在服务不足的社区确定人类乳头瘤病毒自取样的最佳实施:系统性审查
Olivia Mackay1, Kate Joanna Lifford2, Anahat Kalra1
1School of Medicine, Cardiff University, Cardiff, UK.
Journal of medical screening
|August 30, 2024
概括
直接邮寄人类乳头瘤病毒 (HPV) 自取样套件增加了服务不足群体的查吸收率. 社区卫生工作者还改善了少数民族和低社会经济地位的人口的获取.
科学领域:
- 公共卫生 公共卫生
- 妇科瘤学 妇科瘤学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 宫癌查率在各种服务不足的人群中是不理想的,包括那些具有低社会经济地位的人群,少数民族,年轻人和老年人群,以及残疾人或LGBTQ+身份的个人.
- 人类乳头瘤病毒 (HPV) 自取样提供了一个有希望的策略,以改善公平获得子宫检查.
- 在多样化,服务不足的群体中进行HPV自取样的最佳实施策略仍然不清楚.
研究的目的:
- 确定实施HPV自取样的最有效方法,以提高服务不足人群的查参与率.
- 综合各种HPV自取样传递策略的证据,以及它们对查吸收的影响.
主要方法:
- 在六个数据库中进行了全面的文献搜索,截至2023年5月.
- 包括比较不同HPV自取样实施策略与服务不足群体标准查途径的研究.
- 使用叙事综合方法来分析研究结果.
主要成果:
- 与标准的临床方法相比,直接发送的HPV自取样套件显示了更高的查吸收率,特别是在低社会经济地位,少数民族和老年女性中.
- 涉及社区卫生工作者或教育材料的策略显著增加了少数民族和低社会经济地位群体的查普及率.
- 总的来说,提供HPV自取样导致了比传统查途径更大的吸收率.
结论:
- 直接邮寄HPV自取样套件是一种可行的策略,可以提高低社会经济地位,少数民族和老年妇女的查率.
- 应考虑社区卫生工作者主导的HPV自取样举措,以改善少数民族和低社会经济地位群体的获取.
- 需要进一步的研究,以了解年轻女性对HPV自取样方法的偏好.
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