. Christopherson WM, Lundin FE, Mendez WM, Parker JE (1976). Cervical cancer control: a study of morbidity and mortality trends over a twenty-one-year period. Cancer, 38, 1357-66. https://doi.org/10.1002/1097-0142(197609)38:3<1357::AID-CNCR2820380340>3.0.CO;2-A
  6. Fahs MC, Plichta SB, Mandelblatt JS (1996). Cost-effective policies for cervical cancer screening: an international review. Pharmacoeconomics, 3, 211-30.
  7. Goldie SJ, Gaffkin L, Goldhaber-Fiebert JD, et al (2005). Cost effectiveness of cervical-cancer screening in five developing countries. N Engl J Med, 353, 2158-68. https://doi.org/10.1056/NEJMsa044278
  8. GLOBOCAN Cancer Fact sheet: Cervical Cancer Incidence and Mortality Worldwide in 2008. "Interagency for Research on Cancer" (2008), http://globocan.iarc.fr/factsheets/cancers/cervix.asp.
  9. Guidry JJ, Aday LA, Zhang D, Winn RJ (1997). Transportation as a barrier to cancer treatment. Cancer Pract, 5, 361-6.
  10. Harris R, Leininger L (1993). Preventive care in rural primary care practice. Cancer, 72, 1113-8. https://doi.org/10.1002/1097-0142(19930801)72:3+<1113::AID-CNCR2820721328>3.0.CO;2-A
  11. Hart LG, Salsberg E, Phillips DM, Lishner DM (2003). Rural health care providers in the United States. J Rural Hlth, 18, 211-32.
  12. Hawkins R, Curtiss C (1997). Cancer resources for providers in the rural community. Cancer Pract, 5, 383-6.
  13. Hsieh YH, Howell MR, Gaydos JC, et al (2003). Preference among female Army recruits for use of self-administrated vaginal swabs or urine to screen for Chlamydia trachomatis genital infections. Sex Transm Dis, 30, 769-73. https://doi.org/10.1097/01.OLQ.0000079048.11771.46
  14. United Nations Development Programme (2013). Human Development Report; Explanatory note on 2013 HDR composite indices: Lao People's Democratic Republic (2013). http://hdrstats.undp.org/en/countries/profiles/lao.html
  15. Kim K, Riger RD, Patric JR, et al (1978). The changing trends of uterine cancer and cytology: a study of morbidity and mortality trends over a twenty year period. Cancer, 42, 2439-49. https://doi.org/10.1002/1097-0142(197811)42:5<2439::AID-CNCR2820420546>3.0.CO;2-D
  16. Lantz PM, Weigers ME, House JS (1997). Education and income differentials in breast and cervical cancer screening. Policy implications for rural women. Med Care, 35, 219-36. https://doi.org/10.1097/00005650-199703000-00004
  17. Lazcano-Ponce EC, Moss S, Alonso de Ruiz P, Salmeron CJ, Hernandez AM (1999). Cervical cancer screening in developing countries: why is it ineffective? The case of Mexico. Arch Med Res, 30, 240-50. https://doi.org/10.1016/S0188-0128(99)00006-8
  18. Lua NT, Chinh ND, Hue NT, et al (2011). Survey-based cancer mortality in the Lao PDR, 2007-08. Asian Pac J Cancer Prev, 12, 2495-8.
  19. Moore MA, Attasara P, Khuhaprema T, et al (2008). Cancer epidemiology in mainland South-East Asia - past, present and future. Asian Pac J Cancer Prev, 9, 67-80.
  20. Moscovice IS (1989). Rural hospitals: a literature synthesis and health services research agenda. Hlth Serv Res, 23, 892-930.
