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首页> 外文期刊>Journal of women’s health >A comparison of cervical cancer screening rates among women with traumatic spinal cord injury and the general population.
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A comparison of cervical cancer screening rates among women with traumatic spinal cord injury and the general population.

机译:创伤性脊髓损伤妇女与普通人群宫颈癌筛查率的比较。

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BACKGROUND: Previous qualitative and survey studies have suggested women with spinal cord injury (SCI) are screened less often for cervical cancer compared with the general population. We investigated whether cervical cancer screening rates differ between population-based women with and without traumatic SCI, matched for age and geography. METHODS: A double cohort design was used, comparing women with SCI to the general population (1:4) using administrative data for Ontario, Canada. Women with SCI, identified using the Discharge Abstract Database for the fiscal years 1995-1996 to 2001-2002, were female residents of Ontario between the ages of 25 and 66, admitted to an acute care facility with a traumatic SCI (ICD-9 CM code 806 or 952). Women in the general Ontario population were randomly matched by age and geography. Screening rates were calculated from fee codes related to Papanicolaou (Pap) smear tests for a 3-year period preinjury and postinjury. RESULTS: There were 339 women with SCI matched to 1506 women in the general Ontario population. Screening rates pre-SCI were 55% for women with SCI and 57% during this same time period for matched women in the general population; post-SCI rates were 58% for both the two groups. Factors predicting the likelihood of receiving a Pap test for SCI cases included younger age and higher socioeconomic status. CONCLUSIONS: Utilization data suggest that there are no significant differences in screening rates for women with SCI compared with the general population. However, screening rates for women with SCI were significantly influenced by age as well as income.
机译:背景:先前的定性和调查研究表明,与普通人群相比,患有脊髓损伤(SCI)的女性筛查宫颈癌的频率更低。我们调查了是否有外伤性SCI的人群女性宫颈癌筛查率是否存在差异,并与年龄和地理位置相匹配。方法:采用双队列设计,使用加拿大安大略省的行政数据,将患有SCI的女性与普通人群(1:4)进行比较。 1995-1996财政年度至2001-2002财政年度使用出院摘要数据库确定的SCI妇女是安大略省的女性居民,年龄在25至66岁之间,被送进了遭受SCI创伤的急性护理机构(ICD-9 CM代码806或952)。安大略省一般人口中的妇女按年龄和地理位置随机匹配。筛查率是根据与Papanicolaou(Pap)涂片检查相关的费用代码计算的,该检查适用于受伤前和受伤后3年。结果:安大略省总人口中有339名SCI妇女与1506名妇女相匹配。患有脊髓损伤的女性在脊髓损伤前的筛查率为55%,而同期普通人群中的相匹配妇女的筛查率为57%;两组的SCI后发生率均为58%。预测接受SCI病例巴氏试验的可能性的因素包括年龄较小和社会经济地位较高。结论:利用数据表明,与普通人群相比,SCI女性的筛查率没有显着差异。但是,患有SCI的女性的筛查率受年龄和收入的影响很大。

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