Results of a cervical cancer screening programme from an area of Barcelona (Spain) with a large immigrant population.

BACKGROUND: To assess the participation rate and results of cytological assessment in the context of cervical cancer screening activities in an area of Barcelona (Spain) with a large immigrant population. METHODS: Descriptive retrospective study of cytologies performed between 2001 and 2006 in women...

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Publicado en:European Journal of Public Health Vol. 19; no. 5; pp. 499 - 504
Autores principales: Casamitjana M, Sala M, Ochoa D, Fusté P, Castells X, Alameda F
Formato: research Journal Article
Publicado: Oxford University Press / USA Oct2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2009
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      pub: Oxford University Press / USA
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        atl: Results of a cervical cancer screening programme from an area of Barcelona (Spain) with a large immigrant population.
      aug:
        au:
          Casamitjana M
          Sala M
          Ochoa D
          Fusté P
          Castells X
          Alameda F
        affil: Health Services Evaluation and Clinical Epidemiology Service, Hospital del Mar-IMIM, Barcelona, Spain
      sug:
        subj:
          Cervix Neoplasms Diagnosis
          Cervix Neoplasms Ethnology
          Health Screening Statistics and Numerical Data
          Immigrants Statistics and Numerical Data
          Adolescence
          Adult
          Female
          Human
          Middle Age
          Patient Attitudes
          Retrospective Design
          Spain
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: BACKGROUND: To assess the participation rate and results of cytological assessment in the context of cervical cancer screening activities in an area of Barcelona (Spain) with a large immigrant population. METHODS: Descriptive retrospective study of cytologies performed between 2001 and 2006 in women >/=14 years of age living in 2 out of 10 districts of Barcelona (n = 129 327) and participating in cervical cancer screening activities within a sexual and reproductive health care programme. RESULTS: Between 2001 and 2006, overall participation among women aged 20- to 64-years old was 50.7%, with higher participation among women aged 20-34 years than among those aged 50-64 years (63.8 and 36.0%, respectively; P < 0.01). The median frequency was 0.5 cytologies/year. The rate of pathological results increased from 11.4 per thousand in 2001 to 29.0 per thousand in 2006 (P < 0.001). This increase was higher among younger women and was mainly due to an increase in the rate of atypical squamous cells of undetermined significance (ASCUS) and low-grade squamous intraepithelial lesions (L-SIL). CONCLUSIONS: These results show a low rate of participation in the public cervical cancer screening programme and an increase in the number of pathological results during the study period. These results provide useful information at a time when significant changes in the prevention of cervical cancer are being planned.
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        Journal Article
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    language: English
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