  21. Nabandith N, Pholsena V, Mounthisone P, et al (2012). First trial of cervical cytology in healthy women of urban Laos using by self-sampling instrument. Asian Pac J Cancer Prev, 13, 4665-7. https://doi.org/10.7314/APJCP.2012.13.9.4665
  22. Nandini NM, Nandish SM, Pallavi P, et al (2012). Manual liquid based cytology in primary screening for cervical cancer--a cost effective preposition for scarce resource settings. Asian Pac J Cancer Prev, 13, 3645-51. https://doi.org/10.7314/APJCP.2012.13.8.3645
  23. Papillo JL, Zarcka MA, St John TL (1998). Evaluation of the ThinPrep Pap test in clinical practice: a seven-month, 16,314-case experience in northern Vermont. Acta Cytol, 42, 203-8. https://doi.org/10.1159/000331547
  24. Ramsbottom-Lucier M, Emmett K, Rich EC, Wilson JF (1996). Hills, ridges, mountains, and roads: geographical factors and access to care in rural Kentucky. J Rural Hlth, 12, 386-94. https://doi.org/10.1111/j.1748-0361.1996.tb00806.x
  25. Richardson E, Sellors JW, Mackinnon S, et al (2003). Prevalence of Chlamydia trachomatis infections and specimen collection preference among women, using self-collected vaginal swabs in community setting. Sex Transm Dis, 30, 880-5. https://doi.org/10.1097/01.OLQ.0000091142.68884.2A
  26. Ries LAG, Kosary CL, Hankey BF, Edwards BK (1999). Cancer Statistic Review, 1973-1996. National Cancer Institute, Bethesda.
  27. Sanchaisuriya P, Pengsaa P, Sriamporn S, et al (2004). Experience with a self-administered device for cervical cancer screening by Thai women with different educational backgrounds. Asian Pac J Cancer Prev, 5, 144-50.
  28. Sawyer JA, Earp J, Fletcher RH, Daye FF, Wynn TM (1990). Pap tests of rural black women. J Gen Intern Med, 5, 115-9. https://doi.org/10.1007/BF02600510
  29. Settakorn J, Rangdaeng S, Preechapornkul N, et al (2008). Interobserver reproducibility with $LiquiPrep^{TM}$ liquid-based cervical cytology screening in a developing country. Asian Pac J Cancer Prev, 9, 92-6.
  30. Sherwani RK, Khan T, Aktar K, et al (2007). Conventional pap smear and liquid based cytology for cervical cancer screening - a comparative study. J Cytol, 24, 167-72. https://doi.org/10.4103/0970-9371.41888
  31. Stearns SC, Slifkin RT, Edin HM (2000). Access to care for rural Medicare beneficiaries. J Rural Hlth, 16, 31-42. https://doi.org/10.1111/j.1748-0361.2000.tb00434.x
  32. Suwannarurk K, Bhamarapravatana K, Kheolamai P, et al (2010). Can self vaginal douching for high risk HPV screening replace or assist efficacy of cervical cancer screening? Asian Pac J Cancer Prev, 11, 1397-401.
  33. Swaddiwudhipong W, Chaovakiraripong C, Nguntra P, et al (1995). Effect of mobile unit on changes in knowledge and use of cervical cancer screening among rural Thai women. Int J Epidemiol, 24, 493-8. https://doi.org/10.1093/ije/24.3.493
  34. Wiesenfeld HC, Lowry DL, Heine RP, et al (2001). Selfcollection of vaginal swabs for the detection of Chlamydia, gonorrhea, and trichomoniasis: opportunity to encourage sexually transmitted disease testing among adolescents. Sex Transm Dis, 28, 321-5. https://doi.org/10.1097/00007435-200106000-00003
  35. World Health Organization (1986). Control of cancer of the cervix uteri. A WHO meeting. Bull World Hlth Organ, 64, 607-18.
  36. Yabroff KR, Lawrence WF, King JC, et al (2005). Geographic disparities in cervical cancer mortality: what are the roles of risk factor prevalence, screening and use of recommended treatment? J Rural Hlth, 21, 149-57. https://doi.org/10.1111/j.1748-0361.2005.tb00075.x

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