RT Journal Article
SR Electronic
T1 EPV044/#201 Understanding the never-screened population for cervical cancer in the United States – a descriptive and trend analysis
JF International Journal of Gynecologic Cancer
JO Int J Gynecol Cancer
FD BMJ Publishing Group Ltd
SP A46
OP A47
DO 10.1136/ijgc-2021-IGCS.112
VO 31
IS Suppl 4
A1 A Francoeur
A1 C-I Liao
A1 D Wong
A1 E Thayer
A1 A Milki
A1 A Moon
A1 A Mann
A1 MA Caesar
A1 A Chan
A1 D Kapp
A1 B Monk
A1 J Chan
YR 2021
UL http://ijgc.bmj.com/content/31/Suppl_4/A46.3.abstract
AB Objectives It is estimated that 50% of patients diagnosed with cervical cancer never had any screening. We aimed to determine the changes in cervical cancer screening in the United States.Methods Pap smear rates were evaluated using the Behavioral Risk Factor Surveillance System (BRFSS). SEER*Stat 8.3.8 and Joinpoint regression program 4.8.0.1 were used to calculate incidence trends.Results In 2016, 6.28% women in the U.S were never screened for cervical cancer. Based on race, 21.3% of Asian, 11.63% Hispanic, 8.09% Black and 5.1% of White women have never undergone screening. The age groups with higher never screened rates were the 80 and older age cohort at 11.14% followed by the 25–29 group at 8.87%. Over the last 6 years of our study, there has been an increase of 7.4% annually of never screened rates (p=0.008). In regards to age, there has been an increase in never pap was the 25–29 age group (AAPC +7.31%, p<0.001). White and Black women have increasing never pap smear rates at 1.49% (p=0.008) and 4.05% (p<0.001), respectively, while Hispanic women have no change. The intersectionality of age and race shows that Black women ages 25–29 have the highest increased rate of no screening, 9.84% annually (p<0.001).Conclusions Based on this large survey, nearly one fourth of Asian women were never screened for cervical cancer in the U.S. There is also an increasing proportion of never-screened particularly in younger Black women. Further research is warranted to understand the change in screening practices in relation to vaccination and access to care.