If not adequately vaccinated when younger, vaccination is recommended for everyone through the age of 26. The US Centers for Disease Control and Prevention recommends routine HPV vaccination at 11 or 12 years old, although it can be started as early as age nine. “There’s many studies looking at different cancers and how people are having later presentations in the setting of the Covid-19 pandemic.” Cervical cancer screening saves lives
“I suspect that with reduced access to health care during the Covid-19 pandemic, we may even see continued worsening of these trends,” she said. She also highlighted that the data used for the research only went through 2018, before the Covid-19 pandemic. “This highlights how important it is for everyone to have access to routine health care and be able to access recommended screening tests, and how even in young, otherwise healthy women, pap screening is very important and can save lives,” Francoeur said.
But the findings showed White women were more likely to report no cervical cancer screening in over five years than other racial and ethnic groups, and White teens have the lowest rate of HPV vaccination. In the study, Francouer and colleagues noted that “known” disparities in access to screening and health care are associated with higher rates of advanced cervical cancer among Black and Hispanic women. When looking at trends in relation to age, the largest and fastest increases in metastatic cervical cancer were seen in the 30- to 34-year-old age group, she said, adding that people in this group are generally healthy and might forego health insurance if they don’t get it through an employer. “And so, to me, these findings were very surprising because I would have expected with the expansion of the Affordable Care Act and more and more women getting health insurance to see kind of the opposite findings of more people being able to get screened.” “Cervical cancer is incredibly preventable with proper screening as well as access to vaccinations for the HPV virus,” said Francoeur. The American Cancer Society recommends that cervical cancer screening should begin at the age of 25 and that screenings should take place every five years up to the age of 65. But then when you look at these trends, we’re actually seeing the largest rate of increase in advanced cervical cancer in non-Hispanic White patients.” “One thing is that, you know, as with many health disparities, metastatic cervical cancer disproportionately affects minority populations, Black and Hispanic women. “I think the biggest takeaway is that we are seeing this increase, and there are a couple of things,” Francouer said. The incidence of advanced cervical cancer was 1.55 per 100,000 Black women compared to 0.92 per 100,000 White women, according to the researchers. Overall prevalence of the disease was higher in Black women. Rates also increased among Black women at 0.67% annually. The sharpest increase was in White women at a rate of 1.69%, and especially in the South among White women 40 to 44, who had the highest rise at an increase of 4.5% annually. “When we looked more closely at cervical cancer, we found that, kind of this paradoxical finding, where when you look at early stage cervical cancer, we’re seeing a decrease in the United States, but then when you look at advanced stage, or metastatic cervical cancer, we’re actually seeing the opposite trend with an increasing rate in the United States.”įrancoeur and the other researchers looked at data on 29,715 women from 2001 to 2018. Alex Francoeur, a fourth-year resident in obstetrics and gynecology at the University of California, Los Angeles, and one of the study authors.
#Mercury rising drivers
“This specific study was born out of wanting to take a deeper dive into the drivers behind cervical cancer,” said Dr. Advanced-stage cervical cancer is rising in the United States among White and Black women, according to a new study in the International Journal of Gynecological Cancer.
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