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Cervical cancer screening among young adult women in the United States.
- Source :
-
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology [Cancer Epidemiol Biomarkers Prev] 2013 Apr; Vol. 22 (4), pp. 580-8. Date of Electronic Publication: 2013 Jan 25. - Publication Year :
- 2013
-
Abstract
- Background: Cervical cancer screening guidelines have evolved significantly in the last decade for young adult women, with current recommendations promoting later initiation and longer intervals.<br />Methods: Using self-reported cross-sectional National Health Interview Survey (NHIS) 2000-2010 data, trends in Papanicolaou (Pap) testing among women ages 18-29 years were examined. NHIS 2010 data were used to investigate age at first Pap test (N = 2,198), time since most recent Pap test (n = 1,622), and predictors of Pap testing within the last 12 months (n = 1,622).<br />Results: The percentage of 18-year-olds who reported ever having a Pap test significantly decreased from 49.9% in 2000 to 37.9% in 2010. Mean age at first Pap test in 2010 was significantly younger for non-Hispanic black women (16.9 years), women < high school education (16.9 years), women who received the HPV vaccine (17.1 years), and women who have ever given birth (17.3 years). The majority reported their last Pap test within the previous 12 months (73.1%). Usual source of healthcare (OR, 2.31) and current birth control use (OR, 1.64) significantly increased chances of having a Pap test within the previous 12 months.<br />Conclusions: From 2000 to 2010, there was a gradual decline in Pap test initiation among 18-year-olds; however, in 2010, many women reported ≤12 months since last screening. Evidence-based guidelines should be promoted, as screening young adult women for cervical cancer more frequently than recommended can cause considerable harms.<br />Impact: A baseline of cervical cancer screening among young adult women in the United States to assess adherence to evidence-based screening guidelines.
- Subjects :
- Adolescent
Adult
Cross-Sectional Studies
Ethnicity
Female
Humans
Neoplasm Staging
Papanicolaou Test
Papillomavirus Infections prevention & control
Papillomavirus Infections virology
Papillomavirus Vaccines therapeutic use
Prognosis
Socioeconomic Factors
Surveys and Questionnaires
Uterine Cervical Neoplasms prevention & control
Uterine Cervical Neoplasms virology
Vaginal Smears
Young Adult
Early Detection of Cancer
Health Knowledge, Attitudes, Practice
Papillomaviridae pathogenicity
Papillomavirus Infections diagnosis
Uterine Cervical Neoplasms diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1538-7755
- Volume :
- 22
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
- Publication Type :
- Academic Journal
- Accession number :
- 23355601
- Full Text :
- https://doi.org/10.1158/1055-9965.EPI-12-1266