Evidence map›Paper›PMID 33379209›Full record

ArticleInternational journal of environmental research and public health2020

Comparisons of Papanicolaou Utilization and Cervical Cancer Detection between Rural and Urban Women in Taiwan.

Chiu-Ming Yang, Fung-Chang Sung, Chao-Song Hsue, Chih-Hsin Muo, Shu-Wei Wang, Shwn-Huey Shieh

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06968871 (Effects of the Ameliorated Pap Test on Cervical Cancer Screening Participation), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06968871 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effects of the Ameliorated Pap Test on Cervical Cancer Screening Participation: a Multicenter Randomized Controlled Trial

TypeinterventionalSponsorNational Taiwan University HospitalRan2026 to 2032Enrolled248ConditionsCervical Cancer Screening, Cervical Cancer Screening MethodsArmsModified Pap test
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Breast Cancer Myths, Mysterious Miracles and Mistrust among Rural Womenfolk in Sarawak.Asian Pacific journal of cancer prevention : APJCP · 2025
    Article
  4. Article
  5. Determinants of Population-Based Cancer Screening Performance at Primary Healthcare Institutions in China.International journal of environmental research and public health · 2021
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Chiu-Ming YangDepartment of Health Services Administration, College of Public Health, China Medical University, Taichung 404, Taiwan.
Fung-Chang SungDepartment of Health Services Administration, College of Public Health, China Medical University, Taichung 404, Taiwan.
Chao-Song HsueChina Medical University Bei Kang Hospital, Bei Kang, Yunlin County 651, Taiwan.
Chih-Hsin MuoManagement Office for Health Data, China Medical University Hospital, Taichung 404, Taiwan.
Shu-Wei WangChina Medical University Bei Kang Hospital, Bei Kang, Yunlin County 651, Taiwan.
Shwn-Huey ShiehDepartment of Health Services Administration, College of Public Health, China Medical University, Taichung 404, Taiwan.ORCID 0000-0002-0521-6447

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Using the claims data of one million insured residents in Taiwan from 1996-2013, this study identified 12,126 women in an urban city (Taichung) and 7229 women in a rural county (Yunlin), aged 20 and above. We compared Papanicolaou (Pap) test uses and cervical cancer detection rates between urban and rural women. Results showed that the Pap screening rate was slightly higher in rural women than in urban women (86.1 vs. 81.3 percent). The cervical cancer incidence was much greater for women without Pap test than women with the test (35.8 vs. 9.00 per 1000 in rural women and 20.3 vs. 7.00 per 1000 in urban women). Nested case-control analysis showed that Pap test receivers had an adjusted odds ratio (OR) of 0.35 (95% CI = 0.25-0.51) to be diagnosed with cervical cancer as compared to those who did not receive the test. The rural women had an adjusted OR of 1.46 (95% CI = 1.03-2.06) to be diagnosed with cervical cancer as compared to urban women. In conclusion, women in rural area are at higher cancer risk than city women. Women who do not undergo Pap tests deserve timely intervention of Pap test to prevent the onset of cancer, particularly in rural women with low income.

Indexed as

Rural PopulationUrban PopulationUterine Cervical NeoplasmsAdultAgedEarly Detection of CancerFemaleHumansMass ScreeningMiddle AgedPapanicolaou TestSocioeconomic FactorsTaiwanVaginal SmearsYoung Adultcervical cancerinsurance claims dataPapanicolaou testruralurban

Identifiers

PMID33379209
PMCPMC7795661

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.