Indigenous primary health care: PI22b-Proportion of regular clients who have had a cervical screening, 2015-2017
Indicator Attributes
Identifying and definitional attributes | |
Metadata item type: | Indicator |
|---|---|
| Indicator type: | Indicator |
| Short name: | PI22b-Proportion of regular clients who have had a cervical screening, 2015-2017 |
| METEOR identifier: | 686306 |
| Registration status: | Health, Superseded 17/10/2018 Indigenous, Superseded 17/10/2018 |
| Description: | Proportion of female regular clients who are Indigenous, aged 20 to 74, who have not had a hysterectomy and who have had a cervical screening (either Papanicolaou smear (Pap test) or human papillomavirus (HPV) test) within the previous 2 years, 3 years and 5 years. |
| Rationale: | Cancer mortality rates are higher for Indigenous Australians than for Other Australians. Higher participation in cervical screening means that more women with precancerous abnormalities can be detected and treated, which is necessary for achieving the overall aim of reducing incidence and mortality from cervical cancer (AIHW 2017). |
| Indicator set: | Indigenous primary health care key performance indicators (2015-2017) Health, Superseded 17/10/2018 Indigenous, Superseded 17/10/2018 |
Collection and usage attributes | |
| Population group age from: | 20 years |
|---|---|
| Population group age to: | 74 years |
| Computation description: | Proportion of regular clients who are Indigenous, aged 20 to 74, who have not had a hysterectomy and who have had a cervical screening (either Pap test or HPV test) within the previous 2 years, 3 years and 5 years. ‘Regular client’ refers to a client of an Australian Government Department of Health-funded primary health-care service (that is required to report against the Indigenous primary health-care key performance indicators) who has an active medical record; that is, a client who has attended the Department of Health-funded primary health-care service at least 3 times in 2 years. Count is of women, not tests. A Pap test is a test that detects abnormal cell changes. An HPV test is a test that detects persistent HPV infection that causes the abnormal cell changes prior to the development of cervical cancer. Include either Pap tests conducted prior to 1 December 2017 or HPV tests conducted from 1 December 2017. Include HPV tests where the sample is either collected by a health practitioner or self-collected. From 1 December the screening test for cervical cancer changed from the Pap test to a test for human papillomavirus (HPV). The recommended screening age changed from 18 to 69 (this indicator reported on the age group 20 to 69) to 25 to 74. The HPV test is offered every 5 years instead of every 2 as it was with the Pap test (DoH 2017). This indicator will report on both age ranges during the transitional reporting period. Presented as a percentage. Calculated separately for women who have had a cervical screening within the previous 2 years, the previous 3 years and the previous 5 years. |
| Computation: | (Numerator ÷ Denominator) x 100 |
| Numerator: | Calculation A: Number of regular clients who are Indigenous, aged 20 to 74, who have not had a hysterectomy and who have had a cervical screening within the previous 2 years. Calculation B: Number of regular clients who are Indigenous, aged 20 to 74, who have not had a hysterectomy and who have had a cervical screening within the previous 3 years. Calculation C: Number of regular clients who are Indigenous, aged 20 to 74, who have not had a hysterectomy and who have had a cervical screening within the previous 5 years. |
| Numerator data elements: | |
| Denominator: | Calculation A, B and C: Total number of regular clients who are Indigenous, aged 20 to 74 who have not had a hysterectomy. |
| Denominator data elements: | |
| Disaggregation: | 1. Age: a) 20-24 years b) 25-34 years c) 35-44 years d) 45-54 years e) 55-64 years f) 65-69 years g) 70-74 years |
Representational attributes | |
| Representation class: | Percentage |
| Data type: | Real |
| Unit of measure: | Person |
| Format: | N[N].N |
Indicator conceptual framework | |
| Framework and dimensions: | Effective/Appropriate/Efficient |
Data source attributes | |
| Data sources: | |
Source and reference attributes | |
| Submitting organisation: | Australian Institute of Health and Welfare Australian Government Department of Health |
| Reference documents: | AIHW (Australian Institute of Health and Welfare) 2017. National Cervical Screening Program data dictionary: Version 1.0. Cancer series no. 103. Cat. no. CAN 102. Canberra: AIHW.Viewed 9 November 2017, http://www.aihw.gov.au/publication-detail/?id=60129559625 DoH (Australian Government Department of Health) 2017. National Cervical Screening Program. Canberra: DoH. Viewed 24 November 2017, http://www.health.gov.au/internet/screening/publishing.nsf/Content/cervical-screening-1 |
Relational attributes | |
| Related metadata references: | Supersedes Indigenous primary health care: PI22b-Proportion of regular clients who have had a cervical screening, 2015-2017 Health, Superseded 25/01/2018 Indigenous, Superseded 27/02/2018 Has been superseded by Indigenous primary health care: PI22b-Proportion of regular clients who have had a cervical screening, 2018-2019 Health, Superseded 16/01/2020 Indigenous, Superseded 14/07/2021 See also Indigenous primary health care: PI22a-Number of regular clients who have had a cervical screening, 2015-2017 Health, Superseded 17/10/2018 Indigenous, Superseded 17/10/2018 |