Cervical Cancer Screening, Pelvic Examinations, and Contraceptive Use Among Adolescent and Young Adult Females

Abstract

Purpose To characterize the association between pelvic examination and adolescent contraceptive method use in two time periods in the 2006–2010 National Survey of Family Growth (NSFG). Methods Using data from the 2006–2010 NSFG, we used descriptive statistics and multivariable regression models to examine the association between pelvic examination and/or Pap smear, and use of effective or highly effective contraceptive methods during 2 time periods. (2006–2008 and 2008–2010). We used the design characteristics of the NSFG to produce population estimates. Results More than half (57.3%) of our target population reported that they had a pelvic examination and/or Pap smear in the preceding 12 months. After considering health service use, pregnancy history and demographic characteristics, receipt of pelvic/Pap remained significantly associated with use of effective or highly effective methods of contraception. (aOR= 1.86, 95% CI; 1.17, 2.97). When we examined the relationship between pelvic/Pap and use of effective or highly effective methods within time periods, we found that the odds of effective contraception use was higher among adolescents who had received a Pap/pelvic exam in period 1 (June 2006–May 2008) but not in period 2 (June 2008–May 2010). (OR=3.05, 95% CI;1.53, 6.03 and OR=1.52, 95% CI; 0.88, 2.62, periods 1 and 2 respectively.) Conclusion This finding provides some reassurance that while indications for pelvic examination and Pap smear among adolescents have decreased, the previously documented association between pelvic examination and effective or highly effective contraception appears to have decreased.

Factors Influence on Pap Test Screening among Lahu Hill Tribe Women in Remote Area Thailand

“…The Fertility control showed significantly influenced on Pap test obtaining. The result related to previous studies which revealed that contraceptive use was associated the Pap test obtaining (Vinekar et al, 2015;Chosamata et al, 2015) while Rashied and Abbas's study (2014) was found that previous abortion was one barrier factor in taking the Pap woman is worthless person if do nothing and do not give birth after married. They must be healthy to be able to take care of their family matters.…”

Cervical Cancer Screening, Pelvic Examinations, and Contraceptive Use Among Adolescent and Young Adult Females

“…However, evidence from an analysis of 2006-2010 National Survey of Family Growth (NSFG) data suggests that reduced provision of Pap smears and pelvic exams to teenagers has not led to declines in use of effective contraceptive methods in this group. 1 The fi ndings indicate that the odds of such use were linked to receipt of a Pap test or pelvic exam in the fi rst half of the survey period, but not in the second half.…”

Great Role in Gynecological Cancer Prophylaxis of a Unique Health Check-Up Institute, Ningen Dock in Japan (Review)

“…More than half of the women diagnosed with cervical cancer have not attended screening in the past 3 years. A community-based screening strategy is one of the greatest success stories in cancer prevention, and widespread screening reduces the cervical cancer incidence worldwide [38][39][40][41][42]. The mean time between the virus infection and invasive cancer takes about 15 years, and within 2-4 years of detection 15.5-25.5% of low-grade epithelial lesions become high-grade lesions.…”