Faculty Opinions recommendation of Silent killer of the night: a feasibility study of an outreach well-women clinic for cervical cancer screening in female sex workers in Hong Kong.

Author(s):  
Elizabeth Ngugi
2018 ◽  
Vol 29 (12) ◽  
pp. 1204-1214 ◽  
Author(s):  
Sheyla D Richards ◽  
Samantha Stonbraker ◽  
Mina Halpern ◽  
Silvia Amesty

Cervical cancer is the third leading cause of cancer-related death and the second most diagnosed cancer among women in developing countries. We determined the prevalence of abnormal Papanicolaou (Pap), high-risk HPV (hrHPV), and colposcopy among transactional female sex workers (FSWs) in La Romana, Dominican Republic. The results of 144 FSWs of ages 18–54 years who completed a demographic interview and Pap testing with hrHPV detection between June 2015 and April 2016 were analyzed. Women with abnormal results were referred for colposcopy. Risk factors for abnormal Pap were assessed through bivariate and multivariate analyses. Overall, 36.1% (52/144) of Paps were abnormal and 43.4% (62/143) had hrHPV. Of all women with hrHPV and/or abnormal Pap (68/144; 47.2%), 61 (89.7%) were referred and 16 (26.2) underwent colposcopy. HPV16 and/or 18/45 was detected in 33.3% (15/45) of low-grade Paps. Binge drinking, weekly (AOR 5.1, 95% CI: 1.8–14.5) or daily (AOR 4.9, 95% CI: 1.5–16.6), and age at first sexual relation (AOR 1.2, 95% CI: 1.0–1.5) were significantly associated ( p < 0.05) with abnormal Pap. Although almost half of participants had abnormal Pap or hrHPV, few underwent colposcopy. Improving access to cervical cancer screening and follow-up for FSWs is imperative.


2018 ◽  
Vol 3 (2) ◽  
pp. 1
Author(s):  
Syaiful Syaiful ◽  
Frida Lina Tarigan ◽  
Fikarwin Zuska

Cervical cancer is a malignant tumor that grows inside the cervix (the lowest part of the uterus attached to the top of the vagina). A Pap smear is a method in which a cell is taken from the cervix and examined under a microscope. Any woman who is 18 years old, or a woman who has been sexually active should begin a Pap smear. This check should be done every year, although there are no symptoms of cancer. An examination of more than a year if it reaches the age of 65 years or three previous consecutive checks shows normal results. The purpose of the study changed the behavior of the midwife profession in order to perform cervical cancer screening with pap smear examination at Tk II Putri Hijau Hospital Medan. The design of this research is qualitative through phenomenology approach. The result of the research was obtained by the informant as many as 8 people consisting of 1 male informant that is obgyn doctor, 7 person work as midwife consisting of informant 2 often doing pap smear examination. Informants who do not routinely perform pap smear examination of informants 3 informants 3 times, informant 4 as much as 1 times, informant 5 as much as 3 times, informant 6 as much as 2 times. While informant 7 has never done pap smear examination, and informant 8 as much as 1 times. Some of the reasons that changed the behavior of the midwife profession to the Pap smear examination were shyness (fear), fear, no complaints (abnormalities), kesetrilan (medical equipment), lazy and cost. Here is found the expression of the eight informants is a more dominant shame words. Suggestion for the Tk II Putri Hijau Medan, submitted to the leader to oblige all female sex workers who have been actively engaged in sexual intercourse to perform cervical cancer screening by Pap smear examination routinely according to procedure and done at Tk II Putri Hijau Hospital Medan for free with existing health insurance facilities.Keyword: Cervical cancer screening, Pap smear Examination, Midwife Profession.


AIDS Care ◽  
2004 ◽  
Vol 16 (4) ◽  
pp. 530-539 ◽  
Author(s):  
D. K.-S. Chan ◽  
S. F. Cheung ◽  
A. Gray ◽  
A. Ip ◽  
B. Lee

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