The value of cervical screening to young women

Herbert, Amanda

doi:10.1038/sj.bjc.6601596

Cited by 3 publications

(5 citation statements)

References 2 publications

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“…Another goal of this study was the effectiveness of the Pap test in younger women as this has not been well described in other studies. In previous studies, despite overall declines in the incidence of invasive cervical cancer since the introduction of national screening programs, some studies have demonstrated increasing rates in younger women 23–27. In our study, the relationship between screening and incidence of invasive cervical cancer or CIS was not statistically significant among those under 30 years of age.…”

Section: Discussioncontrasting

confidence: 76%

Effectiveness of an organized cervical cancer screening program in Korea: Results from a cohort study

Jun

Choi

Jung

et al. 2008

Intl Journal of Cancer

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Although the value of cervical cancer screening is widely acknowledged, the effectiveness of an organized cervical cancer screening program in Korea has never been evaluated. We investigated the associations of the frequency of cervical cancer screening with cervical cancer incidence using data from a large prospective cohort study. In this analysis, 253,472 women without a hysterectomy or previous cancer diagnosis were included. Follow-up was between 1995 and 2002. Frequency of Pap smear testing was determined by searching the National Health Examination Database. Using the Korean Central Cancer Registry, 248 cases of invasive cervical cancer and 346 cases of carcinoma in situ (CIS) of the cervix were identified. Subjects screened 2 or more times showed a 71% (corrected reduction 60%) and a 66% (corrected reduction 53%) reduced risk of invasive cervical cancer and CIS of the cervix, respectively, as compared with unscreened subjects [relative risk (RR) 5 0.29; 95% confidence interval (CI) 5 0.20-0.45; RR 5 0.34; 95% CI 5 0.25-0.46, respectively]. Women with a normal or benign pap smear had a statistically significantly lower risk of invasive cervical cancer and CIS of cervix compared with those never screened. In age-stratified analyses, there was a significant reduction in cervical cancer incidence among women aged 30 and over who were screened 2 or more times compared with women never screened. The results of this prospective cohort study show that regular screening of cervical cancer reduces invasive cervical cancer incidence and CIS of the cervix among Korean women.

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Section: Discussioncontrasting

confidence: 76%

Effectiveness of an organized cervical cancer screening program in Korea: Results from a cohort study

Jun

Choi

Jung

et al. 2008

Intl Journal of Cancer

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“…Despite overall declines in the incidence of invasive cervical cancer since the introduction of national screening programmes, some studies have demonstrated increasing rates in younger women. [15][16][17][18][19][20][21] The incidence of cervical cancer in the age groups 20-24 and 25-29 in selected countries is shown in Table 1. 22,23 The incidence of squamous cell carcinoma in the USA has decreased in women under 30 years of age, although adenocarcinoma and adenocarcinoma in situ have increased.…”

Section: Effect On Incidencementioning

confidence: 99%

“…20 This was interpreted as a clinical benefit of screening young women, as most screendetected cancers were diagnosed at an early stage with potential fertility conservation and an excellent prognosis with respect to life expectancy. 21…”

Section: Effect On Incidencementioning

confidence: 99%

Cervical screening in 20–24-year olds

et al. 2006

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The incidence of cervical cancer in young women has halved since the introduction of the Welsh-organized call-recall cervical screening programme. In Wales we recommend that women continue to be invited for cervical screening from 20 years of age. This will provide the information required to compare the incidence and stage at diagnosis of cervical cancer in young women invited for first time cervical screening at different ages across the UK.

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“…Some countries, including Korea, have reported increasing rates of cervical cancer in women under the age of 30 years 12–14. The risk factors are associated with their level of sexual activity 13.…”

Section: Introductionmentioning

confidence: 99%

“…Some countries, including Korea, have reported increasing rates of cervical cancer in women under the age of 30 years. 12–14 The risk factors are associated with their level of sexual activity. 13 A worldwide study reported that because of later marriage, more men and women have premarital sex, and they often have multiple sexual partners.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with participation in cervical cancer screening among young Koreans: a nationwide cross-sectional study

et al. 2017

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ObjectivesDespite the possibility of early detection of cervical cancer, participation in screening programmes among young Koreans is low. We sought to identify associations between risk factors and participation in screening for cervical cancer among young Koreans.DesignNationwide cross-sectional study.SettingRepublic of Korea.Participants3734.Main outcome measuresThe Korea National Health and Nutrition Examination Survey (KNHANES V: 2010–2012) was used to evaluate factors associated with attendance for cervical cancer screening among women aged 15–39. After excluding those who were previously diagnosed with cervical cancer and those with incomplete responses to questionnaires, a total of 3734 subjects were eligible. Multi-dimensional covariates as potential predictors of cervical cancer screening were adjusted in multiple logistic regression analysis.ResultsThe participation rate for cervical cancer screening was 46% among women aged 40 or younger. The logistic analyses showed that age, education, total household income, smoking and job status among women aged 15–39 were associated with participation in cervical cancer screening (p<0.05). After age stratification, the associated factors differed by age groups. Moreover, a dose–response between participation in cervical cancer screening and high total household income in the 30–39 age group was seen.ConclusionsPredictive factors differed among young women (aged 15–29 vs 30–39). Thus, age-specific tailored interventions and policies are needed to increase the participation rate in screening for cervical cancer.

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The value of cervical screening to young women

Cited by 3 publications

References 2 publications

Effectiveness of an organized cervical cancer screening program in Korea: Results from a cohort study

Effectiveness of an organized cervical cancer screening program in Korea: Results from a cohort study

Cervical screening in 20–24-year olds

Factors associated with participation in cervical cancer screening among young Koreans: a nationwide cross-sectional study

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