我国妇女常见病筛查数据上报现状调查
|
摘要
目的了解我国妇女常见病筛查数据上报情况,为提高我国妇女常见病筛查数据质量提出建议。方法在全国30个省按照2016年妇女常见病筛查率最高、中等、最低进行抽取,每个省3个县(区),共90个县(区)进行信函调查。结果从2013年到2016年,筛查率分别为37.64%,49.23%,58.88%和60.90%,呈逐年上升趋势。筛查率分布东部高于中部、中部高于西部。2016年妇女常见病筛查率仍旧偏低,大于80%的县(区)仅占40%。64.44%的调查县(区)能正确理解应查人数的定义。妇女常见病筛查数据来源多样,其中"两癌"检查项目、妇女常见病项目及孕前优生项目为主要的数据来源,而来自体检的数据普遍收集不足。结论目前我国妇女常见病筛查数据质量值得关注,急需对我国妇女常见病筛查数据来源以及应查人数的定义进行统一要求和质控。
Objective To elaborate the data sources and report status of Chinese common gynecological diseases screening,and put forward suggestions to improve the quality of screening data.Methods A letter survey was conducted in 90 counties(districts) in 30 provinces in China,and three counties(districts) in each province were selected according to the highest,medium and lowest screening rates of common diseases among women in 2016.Results From 2013 to2016,the screening rates of investigated area were 37.64%,49.23%,58.88% and 60.90%,respectively,which were on rise year by year.Regionally,the east reached higher screening rates than the middle,and the middle than the west.In 2016,the screening rate of common disease was still low.With only 40% counties(districts) reaching a screening rate above 80%,and 64.44% could understand the definition of persons who should be checked.The screening of cervical cancer and breast cancer,common gynecological diseases screening and preconception health check for eugenic were the main data sources for common gynecological diseases screening.The data from physical examination are generally insufficient.Conclusion At present,the data of screening for common diseases of Chinese women are worthy of attention,and it is urgent to unify the requirements and quality control of the data sources and the definition of people who should be checked.
Objective To elaborate the data sources and report status of Chinese common gynecological diseases screening,and put forward suggestions to improve the quality of screening data.Methods A letter survey was conducted in 90 counties(districts) in 30 provinces in China,and three counties(districts) in each province were selected according to the highest,medium and lowest screening rates of common diseases among women in 2016.Results From 2013 to2016,the screening rates of investigated area were 37.64%,49.23%,58.88% and 60.90%,respectively,which were on rise year by year.Regionally,the east reached higher screening rates than the middle,and the middle than the west.In 2016,the screening rate of common disease was still low.With only 40% counties(districts) reaching a screening rate above 80%,and 64.44% could understand the definition of persons who should be checked.The screening of cervical cancer and breast cancer,common gynecological diseases screening and preconception health check for eugenic were the main data sources for common gynecological diseases screening.The data from physical examination are generally insufficient.Conclusion At present,the data of screening for common diseases of Chinese women are worthy of attention,and it is urgent to unify the requirements and quality control of the data sources and the definition of people who should be checked.
引文
[1]熊庆,王临虹.妇女保健学.第2版[M].北京:人民卫生出版社, 2014:283.
[2]华嘉增.妇科病普查普治的回顾与展望(上).中国妇幼保健[J], 2001, 16(10):627-629.
[3]国务院.国务院关于印发中国妇女发展纲要和中国儿童发展纲要的通知[EB/OL].[2018-09-21]. http://www. gov. cn/gongbao/content/2011/content_1927200. htm.
[4]原国家卫生和计划生育委员会. 2016中国卫生和计划生育统计年鉴[M].北京:中国协和医科大学出版社, 2016:220.
[5]李醒,王临虹,李丽娟,等.我国妇女参加妇女常见病普查的态度及其影响因素[J].中国健康教育, 2010, 26(05):338-340.
[6]郑睿敏,李醒,王临虹,等.中国妇女人群对妇女常见病普查服务的利用情况分析[J].中国妇幼健康研究, 2011, 22(6):798-801.
[7]臧素萍.边远贫困地区少数民族妇女疾病情况分析[J].医学理论与实践, 2012, 25(9):1121-1123.
[8]新版《全国妇幼卫生统计调查制度》[EB/OL].[2018-07-30].http://www.chinawch.org.cn/rdxw/201807/P020180730527247960825. pdf.
[9]邱凤珠,青青.妇女病普查结果分析及意义[J].医学信息,2016, 29(8):309-310.
[10]覃钰纯,伍洁莹.江门市郊区妇女常见病普查结果分析[J].中国妇幼保健, 2013, 28(16):2523-2525.
[11]刘慧琴.临泽县农村已婚妇女宫颈癌及妇科病普查情况分析[J].中国初级卫生保健, 2017, 31(12):45-46.
