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  • Writer's pictureSarah Keates

When Was Your Last Cervical Screening? Hong Kong's Low Pap Smear Rates & the Need for Early Detection

Cervical cancer is one of the most preventable cancers, yet Hong Kong has alarmingly low Pap smear rates. Regular screening is essential, but many women miss these crucial tests, risking late-stage diagnoses that could have been avoided.


The Importance of Routine Screenings


Pap smears are simple procedures designed to detect abnormal cells in the cervix before they become cancerous. Early detection leads to less invasive treatments and better outcomes. However, a 2021 government survey revealed only 54.8% of women aged 25-64 in Hong Kong had a cervical screening in the past three years. This is significantly lower than the 70%+ rates seen in many other regions. Cultural barriers, misinformation, and fear contribute to these low rates, causing many women to delay or skip their screenings.


Why Is the Screening Rate So Low in Hong Kong?


Many of us can relate to that feeling of knowing we should get a Pap smear but putting it off. We know it’s important but still many of us still avoid getting it done, why is this?


  • Time Constraints: Busy work schedules and family responsibilities make it difficult for many women to find time for screenings, leading to delays or cancellations.

  • Cost Concerns: The cost of screenings, especially at private clinics, can be a barrier for those without insurance or with limited coverage.

  • Fear of Shame and Stigma: Cultural attitudes can lead to feelings of embarrassment or shame about gynecological health, causing women to avoid screenings.

  • Fear of Discomfort or Pain: Misconceptions about the pain associated with Pap smears can deter women from scheduling the test.

  • Unclear Guidelines: Confusion about where to get screened and the availability of services can also be a factor, leaving women unsure of where to turn for care.


The Karen Leung Foundation's Impact


The Karen Leung Foundation (KLF) works to address these barriers and improve access to cervical screenings in Hong Kong. KLF provides a supportive environment for women to get information about getting screened and (in many cases), access to free testing and HPV vaccination.  


Where to Get Your Pap Smear


If you're due for a Pap smear, you have several options:


  • Public Sexual Health Clinics: These clinics offer cervical screenings at minimal or no cost and maintain high standards of care.

  • Private Gynecologists: Many private practitioners offer Pap smears, with some providing discounted rates for those without insurance.

  • Charitable Organizations: KLF and other NGOs frequently host education and vaccination events, making it more convenient and affordable to get care. KLF can also “signpost” you and give support to help you choose a provider for your screening. 


Tips for a Comfortable Pap Smear Experience


If you're nervous about your Pap smear, these tips may help:


  • Consider Pain Relief: Taking a mild painkiller an hour before your appointment can help reduce minor discomfort.

  • Bring Support: Having a friend with you can make the experience less intimidating and more comfortable.

  • Wear Comfortable Clothing: Opt for easy-to-remove clothing to help you feel more at ease during the procedure.

  • Ask Questions: Understanding the procedure and what to expect can ease anxiety, so don’t hesitate to ask your healthcare provider about any concerns.


HPV and Its Connection to Cervical Cancer


Human papillomavirus (HPV) is a common virus that can lead to cervical cancer. Most people will contract HPV at some point, but the infection often clears on its own. Persistent HPV infections can cause changes in cervical cells that may develop into cancer if left untreated. Regular Pap smears are crucial because they allow for early detection and treatment of these abnormal cells, preventing progression to cancer.


Support for Gynaecological Cancer Survivors


KLF has partnered with AMindset HK to offer fully funded, multilingual therapy and counseling services for cancer survivors. The “Thriving Through Cancer – Wellness Programme” launching in September-October 2024, will provide 30 participants with access to online and in-person therapy, expert talks, and specialized modules. This program aims to support survivors in rebuilding their lives, focusing on confidence, body image, and navigating intimate relationships.


Take Control of Your Health Today


Regular cervical screenings can greatly impact your health. The Karen Leung Foundation is dedicated to supporting you through the screening process and providing the emotional care you need afterward.


For more information on screening locations, KLF’s therapy program, or to learn more about the Foundation, visit their website or follow them on social media.





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