{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:09:25Z","timestamp":1777928965192,"version":"3.51.4"},"reference-count":50,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T00:00:00Z","timestamp":1635120000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Guangxi Scholarship Fund of Guangxi Education Department of China"},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81560523 and 81760577"],"award-info":[{"award-number":["81560523 and 81760577"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Guangxi Science and Technology Development Project","award":["AD17129003 and 14124005-2-11"],"award-info":[{"award-number":["AD17129003 and 14124005-2-11"]}]},{"name":"Young Researchers Science Foundation Program of Guangxi Medical University","award":["GXMUYSF201814"],"award-info":[{"award-number":["GXMUYSF201814"]}]},{"name":"Innovation Project of Guangxi Graduate Education","award":["YCBZ2020052"],"award-info":[{"award-number":["YCBZ2020052"]}]},{"name":"Fundamental Research Funds for Young and Middle-aged Teachers by the Education Department of Guangxi government","award":["KY2016YB076"],"award-info":[{"award-number":["KY2016YB076"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Med Screen"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To analyse the positive rates of low-grade (LSIL) and high-grade (HSIL) squamous intraepithelial lesions, and cervical cancer (CC), and identify groups at high risk for CC in Guangxi.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>CC screening options in Guangxi, which is the only minority autonomous area in South China, include the National Cervical Cancer Screening Project (NCCSP) and physical examination (PE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was based on PE and NCCSP sample data obtained from 2012 to 2019. We calculated the positive rates of LSIL, HSIL, and CC; analysed the adjusted odds ratio (aOR) and 95% confidence intervals (CI) of the variables in multivariate logistic regression; and subsequently identified groups at high risk for CC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The positive rates of LSIL, HSIL, and CC for the total of 873,880 samples were 1.89%, 0.60%, and 0.03%, respectively. Females over 64 years of age (vs. 50\u201364; aOR\u2009=\u20092.05; 95% CI, 1.71\u20132.46; P\u2009&lt;\u20090.001) and those from urban (vs. rural; aOR\u2009=\u20091.66; 95% CI, 1.57\u20131.76; P\u2009&lt;\u20090.001), minority (vs. non-minority; aOR\u2009=\u20091.24; 95% CI, 1.13\u20131.35; P\u2009&lt;\u20090.001), and coastal (vs. inland; aOR\u2009=\u20091.15; 95% CI, 1.06\u20131.25; P\u2009=\u20090.001) areas were associated with a high risk of HSIL. Females over 64 (vs. 50\u201364; aOR\u2009=\u20094.37; 95% CI, 2.88\u20136.63; P\u2009&lt;\u20090.001) and those from urban (vs. rural; aOR\u2009=\u20093.05; 95% CI, 2.36\u20133.95; P\u2009&lt;\u20090.001) areas were significantly associated with a high risk of CC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Females from urban areas in Guangxi are at high risk for CC. Public health strategies should focus on high-risk populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09691413211039254","type":"journal-article","created":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T06:55:37Z","timestamp":1635144937000},"page":"44-52","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Populations at high risk of cervical cancer in Guangxi Province: Findings from two screening projects in a minority area of South China"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0031-3299","authenticated-orcid":false,"given":"Huaxiang","family":"Lu","sequence":"first","affiliation":[{"name":"School of Public Health, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China"},{"name":"Department of Guangxi Science and Technology Major Project, Guangxi Center for Diseases Prevention and Control, Nanning, Guangxi Zhuang Autonomous Region, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haoyu","family":"He","sequence":"additional","affiliation":[{"name":"School of Public Health, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China"},{"name":"School of Stomatology, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian","family":"Qin","sequence":"additional","affiliation":[{"name":"School of Public Health, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mingjian","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cytopathology Diagnosis, Guangxi Kingmed Diagnostics Group Co., Ltd, Nanning, Guangxi Zhuang Autonomous Region, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiumei","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Public Health, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cytopathology Diagnosis, Guangxi Kingmed Diagnostics Group Co., Ltd, Nanning, Guangxi Zhuang Autonomous Region, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongsheng","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Cytopathology Diagnosis, Guangxi Kingmed Diagnostics Group Co., Ltd, Nanning, Guangxi Zhuang Autonomous Region, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anxiang","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Cytopathology Diagnosis, Guangxi Kingmed Diagnostics Group Co., Ltd, Nanning, Guangxi Zhuang Autonomous Region, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuzhen","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Public Health, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Xu","sequence":"additional","affiliation":[{"name":"School of Public Health, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhiyong","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Public Health, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, China"},{"name":"School of Public Health, Guilin Medical University, Guangxi Zhuang Autonomous Region, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,10,25]]},"reference":[{"key":"bibr1-09691413211039254","first-page":"349","author":"Bray F","year":"2018","journal-title":"CA Cancer J Clin"},{"key":"bibr2-09691413211039254","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30482-6"},{"key":"bibr3-09691413211039254","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.32956"},{"key":"bibr4-09691413211039254","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31392-7"},{"key":"bibr5-09691413211039254","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.30825"},{"key":"bibr6-09691413211039254","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-05174-5"},{"key":"bibr7-09691413211039254","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-018-4732-z"},{"key":"bibr8-09691413211039254","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32849-6"},{"key":"bibr9-09691413211039254","doi-asserted-by":"publisher","DOI":"10.21147\/j.issn.1000-9604.2019.05.13"},{"key":"bibr10-09691413211039254","unstructured":"Nayar R, Wilbur DC. 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