Results of a cervical cancer screening programme from an area of Barcelona (Spain) with a large immigrant population.
BACKGROUND
To assess the participation rate and results of cytological assessment in the context of cervical cancer screening activities in an area of Barcelona (Spain) with a large immigrant population.


METHODS
Descriptive retrospective study of cytologies performed between 2001 and 2006 in women > or =14 years of age living in 2 out of 10 districts of Barcelona (n = 129 327) and participating in cervical cancer screening activities within a sexual and reproductive health care programme.


RESULTS
Between 2001 and 2006, overall participation among women aged 20- to 64-years old was 50.7%, with higher participation among women aged 20-34 years than among those aged 50-64 years (63.8 and 36.0%, respectively; P < 0.01). The median frequency was 0.5 cytologies/year. The rate of pathological results increased from 11.4 per thousand in 2001 to 29.0 per thousand in 2006 (P < 0.001). This increase was higher among younger women and was mainly due to an increase in the rate of atypical squamous cells of undetermined significance (ASCUS) and low-grade squamous intraepithelial lesions (L-SIL).


CONCLUSIONS
These results show a low rate of participation in the public cervical cancer screening programme and an increase in the number of pathological results during the study period. These results provide useful information at a time when significant changes in the prevention of cervical cancer are being planned.
Casamitjana
Montserrat
M
Health Services Evaluation and Clinical Epidemiology Service, Hospital del Mar-IMIM, Passeig Marítim 25-029, Barcelona, Spain.
Sala
María
M
Ochoa
Darío
D
Fusté
Pere
P
Castells
Xavier
X
Alameda
Francesc
F
D000293:Adolescent; D000328:Adult; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D012189:Retrospective Studies; D013030:Spain; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000208:ethnology*