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Lu H, He H, Qin J, Chen M, Liu Q, Li M, Huang Y, Wei A, Liu S, Xu M, Zhang Z. Populations at high risk of cervical cancer in Guangxi Province: Findings from two screening projects in a minority area of South China. J Med Screen 2021; 29:44-52. [PMID: 34693798 PMCID: PMC8892057 DOI: 10.1177/09691413211039254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective To analyse the positive rates of low-grade (LSIL) and high-grade (HSIL) squamous intraepithelial lesions, and cervical cancer (CC), and identify groups at high risk for CC in Guangxi. Setting CC screening options in Guangxi, which is the only minority autonomous area in South China, include the National Cervical Cancer Screening Project (NCCSP) and physical examination (PE). Methods This study was based on PE and NCCSP sample data obtained from 2012 to 2019. We calculated the positive rates of LSIL, HSIL, and CC; analysed the adjusted odds ratio (aOR) and 95% confidence intervals (CI) of the variables in multivariate logistic regression; and subsequently identified groups at high risk for CC. Results The positive rates of LSIL, HSIL, and CC for the total of 873,880 samples were 1.89%, 0.60%, and 0.03%, respectively. Females over 64 years of age (vs. 50–64; aOR = 2.05; 95% CI, 1.71–2.46; P < 0.001) and those from urban (vs. rural; aOR = 1.66; 95% CI, 1.57–1.76; P < 0.001), minority (vs. non-minority; aOR = 1.24; 95% CI, 1.13–1.35; P < 0.001), and coastal (vs. inland; aOR = 1.15; 95% CI, 1.06–1.25; P = 0.001) areas were associated with a high risk of HSIL. Females over 64 (vs. 50–64; aOR = 4.37; 95% CI, 2.88–6.63; P < 0.001) and those from urban (vs. rural; aOR = 3.05; 95% CI, 2.36–3.95; P < 0.001) areas were significantly associated with a high risk of CC. Conclusion Females from urban areas in Guangxi are at high risk for CC. Public health strategies should focus on high-risk populations.
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Affiliation(s)
- Huaxiang Lu
- School of Public Health, 74626Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China.,573426Department of Guangxi Science and Technology Major Project, Guangxi Center for Diseases Prevention and Control, Nanning, Guangxi Zhuang Autonomous Region, China
| | - Haoyu He
- School of Public Health, 74626Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China.,School of Stomatology, 74626Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China
| | - Jian Qin
- School of Public Health, 74626Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China
| | - Mingjian Chen
- Department of Cytopathology Diagnosis, 573426Guangxi Kingmed Diagnostics Group Co., Ltd, Nanning, Guangxi Zhuang Autonomous Region, China
| | - Qiumei Liu
- School of Public Health, 74626Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China
| | - Min Li
- Department of Cytopathology Diagnosis, 573426Guangxi Kingmed Diagnostics Group Co., Ltd, Nanning, Guangxi Zhuang Autonomous Region, China
| | - Yongsheng Huang
- Department of Cytopathology Diagnosis, 573426Guangxi Kingmed Diagnostics Group Co., Ltd, Nanning, Guangxi Zhuang Autonomous Region, China
| | - Anxiang Wei
- Department of Cytopathology Diagnosis, 573426Guangxi Kingmed Diagnostics Group Co., Ltd, Nanning, Guangxi Zhuang Autonomous Region, China
| | - Shuzhen Liu
- School of Public Health, 74626Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China
| | - Min Xu
- School of Public Health, 74626Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China
| | - Zhiyong Zhang
- School of Public Health, 74626Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China.,School of Public Health, 74716Guilin Medical University, Guangxi Zhuang Autonomous Region, China
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Cai H, Ma T, Che Y, Wang Y, Wang C, Yin G. Loop electrosurgical excision procedure followed by 5-aminolevulinic acid photodynamic therapy for cervical intraepithelial neoplasia, a report of six cases. Photodiagnosis Photodyn Ther 2020; 29:101650. [DOI: 10.1016/j.pdpdt.2020.101650] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2019] [Revised: 12/21/2019] [Accepted: 01/03/2020] [Indexed: 11/28/2022]
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