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学科主题临床医学
The development and evaluation of a community based model for cervical cancer screening based on self-sampling
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
2014-03-01
DOI10.1016/j.ygyno.2014.01.006
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
WOS记录号WOS:000333509000021
资助机构Preventive Oncology International Inc. ; Hologic Inc. ; Qiagen ; Gen-Probe ; Merck Inc. ; BGI Shenzhen ; GE Healthcare
引用统计
被引频次:4[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/62567
专题北京大学深圳医院
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
推荐引用方式
GB/T 7714
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.
APA Belinson, Jerome L..,Wang, Guixiang.,Qu, Xinfeng.,Du, Hui.,Shen, Jingjing.,...&Wu, Ruifang.(2014).The development and evaluation of a community based model for cervical cancer screening based on self-sampling.GYNECOLOGIC ONCOLOGY,132(3),636-642.
MLA Belinson, Jerome L.,et al."The development and evaluation of a community based model for cervical cancer screening based on self-sampling".GYNECOLOGIC ONCOLOGY 132.3(2014):636-642.
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