Cervical Cancer Screening Rates in a Chart Review of Adolescent Patients at an Academic Institution before and after the Publication of the 2009 American College of Obstetricians and Gynecologists' Recommendations

Summers, Sondra; Petzel, A; Anderson, Jennifer; Kenton, Kimberly

doi:10.1016/j.jpag.2014.08.013

Cited by 8 publications

(6 citation statements)

References 15 publications

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“…[22] Our results show no association between socioeconomic status and screening rate, in contrast to some other studies. [10,16] Furthermore, no association was found between age at first sex and cervical cancer screening, unlike the findings from a study in which cervical cancer screening among adolescents increased with a sexual history. [10]…”

Section: Discussioncontrasting

confidence: 77%

“…Similarly, in a study among women between the ages 16 and 21 years at a US academic institution, it was found that low socioeconomic status was associated with lower testing rates. [10] The authors also found that young women who were sexually active requested Pap tests. [10] Moreover, a study among adolescent girls in Mozambique found that education level was associated with knowledge of cervical cancer prevention.…”

Section: Articlementioning

confidence: 98%

“…[10] The authors also found that young women who were sexually active requested Pap tests. [10] Moreover, a study among adolescent girls in Mozambique found that education level was associated with knowledge of cervical cancer prevention. [17] That study also found that married adolescent girls were more likely to be aware of cervical cancer prevention than single adolescent girls.…”

Section: Articlementioning

confidence: 98%

“…[9] However, despite this recommendation studies show that in some areas, including Lesotho, cervical cancer screening continues to be performed in adolescents. [4,[10][11][12] Continued screening among adolescents may be associated with psychological and emotional consequences these girls are not prepared for. [13] Understanding levels of cancer screening among adolescent girls can therefore help to inform policy implementations regarding adolescent health.…”

Section: Articlementioning

confidence: 99%

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Cervical cancer screening among adolescent girls in Lesotho: Levels and Determinants.

Letuka

Wet

2018

S Afr J CH

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This study used secondary data from the individual recode file of the 2014 Lesotho Demographic and Health Survey (DHS). The study population was adolescent girls (15-19 years) and the sample size for this study was 1 542. Statistical software (Stata version 14) was used for statistical analysis, which included descriptive statistics, bivariate analysis and multivariate analysis. Frequency distributions were used to describe the sociodemograhic characteristics of the adolescent girls in this study. Bivariate analysis involved chi-square cross-tabulations to consider the relationship between cervical Background. International guidelines have discouraged screening of young women under the age of 21 for cervical cancer. However, a high screening rate is still evident among adolescent girls in Lesotho. Objective. To explore the levels and determinants of cancer screening among adolescent girls in Lesotho. Methods. This cross-sectional study used secondary data from the 2014 Lesotho Demographic and Health Survey collected from 1 542 adolescent girls aged 15-19 years. Descriptive statistics, the chi-square test and a binary logistic regression model were used to analyse the data. Results. Despite recommendations that adolescents should not screen for cervical cancer, results show that 15% of adolescent girls in Lesotho attend screening services. Adolescent girls from rural areas are less likely to screen than those from urban areas (odds ratio (OR) 0.22, 95% confidence interval (CI) 0.07-0.68; p=0.009). Marital status and level of education were significantly associated with cervical cancer screening among respondents; however, age at first sex was not statistically associated with screening among adolescent girls. Conclusion. With reference to international guidelines, the screening rate for cervical cancer is high among adolescents in Lesotho. Future studies should focus on why adolescents in Lesotho still screen for cervical cancer despite international recommendations discouraging screening before the age of 21.

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Section: Discussioncontrasting

confidence: 77%

Section: Articlementioning

confidence: 98%

Section: Articlementioning

confidence: 98%

Section: Articlementioning

confidence: 99%

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Cervical cancer screening among adolescent girls in Lesotho: Levels and Determinants.

Letuka

Wet

2018

S Afr J CH

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“…We found declines in all cervical cancer screening and treatment procedures in women aged 18-20 years between 2006 and 2014. Previous studies [19][20][21] have documented the decrease in Pap tests in young women since the introduction of the 2009 guidelines; however, these studies did not evaluate treatment procedures nor assess cost implications.…”

Section: Discussionmentioning

confidence: 99%

Cervical Cancer Screening and Follow-Up Procedures in Women Age <21 Years Following New Screening Guidelines

Foxx

Zhu²,

Mitchel³

et al. 2018

Journal of Adolescent Health

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The Impact of the American College of Obstetricians and Gynecologists Guideline Changes in Pap Tests on Annual Chlamydia Test Rates

Hsieh

Huppert

Patel

et al. 2017

Journal of Adolescent Health

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Although chlamydia test rates are increasing among sexually active women aged 15-25 years from 2005 to 2014, the slower growth in chlamydia testing rate after 2009 may relate to the change in the Pap testing guidelines. Our finding that more than half of sexually active women aged 15-25 years did not have chlamydia testing and that the rate of increased chlamydia testing slowed after 2009 suggests that interventions to improve chlamydia testing apart from combining with Pap testing are still needed.

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Cervical Cancer Screening Rates in a Chart Review of Adolescent Patients at an Academic Institution before and after the Publication of the 2009 American College of Obstetricians and Gynecologists' Recommendations

Cited by 8 publications

References 15 publications

Cervical cancer screening among adolescent girls in Lesotho: Levels and Determinants.

Cervical cancer screening among adolescent girls in Lesotho: Levels and Determinants.

Cervical Cancer Screening and Follow-Up Procedures in Women Age <21 Years Following New Screening Guidelines

The Impact of the American College of Obstetricians and Gynecologists Guideline Changes in Pap Tests on Annual Chlamydia Test Rates

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