[12]原国家卫生和计划生育委员会.卫生部、全国妇联关于印发《农村妇女“两癌”检查项目管理方案》的通知[EB/OL].[2018-09-21]. http://www. nhfpc. gov. cn/zwgkzt/wsbysj/200906/41534. shtml.
[13]陈延斌,张爱丹,孔艳. 2013~2016年沈阳市免费孕前优生检查结果分析[J].中国计划生育和妇产科, 2017, 9(11):28-30.
[14]杨秀兰,黄艳婷,刘卓文. 2014年花都区孕前优生健康检查资料分析[J].中外医学研究, 2016, 14(06):76-77.
[15]中国抗癌协会乳腺癌专业委员会.中国抗癌协会乳腺癌诊治指南与规范(2017年版)[J].中国癌症杂志, 2017, 27(09):695-759.
[16]孙巧霞,孙京倩. 8511例孕前优生健康检查结果分析[J].中国计划生育学杂志, 2012, 20(4):268-269.
[17]卫生部妇幼保健与社区卫生司.妇幼卫生政策研究课题结果汇编(上册)[M]. 2006:77.
[18]张捷.少数民族贫困地区免费婚前医学检查结果分析[J].中国妇幼保健, 2012, 27(29):4541-4542.
[19]金仁权. 6515例婚前医学检查结果分析[J].中国妇幼保健,2011, 26(31):4812.
[20]王临虹,魏丽惠.妇女常见病筛查技术指南[M].北京:人民卫生出版社, 2013:2.
[2]华嘉增.妇科病普查普治的回顾与展望(上).中国妇幼保健[J], 2001, 16(10):627-629.
[3]国务院.国务院关于印发中国妇女发展纲要和中国儿童发展纲要的通知[EB/OL].[2018-09-21]. http://www. gov. cn/gongbao/content/2011/content_1927200. htm.
[4]原国家卫生和计划生育委员会. 2016中国卫生和计划生育统计年鉴[M].北京:中国协和医科大学出版社, 2016:220.
[5]李醒,王临虹,李丽娟,等.我国妇女参加妇女常见病普查的态度及其影响因素[J].中国健康教育, 2010, 26(05):338-340.
[6]郑睿敏,李醒,王临虹,等.中国妇女人群对妇女常见病普查服务的利用情况分析[J].中国妇幼健康研究, 2011, 22(6):798-801.
[7]臧素萍.边远贫困地区少数民族妇女疾病情况分析[J].医学理论与实践, 2012, 25(9):1121-1123.
[8]新版《全国妇幼卫生统计调查制度》[EB/OL].[2018-07-30].http://www.chinawch.org.cn/rdxw/201807/P020180730527247960825. pdf.
[9]邱凤珠,青青.妇女病普查结果分析及意义[J].医学信息,2016, 29(8):309-310.
[10]覃钰纯,伍洁莹.江门市郊区妇女常见病普查结果分析[J].中国妇幼保健, 2013, 28(16):2523-2525.
[11]刘慧琴.临泽县农村已婚妇女宫颈癌及妇科病普查情况分析[J].中国初级卫生保健, 2017, 31(12):45-46.
[12]原国家卫生和计划生育委员会.卫生部、全国妇联关于印发《农村妇女“两癌”检查项目管理方案》的通知[EB/OL].[2018-09-21]. http://www. nhfpc. gov. cn/zwgkzt/wsbysj/200906/41534. shtml.
[13]陈延斌,张爱丹,孔艳. 2013~2016年沈阳市免费孕前优生检查结果分析[J].中国计划生育和妇产科, 2017, 9(11):28-30.
[14]杨秀兰,黄艳婷,刘卓文. 2014年花都区孕前优生健康检查资料分析[J].中外医学研究, 2016, 14(06):76-77.
[15]中国抗癌协会乳腺癌专业委员会.中国抗癌协会乳腺癌诊治指南与规范(2017年版)[J].中国癌症杂志, 2017, 27(09):695-759.
[16]孙巧霞,孙京倩. 8511例孕前优生健康检查结果分析[J].中国计划生育学杂志, 2012, 20(4):268-269.
[17]卫生部妇幼保健与社区卫生司.妇幼卫生政策研究课题结果汇编(上册)[M]. 2006:77.
[18]张捷.少数民族贫困地区免费婚前医学检查结果分析[J].中国妇幼保健, 2012, 27(29):4541-4542.
[19]金仁权. 6515例婚前医学检查结果分析[J].中国妇幼保健,2011, 26(31):4812.
[20]王临虹,魏丽惠.妇女常见病筛查技术指南[M].北京:人民卫生出版社, 2013:2.