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Population screening for cervical cancer in Jamaica: a pilot survey on a high-risk community of well women - abstract
West Indian med. j ; 22(4): 194, Dec. 1973.
Artigo em Inglês | MedCarib | ID: med-6204
Biblioteca responsável: JM3.1
Localização: JM3.1
ABSTRACT
Several reports have emphasized the very high incidence of cancer of the uterine cervix in Jamaica. It was anticipated therefore that the prevalence of pre-clinical carcinoma of the cervix in the population at risk ought to be high. The present investigation was designed, as a pilot survey, to evaluate by cytological methods the prevalence of asymptomatic cervical malignancy in a low-income community considered to be at high risk. It was hope also that this pilot study would serve as a yardstick for any similar programme which may be planned in the future. Cervical scrape smears were obtained from 652 well women aged 20 - 75 years residing in the community of Hermitage and August Town which is situated adjacent to the Mona campus of the U.W.I. The women, predominantly Negro, were asked to attend the Outpatient Clinic of the Department of Social and Preventive Medicine. They were interviewed following which, cervical smears were taken. Smears were graded using a modification of the International Classification of Papanicolaou. Since this was a pilot survey, re-screening procedures were not carried out. Treatment facilities for cases with positive smears were arranged with the Department of Obstetrics and Gynaecology. Seventy-six per cent of women examined were aged 20-50 years, and 90 percent had had previous pregnancies. The average parity was 4.3. Of the 652 women screened, 12 were found to have suspicious and positive smears (classes IIIB-V), giving a prevalence rate of 18 per 1000. Cytological evidence of cervicitis (classes II and IIIA) was found in 70 percent of women, and Trichomonas infestation occurred in 19.3 percent. All positive smears were confirmed histologically. It is of considerable interest that, despite the low socio-economic status of the women, 63.5 percent in the community participated in the programme. The prevalence of pre-clinical carcinoma of the cervix obtained in this survey is about three to six times that observed in similar programmes conducted in Cananda, U.S.A. and the United Kingdom where the rates ranged from 3.1 - 7.2 per 1000. However, the Jamaican figures compare with those obtained in similar screening programmes carried out in three other West Indian territories - Barbados, Cayman Islands and the Bahamas (AU)
Assuntos
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Coleções: Bases de dados internacionais Base de dados: MedCarib Assunto principal: Neoplasias do Colo do Útero Tipo de estudo: Estudo diagnóstico / Estudo de etiologia / Fatores de risco / Estudo de rastreamento Limite: Feminino / Humanos País/Região como assunto: Caribe Inglês / Jamaica Idioma: Inglês Revista: West Indian med. j Ano de publicação: 1973 Tipo de documento: Artigo / Congresso e conferência
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Coleções: Bases de dados internacionais Base de dados: MedCarib Assunto principal: Neoplasias do Colo do Útero Tipo de estudo: Estudo diagnóstico / Estudo de etiologia / Fatores de risco / Estudo de rastreamento Limite: Feminino / Humanos País/Região como assunto: Caribe Inglês / Jamaica Idioma: Inglês Revista: West Indian med. j Ano de publicação: 1973 Tipo de documento: Artigo / Congresso e conferência
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