HPV自我採檢可否有效提高婦女子宮頸癌篩檢率之實證探討

An Evidence-based Review of Self-sampled HPV Testing to Promoting Cervical Cancer Screening Participating Rate

宋桂容(Kuei-Jung Sung) ； 楊麗瓊(Li-Chiung Yang) ； 蘇惠文(Hui-Wen Su) ； 張怡媛(Yi-Yuan Chang) ； 林小玲(Shir-Ling Lin)

《榮總護理》 29卷2期 (2012/06) Pp. 124-130

https://doi.org/10.6142/VGHN.29.2.124

摘要

子宮頸癌是台灣婦女癌症發生率最高的癌症，人類乳突病毒是導致子宮頸癌主因，而抹片是早期發現子宮頸癌最有效的篩檢工具，但國健局調查目前36歲以上、且6年以上未曾做過抹片的婦女人數高達160多萬人，可見以往推動婦女定期子宮頸抹片的效果有限。國民健康局自2010年8月起，提供HPV自我檢測服務予36歲以上且6年以上未做抹片之婦女，本文針對HPV自我採檢提升子宮頸癌篩檢率之實證文獻探討，以系統性文獻回顧的方式，共搜尋到隨機對照試驗文獻四篇。統整結果HPV自採方式檢查的接受度確實比傳統邀請子宮頸抹片檢查的效果來得好，直接寄送HPV自我採檢套組至婦女家中，更能有效提高篩檢率。藉此結果可鼓勵未接受篩檢的婦女踴躍索取HPV自我檢測組套，以落實早期發現、早期治療的目標。

關鍵字

人類乳突病毒 ； 子宮頸癌篩檢率 ； HPV自我檢測

並列摘要

The incidence of cervical cancer in Taiwan has the highest rate of all women's cancers. The general belief is that the majority of the cervical cancer cases were caused by the human papilloma virus (HPV). Pap smear is the most effective screen testing tool for detecting cervical cancer especially in the early stage. However, according to the survey by the Bureau of Health Promotion Department of Health (BHPDH), there were more than 1.6 million women aged 36 years and above without a screen test done in the last 6 years. Therefore, this article focuses on the topic of promoting the self-sampled HPV testing participating rate evidence-based articles to discuss, and there are four RCT articles selected by systematical reviewing method. The result indicated that the self-sampled HPV testing had higher participating rate than traditional screen testing, especially when the self-sampled HPV testing kit was mailed to the women. Based on the result, this is a possible method to encourage females who do not receive screening test regularly to undergo self-sampled HPV testing in order to achieve the goal of early detection and early treatment.

並列關鍵字

human papilloma virus ； cervical cancer screen ； self-sampled HPV test