Abstract:
Objective To investigate the result of cervical cancer screening program in Jilin Province so as to provide evidence for policy making.
Methods Data were collected in the form of quarterly statistical tables reported by 9 cities and 1 county implementing the cervical cancer screening program from 2015 to 2020. The following indicators were analyzed:the positive rates of different screening methods, the abnormality rates of colposcopy and histopathology, the detection rate of precancerous lesions/cervical cancer, and the rate of early diagnosis.
Results A total of 1 354 457 women aged 35-64 in rural areas received free cervical cancer screening. The screening rate increased gradually from 14.81% in 2017 to 29.60% in 2020. The rates of abnormal cytology, HPV positive, abnormal colposcopy and histopathology were 3.27%(39 570), 10.32%(8 849), 44.53%(31 273), and 18.02%(2 587) respectively. The average detection rate of cervical precancerous lesions from 2015-2020 was 172.84/100 000, and it increased from 134.33/100 000 in 2015 to 223.65/100 000 in 2020(
P<0.001). The average detection rate of cervical cancer was 18.16/100 000, and it increased from 11.66/100 000 in 2015 to 24.94/100 000 in 2020(
P<0.001). The average rate of early diagnosis of cervical cancer was 93.16%, and there was no statistical significant difference between years(
P>0.05).
Conclusion The detection rate of the cervical precancerous lesions and cervical cancer is increasing in Jilin Province from 2015 to 2020.