Cervical cancer screening among low-income women: results of a national screening program, 1991–1995

Lawson, Herschel W.; Lee, Nancy C.; Thames, Sandra F.; Henson, Rosemarie; Miller, Daniel S.

doi:10.1016/s0029-7844(98)00257-9

Cited by 78 publications

(48 citation statements)

References 37 publications

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“…A similar figure has been reported in some Brazilian Amazonian women 3,27 . Detection and treatment of the premalignant lesions is the basis for Papanicolaou (Pap) smear screening, which has been partly responsible for the decline in the incidence of cervical cancer in countries like the United States in the last two decades 16 . Cervical cancer should be seen as a preventable disease 6 .…”

Section: Resultsmentioning

confidence: 99%

Prevalence of human papillomavirus infection in rural villages of the Bolivian Amazon

Cervantes

Lema²,

Hurtado³

et al. 2003

Rev. Inst. Med. trop. S. Paulo

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SUMMARYCervical cancer constitutes a major health problem in developing countries like Bolivia. The roles of certain genotypes of human papillomaviruses (HPVs) in the pathogenesis of cervical cancer is well established. The prevalence of HPV infection among sexually active women varies greatly. Information regarding HPV infection in Bolivia is very much scarce, specially in regions like the Amazonian lowland.We studied 135 healthy women living in four rural localities of the Bolivian Amazon. Presence of HPV in DNA extracted from cervical swabs was analyzed using a reverse line hybridization assay. The estimated overall HPV infection prevalence among the studied rural localities was 5.9% (ranging from 0-16.6%). These values were unexpectedly low considering Bolivia has a high incidence of cervical cancer.The fact that Amazonian people seem to be less exposed to HPV, makes it likely that some other risk factors including host lifestyle behaviors and genetic background may be involved in the development of cervical cancer in this population.

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Section: Resultsmentioning

confidence: 99%

Prevalence of human papillomavirus infection in rural villages of the Bolivian Amazon

Cervantes

Lema²,

Hurtado³

et al. 2003

Rev. Inst. Med. trop. S. Paulo

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“…14,15 Policymakers and public health practitioners have responded to identified disparities by creating and implementing effective programs such as the National Breast and Cervical Cancer Early Detection program. 16,17 By expanding cervical cancer behavioral surveillance to now encompass the newer technologies of the HPV vaccine and test, researchers can track disparities in uptake for all technologies, and policymakers and practitioners can more efficiently allocate resources for underserved populations.…”

Section: Definition and Methods Of Behavioral Surveillance Definitionmentioning

confidence: 99%

Human papillomavirus and cervical cancer behavioral surveillance in the US

Tiro

Saraiya

Jain

et al. 2008

Cancer

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In the US, federal and state behavioral surveillance systems routinely monitor selfreported sexual behavior and Papanicolaou (Pap) test use to identify high-risk populations, trends, and disparities and to guide and evaluate interventions for cervical cancer prevention and control. Clinical uptake of human papillomavirus (HPV) vaccination and testing necessitates the expansion of behavioral surveillance systems. Cervical disease is the main focus of HPV-related behavioral surveillance because of greater cancer incidence and mortality relative to other susceptible organs, and the availability of effective technologies for prevention and control. In the current study, a framework is presented for the types of behaviors to monitor, their conceptual and operational definitions, target populations, and evidence supporting the reliability and validity of self-report measures. An overview is also pro-

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“…9 It is important to note that cytological screening has not been equally accessible to all subpopulations and incidence and mortality from cervical cancer are higher in ethnic minorities and poor women. 10,11 In fact, in this country more than half of the incident cases of invasive cervical cancer are diagnosed in women who have not been adequately screened. The poor sensitivity of a single cytology smear, reported to range from 32% to 92%, 12 has led to repeated screening at frequent intervals, as reflected in screening guidelines developed in the early 1990s, many of which recommended annual screening with a Pap test.…”

mentioning

confidence: 99%

HPV Communication: Review of Existing Research and Recommendations for Patient Education

Anhang¹,

Goodman

Goldie³

2004

CA: A Cancer Journal for Clinicians

122

110

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The potential for human papillomavirus (HPV) DNA testing in cervical cancer prevention programs has been a topic at the forefront of cervical cancer policy discussions in recent years. To prevent some of the anxiety and psychological distress often experienced on HPV diagnosis and during the period of management, mass patient education must accompany the incorporation of HPV DNA testing into screening protocols. To contribute to a growing body of work that provides an empiric basis for development of effective counseling messages about HPV and HPV testing, this paper highlights women's most common information gaps and psychosocial concerns and describes the different perspectives offered by women's usual sources of information about HPV, including the crucial role of the clinical community in creating a shared decision making environment in which screening decisions and results can be discussed. (CA Cancer J Clin 2004;54:248 -259.) © American Cancer Society, Inc., 2004. Research in the last decade has conclusively demonstrated that sexually-transmitted infection with carcinogenic types of HPV, often referred to as high-risk types of HPV, is required for the subsequent development of virtually all cervical cancers.1 However, HPV infections are extremely common in sexually active women and the vast majority will spontaneously resolve or cause only transient minor lesions. HPV DNA testing is now included in cervical cancer screening guidelines as an adjunct to cytological screening.2,3 Mass patient education must accompany the incorporation of HPV DNA testing into screening protocols to prevent the anxiety and psychological distress often experienced on HPV diagnosis and during the period of management. To contribute to a growing body of work that provides an empiric basis for development of effective counseling messages about HPV and HPV testing, this paper will highlight women's most common information gaps and psychosocial concerns and describe the crucial role of the clinical community in creating a shared decision making environment in which screening decisions and results can be discussed. EPIDEMIOLOGY AND PATHOGENESISHPV is associated with nearly all cases of preinvasive and invasive cervical neoplasia.1 Eighty HPV types have been sequenced, although more than 200 types likely exist based on data from partially sequenced DNA fragments. 4 Approximately 30 specific HPV types infect the male and female genital tract and two-thirds of these are classified as high risk because of their etiological association with cervical cancer. In most countries, HPV-16 accounts for more than 50% to 60% of cervical cancer cases followed by HPV-18 (10%-12%) and HPVs 31 and 45 (4%-5% each).5 HPV types associated with genital warts, such as HPV-6, and HPV-11, are referred to as low risk because they are rarely associated with malignant disease. Ms. Anhang is Research Associate,

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Cervical cancer screening among low-income women: results of a national screening program, 1991–1995

Abstract: Observed results emphasize the duality of cervical neoplasia-CIN in younger women and invasive cancer in older women. This finding points to the importance of reaching both younger and older women for cervical cancer screening.

Cited by 78 publications

References 37 publications

Prevalence of human papillomavirus infection in rural villages of the Bolivian Amazon

Prevalence of human papillomavirus infection in rural villages of the Bolivian Amazon

Human papillomavirus and cervical cancer behavioral surveillance in the US

HPV Communication: Review of Existing Research and Recommendations for Patient Education

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