Pap smear screening, pap smear abnormalities and psychosocial risk factors among women in a residential alcohol and drug rehabilitation facility

Soccio, Jacqui; Brown, Margaret; Comino, Elizabeth; Friesen, Emma L.

doi:10.1111/jan.12745

Cited by 17 publications

(24 citation statements)

References 19 publications

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“…In this population-based study, we found that DUD was significantly associated with incident cervical cancer. The finding is coherent with Australian studies showing that women with problematic drug and alcohol use have increased cervical cancer incidence [19] as well as Pap smear abnormalities and precancerous lesions [9,10,20].…”

Section: Discussionsupporting

confidence: 85%

“…Co-infection with Chlamydia trachomatis and Herpes simplex virus have been suggested to increase the risk for HPV-infection [23]. Higher cervical cancer incidence among women with DUD might be related to increased exposure to HPV through having had multiple sex partners, experience of [9,20,21,24,25]. Impaired immune response to HPV infection such as infection with HIV is a risk factor for cervical cancer [18], and overrepresented among people who inject drugs [8].…”

Section: Discussionmentioning

confidence: 99%

“…Research on potential associations between DUD and cervical cancer incidence and mortality is scarce. For example, Australian studies have shown that women with DUD have increased cervical cancer incidence [19] and cervix cytological abnormalities [9,20], and that opioid dependence is associated with higher cervical cancer mortality compared to the general population [21]. To our knowledge, there are no previous studies on this topic in a nationwide setting.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cervical cancer among Swedish women with drug use disorders: A nationwide epidemiological study

Dahlman

Magnusson

et al. 2021

Gynecologic Oncology

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Cervical cancer among Swedish women with drug use disorders: A nationwide epidemiological study

Dahlman

Magnusson

et al. 2021

Gynecologic Oncology

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“…However, prevalence of abnormal cytology is generally relatively lower in resource-endowed countries with established screening programs. Lower rates of ECA than what we found in this study have been reported among the Australian [34] and Turkish women. [35] Another study among Italian women also reported lesser frequencies of ASCUS, LSIL, and HSIL.…”

Section: Discussioncontrasting

confidence: 78%

Prevalence of cervical cancer and pre-cancerous lesions among unscreened Women in Kumasi, Ghana

Donkoh

Agyemang-Yeboah

Asmah³

et al. 2019

Medicine

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Ghana does not have a universal population-based cervical cancer screening program and there is very limited information about the distribution of cervical epithelial cell lesions. This study provides evidence that a moderately high prevalence of cervical cancer and precancerous lesions exists among unscreened women in Kumasi. The prevalence of cervical epithelial cell abnormalities among a cross-section of women attending cervical cancer screening for the first time in a suburb of Ghana from 2011 to 2014 was studied. Cervical smears were prepared and examined independently by 2 cytotechnologists and confirmed by a pathologist. Cervical lesions were classified according to the Bethesda System for cervical cytology 2001. Out of the 592 women for whom a Pap smear was available for evaluation, 555 (93.8%) were negative for intraepithelial lesion or malignancy. Eight women (1.4%) showed atypical squamous cells of undetermined significance (ASCUS), 9 (1.4%) low-grade squamous intraepithelial lesions, and 2 (0.3%) high-grade squamous intraepithelial lesions. A total of 15 (2.5%) smears were unsatisfactory for cervical cytology. Additionally, 3 women (0.5%) had squamous cell carcinoma, giving an overall rate of 3.7% for epithelial cell abnormalities. Cervical cancer and precursor epithelial cell abnormalities are common among women in Kumasi for a disease that can be prevented by early detection through routine screening and management. This study provides adequate background data to recommend the implementation of cervical cancer screening in all eligible women in Ghana.

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“…The predictable nature of the evolution of invasive cervical carcinoma from cervical intraepithelial neoplasia affords its early detection via screening tests. Despite this, the evidence shows that incarcerated women and those undergoing rehabilitation are at increased risk of cervical carcinoma and are less likely to access screening for the cancer [12]. Few resource-limited countries have national cervical carcinoma prevention programs.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of High-risk Human Papillomavirus Infection Among Prisoners in the Nsawam Medium Security Prison, Ghana

Acheampong¹,

Effah

Amuah

et al. 2020

Preprint

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Background: The Ghana Prisons Service has a Health Directorate that ensures delivery of healthcare to people in their custody under the Ghana Association of Quasi Health Institution (GAQHI) which is one of the agencies under the Ministry of Health. Across Ghana, females comprise 1.2% of the entire prison population (n=15,463). Cervical cancer screening services are however nonexistent and the prevalence of cervical precancer is undocumented. Our aim was to determine the prevalence of high-risk HPV infection and associated cervical abnormalities during a cervical cancer screening outreach. Methods: After informed consent and counselling, women underwent a structured questionnaire-based interview. Responses were recorded directly into a Microsoft Excel spreadsheet. Inmates were co-tested for cervical pre-cancer by two trained nurses using dry brush cervical samples for 15 high risk HPV types using the AmpFire HPV test after which mobile colposcopy with the EVA system was performed. EVA images were reviewed by a gynecologist. Frequencies and percentages were used to describe categorical data while means and standard deviations or medians and interquartile ranges were used to describe continuous data. Results: The majority (75%) of the inmates were convicts with a median sentence of 5 years. Their mean age was 41.1 years (range, 19–97). Out of the 14% that had ever been screened for cervical cancer, 75% had only been screened once. The self-reported prevalence rate of HIV among the inmates was 13.1%, all of who were receiving treatment. The high-risk HPV prevalence rate was 47.6% in the general population of inmates and 63.6% among HIV positive inmates. Using the EVA system, 5(6%) had lesions on the cervix of which 3(3.6%) were treated with thermal coagulation and 2(2.4%) were treated with LEEP. The average age of high-risk HPV positive inmates was 37.8 years. These inmates were also more likely to have been in prison for a shorter duration. Conclusion: There is a high prevalence of high-risk HPV infection among women in custody. These women will benefit from structured cervical cancer prevention services, including treatment for abnormalities that are picked up during such screening.

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Pap smear screening, pap smear abnormalities and psychosocial risk factors among women in a residential alcohol and drug rehabilitation facility

Cited by 17 publications

References 19 publications

Cervical cancer among Swedish women with drug use disorders: A nationwide epidemiological study

Cervical cancer among Swedish women with drug use disorders: A nationwide epidemiological study

Prevalence of cervical cancer and pre-cancerous lesions among unscreened Women in Kumasi, Ghana

Prevalence of High-risk Human Papillomavirus Infection Among Prisoners in the Nsawam Medium Security Prison, Ghana

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