Advancing Age and Cervical Cancer Screening and Prognosis

Sawaya, George F.; Sung, Hai‐Yen; Kearney, Kathleen A.; Miller, Marie Grisham; Kinney, Walter; Hiatt, Robert A.; Mandelblatt, Jeanne

doi:10.1046/j.1532-5415.2001.4911243.x

Cited by 63 publications

(30 citation statements)

References 26 publications

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“…The odds of CC screening service uptake among women in the age range of 30-39 years were 2.78 times higher than women aged 21-29 years old. Similar findings were also reported both in developing and developed countries [25,26]. This is not surprising as women at the age of 30s and 60s are more likely to be symptomatic due to the bimodal distribution nature of the CC, which may enhance their probability of screening for CC.…”

Section: Discussionsupporting

confidence: 72%

Comprehensive Knowledge and Uptake of Cervical Cancer Screening is Low Among Women Living with HIV/AIDS in Northwest Ethiopia

Mersha

2017

Value in Health

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Background: In Ethiopia, cervical cancer is ranked as the second most common type of cancer in women and it is about 8 times more common in HIV infected women. However, data on knowledge of HIV infected women regarding cervical cancer and acceptability of screening is scarce in Ethiopia. Hence, the present study was aimed at assessing the level of knowledge of about cervical cancer and uptake of screening among HIV infected women in Gondar, northwest Ethiopia. Methods: A cross sectional, questionnaire based survey was conducted on 302 HIV infected women attending the outpatient clinic of University of Gondar referral and teaching hospital from March 1 to 30, 2017. Descriptive statistics, univariate and multivariate logistic regression analysis were also performed to examine factors associated with uptake of cervical cancer screening service. Results: Overall, only 64 (21.2%) of respondent were knowledgeable about cervical cancer and screening and only 71 (23.5%) of respondents were ever screened in their life time. Age between 21 and 29 years old (AOR = 2.78, 95% CI = 1. 71-7.29), perceived susceptibility to develop cervical cancer (AOR =2.85, 95% CI = 1.89-6.16) and comprehensive knowledge of cervical cancer (AOR = 3.02, 95% CI = 2.31-7.15) were found to be strong predictors of cervical cancer screening service uptake. Conclusion: The knowledge and uptake of cervical cancer screening among HIV infected women was found to be very poor. Taking into consideration the heightened importance of comprehensive knowledge in boosting up the number of participants towards cervical cancer screening services, different stakeholders working on cancer and HIV/ AIDS should provide a customized health promotion intervention and awareness creation to HIV-infected women, along with improving accessibility of cervical cancer screening services in rural areas.

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Section: Discussionsupporting

confidence: 72%

Comprehensive Knowledge and Uptake of Cervical Cancer Screening is Low Among Women Living with HIV/AIDS in Northwest Ethiopia

Mersha

2017

Value in Health

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“…Once diagnosed, older women are more likely to die of cervical cancer within 3 years, mostly because of the extent of the disease at diagnosis [16]. In addition, older women are more likely to receive inferior treatment for their disease.…”

Section: Discussionmentioning

confidence: 99%

Heavy Cervical Cancer Burden in Elderly Women: How Can We Improve the Situation?

et al. 2012

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Objectives: The American Cancer Society, the American College of Obstetricians and Gynecologists and the US Preventive Services Task Force recommend discontinuation of cervical cancer screening between 65 and 70 years of age in women with no abnormal test results in the preceding 10 years. This population-based study was undertaken to determine the incidence of cervical cancer in different age groups as a means to establish if current screening recommendations need reevaluation. Study Design: Data from the SEER database were used to compute incidence rates for cervical cancer diagnosed between 2000 and 2006 by age and disease stage. Results: We identified 18,003 women with cervical cancer. 12.18% were above the age of 69. The incidence in this age group was 8.7/100,000. Women younger than 30 comprised 5.7% of patients with an incidence of 5/100,000 and were most commonly diagnosed with stage IA1 disease. Women above 70 were most frequently diagnosed with stage IIIB. 79% of patients younger than 30 were diagnosed with an early disease (stage IA1–IIA) as opposed to only 41.2% of patients aged 69 or above. Conclusions: The incidence of cervical cancer does not decrease significantly in older women. Women over the age of 70 are frequently diagnosed with advanced stage disease which limits their treatment options. Failure to apply uniform screening across all at-risk age groups may account for the discrepancy.

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“…A study done in Florida also revealed that elderly women were more likely to be diagnosed at an advanced stage and each additional year of age was associated with 3% increased odds of advanced cervical cancer diagnosis [55]. Previous researches in the USA have documented that older women are significantly less likely than younger women to undergo Pap testing [62][63][64] and therefore are more likely to present with advanced stage. In low middle-income countries, older women were also found to have long help-seeking intervals for their symptoms and were more likely to be diagnosed with advanced stage cervical cancer [50,52,56,65].…”

Section: Discussionmentioning

confidence: 99%

Socio-Demographic Factors Associated with Advanced Stage of Cervical Cancer at Diagnosis in Kenyatta National Hospital, Kenya: A Cross Sectional Study

Frida¹,

Atieno²,

Habtu³

2017

J Cancer Sci Ther

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Advancing Age and Cervical Cancer Screening and Prognosis

Abstract: The disproportionate burden of cervical cancer observed in older women appears to be largely attributable to lack of screening within the 3 years before diagnosis.

Cited by 63 publications

References 26 publications

Comprehensive Knowledge and Uptake of Cervical Cancer Screening is Low Among Women Living with HIV/AIDS in Northwest Ethiopia

Comprehensive Knowledge and Uptake of Cervical Cancer Screening is Low Among Women Living with HIV/AIDS in Northwest Ethiopia

Heavy Cervical Cancer Burden in Elderly Women: How Can We Improve the Situation?

Socio-Demographic Factors Associated with Advanced Stage of Cervical Cancer at Diagnosis in Kenyatta National Hospital, Kenya: A Cross Sectional Study

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