Cervical smear participation and prevalence of sexually transmitted infections in women attending a community-controlled Indigenous health service in North Queensland

Panaretto, K.S., Dallachy, D., Manessis, V., Larkins, S., Tabrizi, S., Upcroft, J., and Garland, S. (2006) Cervical smear participation and prevalence of sexually transmitted infections in women attending a community-controlled Indigenous health service in North Queensland. Australian and New Zealand Journal of Public Health, 30 (2). pp. 171-176.

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Abstract

Objective: To increase Pap smear participation and to assess the prevalence of sexually transmitted infection (STI) in urban Indigenous women in Townsville.

Design: Convenience sample of women attending Townsville Aboriginal and Islanders Health Services (TAIHS) for health care participating in the Trichomonas vaginalis (TV) project, coordinated by an Aboriginal Health Worker (AHW) trained in women's health and cervical screening.

Participants: 198 women, aged 20–69 years of age, attending TAIHS between March 2002 and 31 January 2004.

Main outcome measures: Pap smear participation and prevalence of STIs.

Results: Pap smear participation among eligible women at TAIHS increased from 20.9% pre TV project to 28.6% during the project and 35.6% in the 12 months post completion of the TV project (p<0.0001), an increase of 70.3%. Of 196 smears performed during the study, 20 (10.6%, 95% CI 6.2–15) were abnormal; abnormality was more common in non-Indigenous 8/50 (16.0%) than in Indigenous women 12/139 (8.6%), but did not reach significance (p=0.180). The prevalence of Chlamydia trachomatis was low, with no differences between the Indigenous and non-Indigenous groups, and highest in younger women: 6/44 (13.6%) in women less than 25 years; Trichomonas vaginalis was more common in the Indigenous group.

Conclusion: An AHW trained to perform and advocating for Pap smear participation has significantly increased the smear participation at TAIHS. The overall prevalence of STI was low.

Item ID: 4119
Item Type: Article (Refereed Research - C1)
Keywords: cervical smear; sexually transmitted diseases; Indigenous; women
ISSN: 1326-0200
Date Deposited: 30 Oct 2009 02:59
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine > 111402 Obstetrics and Gynaecology @ 34%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 33%
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111716 Preventive Medicine @ 33%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920114 Reproductive System and Disorders @ 34%
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920507 Womens Health @ 33%
92 HEALTH > 9203 Indigenous Health > 920399 Indigenous Health not elsewhere classified @ 33%
Citation Count from Web of Science Web of Science 8
Downloads: Total: 2
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