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Aims Cervical cancer frequency in France is from 12 to 16 per 100.00 per year, despite an efficient screening test: the Cervical Smear (CS). This campaign aims to increase women participation, specially for high risk groups, helped by an intensive collaboration of local practitioners and social workers. Melhodology From November 93 to October 94, a free CS was proposed to 30846 women, from 25 to 65 year-old, living in one of the three target districts (Saint Fons, Saint Priest, Venissieux). Women information was performed by sending a personalized letter and using local audio visual possibilities, provided by the town council. Direct information was also given by all family practitioners and/or gynaecologists. During medical consultation, epidemiologie information were collected for each woman, and according to French recommenda-tion of “Consensus de Lille”, a CS was eventually done. AU the action is free of charge for the women, due to the French Insurance System and personal complementary insurance. Results From November 93 to October 94, 2934 women were in-cluded in the study. 33% were over 50 and participation rate was higher for women over 50. 43% of CS were done by the family practitioner. In this series, 58.3% of women had an insufficient screening, with a 70% rate for women over 50. For 8.2% of them, no previous CS were performed. High quality of technic may be underlined, with 98% of interpretable CS. Only 33 abnormalities were found (2%). Conclusions After one year, a low women participation is observed. Nevertheless, a fraction of high risk group was screened: 3 out of 4 women over 50 had an insufficient or no screening and we noted a good participation for menopaused women. Furthermore, this action will continue for 3 years and new advertisements will be done. |
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