[Participation of women in cervical cancer screening. Results of the first 5 years of a pilot program in the province of Doubs].
OBJECTIVE
To analyze women participation and test results during the 1993 to 1997 screening cycle.


METHODS
The program was managed by a multidisciplinary health professional committee who determined the screening policy according to the recommendations of the French consensus (Lille 1990). All smears and cervical histological tests taken from women living in the area were collected by centralizing data from cytopathological laboratories.


RESULTS
Within five years, 71% of women in the 20-65 years age group had at least one smear. After the age of 29, participation rate decreased with age. The prevalence of unsatisfactory smears was 1.4/1000 and 3% of screened women had an abnormal smear (squamous intraepithelial lesion or carcinoma). A follow-up test was registered for 83% of women with an abnormal smear. Lesions were confirmed by histology in 77% of women with a histological test.


CONCLUSIONS
In the context of initiating a national screening program, our study shows that implementing women invitation and follow-up and quality control procedures are necessary to improve the results of ongoing cervical cancer screening.
Monnet
E
E
Département de Santé Publique, Faculté de Médecine et de Pharmacie, Besançon. elisabeth.monnet@ufc-chu.univ-fcomte.fr
Carbillet
J P
JP
Meslans
Y
Y
Petitjean
A
A
Gautier
C P
CP
D000328:Adult; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008403:Mass Screening; D008875:Middle Aged; D010865:Pilot Projects; D015995:Prevalence; D012424:Rural Population; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000453:epidemiology*