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Cervical Cancer Screening and Incidence by Age: Unmet Needs Near and After the Stopping Age for Screening.
- Source :
-
American journal of preventive medicine [Am J Prev Med] 2017 Sep; Vol. 53 (3), pp. 392-395. Date of Electronic Publication: 2017 May 01. - Publication Year :
- 2017
-
Abstract
- Introduction: Leading professional organizations recommend cervical cancer screening for average-risk women aged 21-65 years. For average-risk women aged >65 years, routine screening may be discontinued if "adequate" screening with negative results is documented. Screening is recommended after age 65 years for women who do not meet adequate prior screening criteria or are at special risk.<br />Methods: Authors examined the most recent cervical cancer incidence data from two federal cancer surveillance programs for all women by age and race, corrected for hysterectomy status. The 2013 and 2015 National Health Interview Surveys were analyzed in 2016 to examine the proportion of women aged 41-70 years without a hysterectomy who reported that they never had a Pap test or that their most recent Pap test was >5 years ago (not recently screened).<br />Results: The incidence rate for cervical cancer among older women, corrected for hysterectomy status, did not decline until age ≥85 years. The proportion not recently screened increased with age, from 12.1% for women aged 41-45 years to 18.4% for women aged 61-65 years.<br />Conclusions: Even among women within the recommended age range for routine screening, many are not up to date, and a substantial number of women approach the "stopping" age for cervical cancer screening without an adequate prior screening history. Efforts are needed to reach women who have not been adequately screened, including women aged >65 years, to prevent invasive cervical cancer cases and deaths among older women.<br /> (Published by Elsevier Inc.)
- Subjects :
- Adult
Age Factors
Aged
Early Detection of Cancer methods
Early Detection of Cancer standards
Early Detection of Cancer trends
Female
Health Care Surveys statistics & numerical data
Health Services Needs and Demand standards
Health Services Needs and Demand trends
Humans
Hysterectomy statistics & numerical data
Incidence
Mass Screening methods
Mass Screening standards
Mass Screening trends
Middle Aged
Papanicolaou Test statistics & numerical data
Practice Guidelines as Topic
Prevalence
Uterine Cervical Neoplasms diagnosis
Uterine Cervical Neoplasms prevention & control
Uterine Cervical Neoplasms surgery
Vaginal Smears statistics & numerical data
Early Detection of Cancer statistics & numerical data
Health Services Needs and Demand statistics & numerical data
Mass Screening statistics & numerical data
Uterine Cervical Neoplasms epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1873-2607
- Volume :
- 53
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- American journal of preventive medicine
- Publication Type :
- Academic Journal
- Accession number :
- 28473240
- Full Text :
- https://doi.org/10.1016/j.amepre.2017.02.024