Australian Government: Australian Institute of Health and Welfare METeOR Home Page

Australian Health Performance Framework: PI 2.1.3c–Cancer screening rates, National Cervical Screening Program participation rate, 2019

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termAHPF PI 2.1.3c–National Cervical Screening Program participation rate, 2019
Synonymous names:Help on this termNCSP participation rate
METeOR identifier:Help on this term723528
Registration status:Help on this termHealth, Standardisation pending 03/12/2019
Description:Help on this term

Rates of cervical screening for women in the national target age group during the defined 24-month period.

Rationale:Help on this term

In Australia, primary prevention of cervical cancer is through vaccination against human papillomavirus (HPV), which is the primary underlying cause of cervical cancer. Secondary prevention is by cervical screening, though the National Cervical Screening Program (NCSP), to detect and treat abnormalities while they are in the precancerous stage, prior to any possible progression to cervical cancer. Prior to 1 December 2017, detection of precancerous abnormalities through cervical screening used cytology from the Papanicolaou smear, or 'Pap test', as the screening test.

Participation is a major indicator of the performance of the NCSP. High participation in screening is required for the NCSP to achieve its aim of reducing cervical cancer incidence, morbidity and mortality, by detecting and treating cervical abnormalities that could otherwise develop into cervical cancer.

Participation is measured over a 2-year period in line with the current recommended screening interval.

Indicator set:Help on this termAustralian Health Performance Framework, 2019 Health, Standardisation pending 03/12/2019

Collection and usage attributes

Population group age from:Help on this term

20 years

Population group age to:Help on this term

69 years

Computation description:Help on this term

The denominator is adjusted to exclude the estimated number of women who have had a hysterectomy, using national hysterectomy fractions.

Age-standardised rates are directly age-standardised to the 2001 Australian population.

Analysis by Primary Health Network (PHN), remoteness and Socio-Economic Indexes for Areas (SEIFA) Index of Relative Socio-Economic Disadvantage (IRSD) is based on postcode of residential address at the time of screening.

Presented as a percentage.

Computation:Help on this term

100 × (Numerator ÷ Denominator)

Numerator:Help on this term

Number of women aged 20–69 who have been screened in a 2 year period.

Numerator data elements:Help on this term
Data Element / Data SetData Element

A1 Woman—client identifier, identifier X[X(19)]


Data Source
National Cervical Screening Program
Guide for use

Data source type: State and territory cervical screening registers
Count is of individual women, not tests.


Data Element / Data SetData Element

A7 Woman—date of birth, date DDMMYYYY


Data Source
National Cervical Screening Program
Guide for use

Data source type: State and territory cervical screening registers


Data Element / Data SetData Element

T1—Type of test, code A


Data Source
National Cervical Screening Program
Guide for use

Data source type: State and territory cervical screening registers
Only includes cytology tests (T1=C).


Data Element / Data SetData Element

C2 Cytology test—date of cytology test, date DDMMYYYY


Data Source
National Cervical Screening Program
Guide for use

Data source type: State and territory cervical screening registers
If multiple tests within a defined 24 month period, the first screening test is counted.


Data Element / Data SetData Element

C3 Cytology test—cytology specimen site, code AN


Data Source
National Cervical Screening Program
Guide for use

Data source type: State and territory cervical screening registers
Only includes B0 or B1.


Data Element / Data SetData Element

C6 Cytology test—endocervical (glandular) cytology cell analysis, code AX


Data Source
National Cervical Screening Program
Guide for use

Data source type: State and territory cervical screening registers
Excludes vault smears (E-).


Denominator:Help on this term

Population of women aged 20–69 in each state and territory, geographic region, socio-economic status and Australia, using Australian Bureau of Statistics (ABS) estimated resident population (ERP) for females at 30 June, averaged over the relevant 2 years by age group and adjusted for the estimated proportion of women who have had a hysterectomy

Denominator data elements:Help on this term
Data Element / Data SetPerson—estimated resident population of Australia, total people N[N(7)]
Data Source
ABS Estimated resident population (2011 Census-based)
Guide for use

Data source type: Census based and administrative by-product data


Data Element / Data SetData Element

Proportion of women within the target population who have had a hysterectomy


Data Source
National Hospital Morbidity Database (NHMD)
Guide for use

Data source type: Administrative by-product
National hysterectomy fractions derived from the AIHW National Hospital Morbidity Database are used to adjust the population to exclude the estimated number of women who have had a hysterectomy. See Chapter E (Statistical methods) in Cervical Screening in Australia, 2019 (AIHW 2019).


Disaggregation:Help on this term

2014–2015, 2015–2016—Nationally, by

  • 5-year age group (20–24 to 65–69 and totals for 20–69)
  • Remoteness area (Australian Statistical Geography Standard Remoteness Structure)
  • Socio-economic status (SEIFA IRSD quintile).

2014–2015, 2015–2016—State and territory.

2014–2015, 2015–2016—Primary Health Network (PHN).

Data are presented as numbers of participants and participation rates (percentage) including age-specific and age-standardised rates.

  • National age-standardised rates are provided for women aged 20–69.
  • State and territory age-standardised rates are provided for women aged 20–69.

Some disaggregation may result in numbers too small for publication.

Disaggregation data elements:Help on this term
Data Element / Data SetData Element

A15 Woman—residential Australian postcode, {NNNN}


Data Source
National Cervical Screening Program
Guide for use

Data source type: State and territory cervical screening registers
Used for disaggregation by PHN, remoteness and SEIFA IRSD.


Data Element / Data SetData Element

A14 Woman—Residential Australian state/territory name, code {AA[A]}


Data Source
National Cervical Screening Program
Guide for use

Data source type: State and territory cervical screening registers
Used for disaggregation by state and territory.


Data Element / Data SetData Element

A7 Woman—date of birth, date DDMMYYYY


Data Source
National Cervical Screening Program
Guide for use

Data source type: State and territory cervical screening registers
Used for disaggregation by age group


Comments:Help on this term

Most recent data available for 2019 Australian Health Performance Framework reporting: 2015–2016.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this term

NN.N

Indicator conceptual framework

Framework and dimensions:Help on this term1. Effectiveness

Data source attributes

Data sources:Help on this term
Data SourceNational Cervical Screening Program
Frequency
Annual
Data custodian

Department of Health and Ageing



Data SourceABS Estimated resident population (2011 Census-based)
Frequency
Quarterly
Data custodian
Australian Bureau of Statistics

Data SourceNational Hospital Morbidity Database (NHMD)
Frequency
Annual
Data custodian

Australian Institute of Health and Welfare


Accountability attributes

Reporting requirements:Help on this term

Australian Health Performance Framework

Organisation responsible for providing data:Help on this term

Australian Institute of Health and Welfare

Source and reference attributes

Submitting organisation:Help on this term

Australian Institute of Health and Welfare

Reference documents:Help on this term

AIHW (Australian Institute of Health and Welfare) 2014. National cervical cancer prevention data dictionary version 1: working paper. Cancer series no. 88. Cat. no. CAN 85. Canberra: AIHW. Viewed 11 October 2019, https://www.aihw.gov.au/getmedia/b381ba0a-86f6-4603-baa8-66c0f3e4db22/18262.pdf.aspx?inline=true.

AIHW 2019. Cervical screening in Australia 2019. Cancer series no. 123. Cat. no. CAN 124. Canberra: AIHW. Viewed 19 November 2019, https://www.aihw.gov.au/reports/cancer-screening/cervical-screening-in-australia-2019/contents/table-of-contents.

 

My items Help on this term
Download Help on this term