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学科主题: 临床医学
题名:
The development and evaluation of a community based model for cervical cancer screening based on self-sampling
作者: Belinson, Jerome L.1,4; Wang, Guixiang2; Qu, Xinfeng1; Du, Hui2; Shen, Jingjing2; Xu, Jiajia3; Zhong, LiQun5; Yi, Ji3; Yi, Xin3; Wu, Ruifang2
关键词: Community based model ; Cervical cancer ; Cancer prevention ; Screening ; Self-sampling
刊名: GYNECOLOGIC ONCOLOGY
发表日期: 2014-03-01
DOI: 10.1016/j.ygyno.2014.01.006
卷: 132, 期:3, 页:636-642
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Oncology ; Obstetrics & Gynecology
研究领域[WOS]: Oncology ; Obstetrics & Gynecology
关键词[WOS]: LOW-RESOURCE SETTINGS ; HUMAN-PAPILLOMAVIRUS ; VISUAL-INSPECTION ; TRIAL ; PREVENTION ; MORTALITY ; PROGRAMS ; CHINA ; WOMEN
英文摘要:

Objective. To develop and implement a community based model for cervical cancer prevention that allows the communities to manage the screening and the healthcare system to focus resources on evaluation and management of the positives.

Methods. Using self-sampling and the concepts founded in Community Based Participatory Research (CBPR), we progressively developed a model to efficiently reach the women, especially rural communities; and collect the volume of samples needed to support high throughput centralized low cost per case processing.

Results. 8382 eligible women, ages 35 to 59, in 130 rural communities participated. The screening was organized by the local government administration and conducted by the community leaders (as). The model used was progressively designed through detailed assessment of key elements at 6 decision points in 26 workshops that were used to train the CLs and the local promoters. The communities were able to accurately conduct the screening; in the final model a local medical worker conducted a 50-minute workshop featuring instructional posters and structured role-play. A manual and a workshop DVD were created for distribution to and implementation by local governments. The average callback rate was 84.3%, without involvement of the local doctors in the management of the positives.

Conclusion. An efficient community based model capable of massive screening events was developed. We believe that the callback rate will be further improved when local doctors are trained in the management of the positives. Many elements impact coverage and further research is needed to define the influence of the identified key variables. (C) 2014 Elsevier Inc. All rights reserved.

语种: 英语
项目资助者: Preventive Oncology International Inc. ; Hologic Inc. ; Qiagen ; Gen-Probe ; Merck Inc. ; BGI Shenzhen ; GE Healthcare
WOS记录号: WOS:000333509000021
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/62567
Appears in Collections:北京大学深圳医院_期刊论文

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作者单位: 1.Prevent Oncol Int, Cleveland, OH 44118 USA
2.BGI Shenzhen, Shenzhen, Peoples R China
3.Matern & Child Hlth Hosp, Heshan, Guangdong, Peoples R China
4.Cleveland Clin, Womens Hlth Inst, Cleveland, OH 44106 USA
5.Peking Univ, Shenzhen Hosp, Dept Ob Gyn, Shenzhen, Peoples R China

Recommended Citation:
Belinson, Jerome L.,Wang, Guixiang,Qu, Xinfeng,et al. The development and evaluation of a community based model for cervical cancer screening based on self-sampling[J]. GYNECOLOGIC ONCOLOGY,2014,132(3):636-642.
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