Cervical Cancer Screening Access, Outcomes, and Prevalence of Dysplasia in Correctional Facilities: A Systematic Review

Abnormal Pap Follow-Up among Criminal-Legal Involved Women in Three U.S. Cities

“…Criminal-legal involved women are less likely to obtain preventive cervical care, and the current study provides insight into patient characteristics and provider practices that may facilitate follow-up among community-based women with abnormal Pap results. Overall, 69% of the women in the cohort obtained follow-up after an abnormal Pap result, which is similar to other reports of criminal-legal involved women, but much lower than the 90% follow-up rate observed in the general U.S. population [7][8][9][10]. Those criminallegal involved women with older age and a primary care provider were more likely to obtain follow-up.…”

“…Surveys of incarcerated women in the U.S. report that 67-84% of criminal-legal involved women have completed Pap testing within three years, which is comparable to the Pap testing rates cited for all women [4][5][6]. However, after receiving an abnormal Pap result, only 21-66% of criminal-legal involved women obtain the recommended follow-up-which is much lower than the 90% follow-up rate observed among women in the general population [7][8][9][10]. While criminal-legal involved women may have access to Pap testing, they have higher rates of cervical dysplasia, and are less likely to receive the necessary surveillance and treatments that can prevent the progression to cervical cancer.…”

“…Following release from jail or prison, criminal-legal involved women encounter significant barriers to cervical care-they must obtain health insurance and find a primary care provider, while also securing income, housing, food, and other basic needs [8,14,15]. Barriers that limit access to preventive cervical care have been well studied, but there are less data on factors that will facilitate abnormal Pap follow-up.…”

Vulnerabilidade de mulheres às infecções sexualmente transmissíveis e câncer de colo uterino em uma unidade prisional

“…O tratamento e a conformidade com as recomendações de acompanhamento são extremamente pobres. 28 Esses achados reforçam a necessidade de intervenções dentro dos sistemas prisionais, com estratégias efetivas em relação às medidas de triagem primária, detecção precoce e tratamento adequado para a neoplasia cervical uterina. [23][24][25] Evidencia-se que essas mulheres possuem comportamentos de riscos, como tabagismo, relações sexuais precoces, uso raro de preservativos, baixa escolaridade e a multiplicidade de parceiro(a)s. 4 Nessa investigação, encontrou-se um achado preocupante, uma vez que não foi relatada pelas participantes a realização de atividades educativas voltadas para prevenção de IST, CCU e oferta de informações a respeito dos tipos de neoplasias que acometem a população feminina durante a permanência dessas no período de reclusão nessa unidade prisional.…”

Precancerous lesions of the cervix — aetiology, classification, diagnosis, prevention

“…Detection of the so-called cervical cancer precursors -high-grade lesions CIN (2-3)/HGSIL and preventing their progression to invasive cancer through screening, behaviour signalling, follow-up, and possible treatment. Screening methods (screening programs) for secondary prevention have been developed [20,21]. There are two types of cervical screening: organized (population-wide), which targets certain groups (by age and frequency/interval of studies), and opportunistic, which is not comprehensive and does not meet the criteria for a screening program.…”