Mass screening for cervical cancer in taiwan from 1974 to 1984

Abstract

The cervical cancer screening program in Taiwan was carried out in two phases. This study focused on the first 10-year screening program. Univariate descriptive analysis with chi-square test and multivariate analysis with logistic regression were applied to find the significant risk factors related to cervical cancer in Taiwan. Comparison of Phase I and II screening revealed a cohort effect. The high examination rate in women aged 30 to 39 years in Phase I resulted in a drop in the suspicious rate in the 35 to 44 year age group in Phase II, and a decreasing trend of age-specific death rates from both cervical and uterine cancer in the 40 to 49 year age group based on all of the female population in Taiwan. In Phase II, an increasing trend in ratio of carcinoma in situ to invasive carcinoma was also found. These findings suggest that the 10-year screening program in Taiwan conducted by the Cancer Society of the Republic of China has been effective. How to increase the examination rate is the key issue in the control of cervical cancer in Taiwan.

Effectiveness of national cervical cancer screening programme in Taiwan: 12-year experiences

“…Such reductions following implementation of screening have been well documented (Peto et al, 2004;Bray et al, 2005). In Taiwan, Pap smear screening was initiated in December 1974 when the Cancer Society of the Republic of China together with gynaecological clinics offered free Pap tests in 1974Pap tests in -1984 Although the programme was advertised through the mass media, only 2.4% of women in the first and 4.5% of women in the second 5 years were screened (Chou and Chen, 1989). The National Labor Insurance began to reimburse the Pap test for all women working in the private and public sectors in 1991, and the national screening programme reimbursed by the National Department of Health was implemented in 1992 with an aim to reimburse Pap tests for 2% of the women population.…”

Cancer Metaphors: Taiwan and the United States

“…In Taiwanese women, however, uterine cancer is reported to be the leading cause of cancer mortality (Chou & Chen, 1989). In fact, Chou and Chen (1989) report that for women who were rescreened for cancer, the risk of cervical cancer was related to the number of pregnancies and to lower educational level. Thus, further research with the CMT might need to take into account such variables.…”

“…In Taiwan, rapid advances in industrialization since the 1940s have been accompanied by substantial environmental and occupational pollution, which, in addition to ubiquitous cigarette smoking, have resulted in a high incidence of lung cancer, the leading cause of cancer death (Tsai, Perng, & Huang, 1988). In Taiwanese women, however, uterine cancer is reported to be the leading cause of cancer mortality (Chou & Chen, 1989). In fact, Chou and Chen (1989) report that for women who were rescreened for cancer, the risk of cervical cancer was related to the number of pregnancies and to lower educational level.…”

A Systematic Literature Review of the Effectiveness of Communitybased Strategies to Increase Cervical Cancer Screening

“…No Canadian studies were located. Seven studies [12][13][14][15][16][17][18] were directed at all women living in cities/regions/counties or tribes, while the others were aimed at selected women within an area. Participants in 10 of the studies were disadvantaged [19][20][21][22][23][24][25][26][27][28][29][30][31][32] (e.g., low income, poorly educated); however, in 8 studies, the samples were poorly described.…”