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Comparisons of Papanicolaou Utilization and Cervical Cancer Detection between Rural and Urban Women in Taiwan

Author

Listed:
  • Chiu-Ming Yang

    (Department of Health Services Administration, College of Public Health, China Medical University, Taichung 404, Taiwan)

  • Fung-Chang Sung

    (Department of Health Services Administration, College of Public Health, China Medical University, Taichung 404, Taiwan
    Management Office for Health Data, China Medical University Hospital, Taichung 404, Taiwan
    Department of Food Nutrition and Health Biotechnology, Asia University, Taichung 413, Taiwan)

  • Chao-Song Hsue

    (China Medical University Bei Kang Hospital, Bei Kang, Yunlin County 651, Taiwan
    Feng Yuan Hospital, Ministry of Health and Welfare, Taichung 420, Taiwan)

  • Chih-Hsin Muo

    (Management Office for Health Data, China Medical University Hospital, Taichung 404, Taiwan)

  • Shu-Wei Wang

    (China Medical University Bei Kang Hospital, Bei Kang, Yunlin County 651, Taiwan
    School of Nursing, Kaohsiung Medical University, Kaohsiung 807, Taiwan)

  • Shwn-Huey Shieh

    (Department of Health Services Administration, College of Public Health, China Medical University, Taichung 404, Taiwan
    Department of Nursing, Asia University, Taichung 41354, Taiwan)

Abstract

Using the claims data of one million insured residents in Taiwan from 1996–2013, this study identified 12,126 women in an urban city (Taichung) and 7229 women in a rural county (Yunlin), aged 20 and above. We compared Papanicolaou (Pap) test uses and cervical cancer detection rates between urban and rural women. Results showed that the Pap screening rate was slightly higher in rural women than in urban women (86.1 vs. 81.3 percent). The cervical cancer incidence was much greater for women without Pap test than women with the test (35.8 vs. 9.00 per 1000 in rural women and 20.3 vs. 7.00 per 1000 in urban women). Nested case-control analysis showed that Pap test receivers had an adjusted odds ratio (OR) of 0.35 (95% CI = 0.25–0.51) to be diagnosed with cervical cancer as compared to those who did not receive the test. The rural women had an adjusted OR of 1.46 (95% CI = 1.03–2.06) to be diagnosed with cervical cancer as compared to urban women. In conclusion, women in rural area are at higher cancer risk than city women. Women who do not undergo Pap tests deserve timely intervention of Pap test to prevent the onset of cancer, particularly in rural women with low income.

Suggested Citation

  • Chiu-Ming Yang & Fung-Chang Sung & Chao-Song Hsue & Chih-Hsin Muo & Shu-Wei Wang & Shwn-Huey Shieh, 2020. "Comparisons of Papanicolaou Utilization and Cervical Cancer Detection between Rural and Urban Women in Taiwan," IJERPH, MDPI, vol. 18(1), pages 1-10, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2020:i:1:p:149-:d:469236
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    Cited by:

    1. Senshuang Zheng & Xiaorui Zhang & Marcel J. W. Greuter & Geertruida H. de Bock & Wenli Lu, 2021. "Determinants of Population-Based Cancer Screening Performance at Primary Healthcare Institutions in China," IJERPH, MDPI, vol. 18(6), pages 1-10, March.

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