Analysis of real-world free cervical cancer screening for eligible women in Beijing China, 2008-2018

Abstract

Background: Cervical cancer is a very common gynecological malignancy. The incidence of cervical cancer in Beijing increased rapidly, the local government launched free cervical cancer screening in 2008 as a pilot, and then the program covered all register eligible women in 16 districts since 2009. Our study assessed the free screening program in Beijing from 2008 to 2018. Methods: Analyzed the data of all women aged 35-64 years old who received free cervical cancer screening in Beijing from January 2008 to December 2018. Results: Since 2008, Beijing has conducted five cycles of cervical cancer screening among 35-64 years old women. During the period, target population has adjusted and service management kept on improved. Totally 2,624,129 person times have received the services. The average detection rate of abnormal cervical cytology was 2.3%, the rate of colposcopy referral was 1.8%, and the rate of abnormal colposcopy result was 63.5%. The detection rate of CIN2+ and cervical cancer was 208.5 / 100,000, of which 5228 cases of CIN 2+ were detected, the detection rate of 199.2 / 100,000; 244 cases of cervical cancer were detected and the rate was 9.3 / 100,000. Conclusions: Free cervical cancer screening can effectively serve the grassroots women, improve women's health awareness, and realize the early detection and early treatment of cervical cancer. The coverage of the screening population and the screening strategies need to be further explored to achieve the goal of decreasing cervical cancer incidence and mortality in the future.