Objective To analyze the results of cervical cancer screening among rural women aged 35 - 64 in Aksu, Xinjiang from 2016 to 2020, so as to provide evidence for further improving the quality of local screening program.
Methods The cervical cancer screening data among rural women in Aksu, Xinjiang from 2016 to 2020 were collected through 'National Maternal and Child Major Project Direct Information Reporting System'. The results and characteristics of cervical cancer prevalence among local women were retrospectively analyzed, and the differences of cervical cancer and precancerous lesions among women with different characteristics were compared.
Results A total of 13 522 women participated in cervical cancer screening in Aksu, Xinjiang. 843 (6.23%) were detected high-risk human papilloma virus (hr-HPV) positive, 18 (133.12/100 000) were precancerous lesions, and 3 (22.19/100 000) were cervical cancer, with an early diagnosis rate of 85.71%. There were no significant difference in terms of the detection rate of cervical cancer and precancerous lesions among women of different age, education levels and previous screening history (all P > 0.05).
Conclusion The rate of hr-HPV infection, cervical cancer detection and early diagnosis among rural women in Aksu are lower than the average level in Xinjiang. It is suggested to adjust the selection of screening population, optimize the allocation of funds, improve the availability of equipment, strengthen the special training of health professional, and enhance the quality of screening services, so as to improve the health of local women.