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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Lower utilization of cervical cancer screening by nurses in Taiwan: a nationwide population-based study.
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Lower utilization of cervical cancer screening by nurses in Taiwan: a nationwide population-based study.

机译：台湾护士对子宫颈癌筛查的利用率较低：一项基于人口的全国性研究。

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OBJECTIVE: Using a nationwide population-based database in Taiwan, this study compares use of Pap smear testing by nurses and the general population. METHOD: We compared 1093 practicing female nurses and 5465 randomly selected female patients from the 2006 National Health Insurance (NHI) database to evaluate the likelihood of receiving at least one Pap smear during a three-year period. RESULTS: We found that 48.9% of the nurses and 56.2% of comparison subjects received a Pap test from 2004 to 2006 in Taiwan. Regression analysis showed that practicing female nurses were less likely to receive a Pap smear compared with the general population (OR=0.42, 95% CI=0.35-0.50, p<0.001), after adjusting for monthly incomes, number of ob/gyn ambulatory care visits, urbanization level and the geographic location of the communities where subjects resided. CONCLUSION: Nurses were less likely to undergo cervical screening than the general population, despite ease of access and a national health insurance system providing universal coverage to residents of Taiwan. Efforts to raise the Pap screening rate among nurses may require addressing unique cultural and occupational concerns.
机译：目的：使用台湾全国人口数据库，比较护士和普通人群对子宫颈抹片检查的使用情况。方法：我们比较了2006年美国国家健康保险（NHI）数据库中的1093名执业女护士和5465名随机选择的女患者，以评估在三年期间接受至少一次子宫颈抹片检查的可能性。结果：我们发现2004年至2006年台湾有48.9％的护士和56.2％的比较对象接受了巴氏试验。回归分析显示，在调整了月收入，妇产科/妇产科门诊人数之后，从业女性护士比一般人群接受子宫颈抹片检查的可能性较小（OR = 0.42，95％CI = 0.35-0.50，p <0.001）。护理访问，城市化水平以及受试者所居住社区的地理位置。结论：尽管容易获得，并且拥有为台湾居民提供全民医疗保险的国民健康保险体系，但与一般人群相比，护士接受宫颈普查的可能性较小。努力提高护士的子宫颈抹片检查率可能需要解决独特的文化和职业问题。

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