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Prevalence of abnormal cervical cancer screening outcomes among women in the United States: Results from the National Health Interview Survey, 2018

American Journal of Obstetrics and Gynecology Sep 17, 2020

Chido-Amajuoyi OG, Shete S, Talluri R, et al. - In this descriptive report, researchers sought to present an updated surveillance of the prevalence of abnormal cervical cancer screening outcomes in the United States, employing more recent data collected 3 years after an earlier survey in 2015. Furthermore, for the first time, the prevalence of abnormal screening outcomes by sexual orientation was described in this study. From the 2018 National Health Interview Survey (NHIS), a nationally representative survey, they analyzed data of 5,122 women who were screened for cervical cancer in the past 3 years. Among these women, 2223 reported undergoing cotesting. An abnormal Pap test was noted in 633 of the women (12.38%), an abnormal HPV test in 273 women (12.85%), and abnormal results for both Pap and HPV tests were reported in 143 (5.84%). Across all screening modalities, the highest rates of abnormal results were reported among respondents who were current smokers, who were unmarried, and who had no health insurance coverage. Respondents who identified themselves as bisexual showed higher rates of abnormal Pap and HPV tests than those in respondents who identified themselves as straight; this may be due to their higher likelihood of engaging in risky health behaviors that may increase their tendency to HPV infection. In addition, current smokers had higher the prevalence of HPV-positive tests (21.16%) than those nonsmokers (11.45%).

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