ObjectiveTo explore the pattern of identification and the model of health intervention for high-risk groups of cervical cancer in Jing'an District of Shanghai.
MethodsThe screening method that combined cervical screening with questionnaire was used to identify the high-risk groups of cervical cancer. Health intervention was then conducted on those of the high-risk groups that had been screened out.
ResultsDuring November 2016 and October 2017, 547 women aged 40 to 65 years old in Jing'an District of Shanghai received cervical examination, with cervical TCT(thinprep cytologic test)and HPV detection and self-made questionnaire adopted. And 2 patients with cervical cancer and 9 with precancerous lesions were found in the examination. These 11 patients(2.01%)were not in the scope of the study. In our study, 188 women(34.37%)were included in the high-risk groups, with 26 in high-risk group A, 92 in high-risk group B and 70 in high-risk group C. And 348 healthy women(63.62%)were included in the control group. In comparison between high-risk groups and control group, the high-risk groups showed more bad conditions or habits than the control group, including bleeding after intercourse and(or)postmenopausal bleeding, increase in vaginal secretions, history of cervical HPV infection in the last 2 years, large or non-fixed numbers of sexual partners, and smoking and drug abuse, etc. Chi square of the these cases were 39.31, 55.20, 45.99, 55.20 and 45.99, respectively, with a statistic difference(P < 0.05). Group intervention and individual intervention were applied on the high-risk groups. There was a statistic difference(P < 0.05)with this group of women in the understanding of this disease and the changes in behaviors before and after the interventions.
ConclusionHigh-risk groups of cervical cancer can be identified through the screening method that combines cervical screening with questionnaire. Health intervention on those high-risk groups is an effective way to prevent cervical cancer.
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