title: Ethnic factors in the pathology of the uterine cervix cervical screening: a population at variance with national targets.
abstract: In recent years, it has been noted that the rate of detection of high-grade uterine cervical abnormalities by screening in the Newham and Tower Hamlets districts have been much lower than the national average. Whilst the national average for the detection rate of moderate and severe dyskaryosis has been around 1.6%, the detection rate in Newham and Tower Hamlets has consistently been substantially lower, at 0.6-1.0%. This discrepancy may be explained on demographic grounds. The ethnic make up of the two districts differs from the national average. Newham has a mixed ethnic structure: Moslem (11%). Asian non-Moslem (12%) and other groups (77%). The population of Tower Hamlets is made up of Moslem (23%), Asian non-Moslem ( 11%) and other groups (66%). In both districts, the rate of detection of moderate and severe dyskaryosis in these population subgroups between 1997 and 1999 was 0.57% for Moslem women, 0.52% for Asian non-Moslem women and 1.18% for other women. This study attempts to confirm the effects of social factors in the differences in rates of detection of cervical intraepithelial neoplasia (CIN) in Newham and Tower Hamlets.
authors.affiliation: Ethnic factors in the pathology of the uterine cervix cervical screening: a population at variance with national targets.
authors.forename: D
authors.initials: D
authors.lastname: Ezra
authors.forename: S I
authors.initials: SI
authors.lastname: Baithun
authors.forename: S M
authors.initials: SM
authors.lastname: Dodd
authors.forename: C L
authors.initials: CL
authors.lastname: Brown
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D044466:Asian People; D002584:Cervix Uteri / Q000473:pathology*; D005006:Ethnicity; D005260:Female; D006801:Humans; D007514:Islam; D008875:Middle Aged; D006113:United Kingdom; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000208:ethnology; D014626:Vaginal Smears