To discuss the epidemiology of cervical cancer in community women in Guandu District of Kunming in order to provide a scientific basis for prevention and treatment of cervical cancer in this area.

From February to September 2009, 2506 women from age 25 to 55 years(average age of 38.7-year-old) who had sex behavior from Guandu District of Kunming city were recruited voluntarily for a cervical cancer screening program. The screening of cervical cancer was conducted by the conventional Pap smear cytology and visual inspection assay (VIA). The positive case were detected by 13 types of high-risk human papilloma virus (HPV), at the same time, colposcopy and biopsy pathology were used to diagnose cervical intraepithelial neoplasia (CIN) and cervical cancer. The different income, age, education level were analyzed in different detection rates of cervical cancer. Informed consent was obtained from all participants.

Of the 2506 histologic diagnoses, Pap smear cytology positive rate was 3.91% (98/2506), human papilloma virus positive rate was 0.52% (13/2506), detection rate of cervical cancer was 0 (0/2506), detection rate of cervical lesions (pathological diagnosis of ≥ CIN Ⅰ) was 0.199% (5/2506). Women with a higher educational level had a lower Pap smear cytology positive rate, which showed a significant difference (P<0.05), women in a worse economic condition had a higher Pap smear cytology positive rate (P<0.05), women aged 39- to 55-year-old had a higher Pap smear cytology than women younger than 39 years old (P<0.05).

Women in 39-55 years old with low education level, and lower economic status should be pay more attention to health care education and regular screening in order to prevent and control cervical cancer effectively.