[初级保健医疗访客在基于人口的宫查中的新兴作用]
István András Fogarasi1, Zsolt Melczer2, Anikó Gyulai3
11 SYNLAB Budapest Diagnosztikai Központ, GenoID Molekuláris Diagnosztikai Laboratórium Budapest, Baradla u. 5., 1112 Magyarország.
Orvosi hetilap
|February 16, 2025
概括
匈牙利的卫生访问者有效地对女性进行人乳头瘤病毒 (HPV) 查,接触到受教育程度较低,老年人群,这些人群通常没有得到妇科医生的服务. 这种方法对于高风险群体的宫癌预防至关重要.
科学领域:
- 公共卫生 公共卫生
- 妇科 妇科医生 妇科
- 传染病流行病学 传染病流行病学
背景情况:
- 宫查政策正在更新,包括初级人类乳头瘤病毒 (HPV) 检测.
- 这次更新需要接触那些不经常去看妇科医生的女性.
- 自2015年以来,匈牙利的卫生访客已经接受了宫取样的培训.
研究的目的:
- 分析健康访问者对妇科医生进行查的妇女的特征.
- 为了比较HPV检测在这两个群体的有效性.
- 评估卫生访客在为服务不足的人群提供宫查方面的作用.
主要方法:
- 在匈牙利进行一项地理代表性调查,采用宫样本.
- 数据收集来自905名妇女,由健康访问者和3826名妇科医生进行查.
- 使用临床验证测试检测的高风险HPV基因型;通过问卷收集的人口统计和历史记录数据.
主要成果:
- 卫生参观者查的妇女受教育程度较低,年龄较大,自上次查以来的间隔较长.
- 卫生访问者查更好地代表了55岁以上的目标人群.
- 健康参观者和妇科医生之间的无效样本率相似;妇科医生患者的HPV患病率较高,尽管疫苗接种率较高.
结论:
- 卫生访问者在查服务不足的人群方面是有效的,包括老年人,受教育程度较低的妇女和农村妇女.
- 卫生访问者表现出与妇科医生相比较的采样能力.
- 他们的积极主动方法对于实现子宫癌预防目标至关重要,特别是在50岁以上的女性中.
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