Abstract
Background.High participation rates are an essential component of an effective screening programme and many approaches were introduced as being successful for enhancing compliance to screening guidelines. The aim of this study was to evaluate to which extent a personal invitation by mail increases the rate of attendance in a cervical cancer screening programme in a primary health care centre.Materials and methods.The study was carried out as a pilot project to gain insight into feasibility of applying a well-known compliance increasing measure in Lithuanian population. The study included a sample of women registered at the primary health care centre in Panevėžys who had not participated in the cervical cancer screening programme for six and more years. Personal registered invitation letters to attend the primary health care centre for a Pap smear were sent out to 1789 women by mail.Results.In total, 2195 women were tested during 2011 at the primary health care centre. 487 (22.2%) of them attended the screening programme after receiving a personal invitation letter. Response rate for attending screening after receiving a personal invitation letter was 27.3%.Conclusions.Our study demonstrated that personal invitation letters addressed to long-term non-attendees could markedly increase participation in cervical cancer screening in Lithuania.
Highlights
The burden of cervical cancer across the European Union varies considerably
The study included a sample of women registered at the primary health care centre in Panevėžys who had not participated in the cervical cancer screening programme for six and more years
Our study demonstrated that personal invitation letters addressed to long-term non-attendees could markedly increase participation in cervical cancer screening in Lithuania
Summary
The burden of cervical cancer across the European Union varies considerably. Recent analysis of the countries with the highest cervical cancer incidence and mortality rates revealed rising trends in Lithuania, as well as in other most affected EU member states [1]. Based on the conventional cytological screening test, cervical cancer screening programmes, have been shown to be effective in decreasing the incidence and mortality rates [2]. Data on the exact coverage of screened women is currently not available; the Lithuanian Health Behaviour Monitoring study, based on six postal surveys conducted in 2004–2014, demonstrated that the proportion of women invited for cervical cancer screening in the past 12 months has increased from 30.6% in 2006 to 40.9% in 2014 [3]. The aim of this study was to evaluate to which extent a personal invitation by mail increases the rate of attendance in a cervical cancer screening programme in a primary health care centre
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