کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6047948 1191208 2013 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Changes to cervical cancer prevention guidelines: Effects on screening among U.S. women ages 15-29
ترجمه فارسی عنوان
تغییرات در دستورالعمل های پیشگیری از سرطان گردن رحم: تأثیر بر روی غربالگری در میان زنان ایالات متحده آمریکا در سن 15 تا 29 سالگی
کلمات کلیدی
غربالگری سرطان گردن رحم، توصیه های بالینی، دستورالعمل سازگار، نوجوانان، جوانان، نظارت ملی،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب مکمل و جایگزین
چکیده انگلیسی

ObjectiveA shift toward later initiation of cervical cancer screening for women began in 2002. We generated national estimates of screening prevalence rates and guideline-consistent screening among U.S. women ages 15-29 before and after the first evidence-based recommendations for reduced cervical cancer screening.MethodWe used National Survey of Family Growth data to compare self-reported cervical cancer screening in 2002 and 2006-2008, stratified by age (15-17, 18-20, 21-29) and sexual activity. We also assessed receipt of guideline-consistent screening by selected demographic variables.ResultsAmong females ages 15-17, the proportion screened decreased from 23% to 12%, and screening was significantly more likely to be guideline-consistent. Among females ages 18-20, 24% were screened too early in 2006-2008, but among those not yet sexually active, screening declined to 8%, appropriately reflecting new guidelines. In multivariable analysis, private health insurance, pregnancy, and hormonal contraceptive use were associated with guideline-consistent screening among sexually-active women.ConclusionFewer adolescents were being screened before sexual initiation, representing newer guidelines. However, sexually-active young adult women also should have later screening initiation. Factors related to health care access contribute to receipt of screening. Monitoring and provider education are needed to improve guideline-consistent screening, as newer guidelines call for less screening.

► Fewer adolescents were screened for cervical cancer following guideline changes. ► Many sexually active young women were screened too early for cervical cancer. ► Lack of health insurance was associated with missed cervical cancer screening. ► Interventions are needed to reduce over- and under-screening for cervical cancer.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Preventive Medicine - Volume 56, Issue 1, January 2013, Pages 25-29
نویسندگان
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