Women of counties with cervical cancer detection rates lower than several recovery suffer from a double of the rate of cervical cancer diagnostics, in particular from the disease at an advanced stage and the death of cervical cancer, according to a new analysis of researchers from Hollings Cancer Center.
Trisha Amboree, Ph.D., is part of a team of researchers who previously shown that the incidence of cervical cancer and mortality rates are higher in low -income and rural American counties. These articles analyzed the figures but could not explore the reasons why the impact and death were higher.
We know that higher screening absorption prevents illness and subsequent mortality. “”
Trisha Amboree, Ph.D.
In the absence of a national screening register in the United States, there was no way to link individual screening history to the results of cancer nationally, so that researchers look at the county levels to assess this with measurable results.
“In previous articles, we had no screening data at the individual level. This document helps to contextualize our previous results to say that what we see is at least probably the result of screening several times. »»
Opposite testing can identify precancerous lesions for elimination before developing cancer and also allows medical providers to diagnose cancer at an early stage, when it is much more likely that someone can be successfully treated. The current document published in Jama Network Open examined screening data at the county from 2004 to 2016, divided into three periods. The researchers labeled the counties as on several occasions at low pace if in at least two of the three periods of less than 70% of the eligible women of this county were projected. They were labeled as on several occasions on a large scale if at least 80% were detected. At the national level, the objective of screening for cervical cancer is 79.2%.
Most of the counties fell into the intermediate category. But when you compare the counties several times on several occasions with the counties several times, the researchers found that the diagnosis of cervical cancer at a distant stage was 84% higher in the low -hike counties and that deaths were 96% higher in the counties with low collapse.
Researchers also showed that almost all low -cost counties were rural, and all had an annual household income of households less than $ 75,000.
This latest analysis strengthens the need for improved access to screening and treatment, in particular in rural and low -income counties, the researchers said.
Screening of cervical cancer in South Carolina
The current document examines data from a national database which covers about a third of the American population, including states as varied as California, New York, Texas, Georgia and Idaho.
Southern Carolina data are not part of this national database, but it is likely that the trends that researchers have discovered are also observed here, Amboree said.
Gynecologists or family doctors generally carry out cervical cancer screening. But the South Carolina Area Health Education Consortium reports that 14 Southern Carolina counties have no obstetrician-gynecologists. Several counties have only one handful – or as little as doctors of family practice.
Hollings completes this lack of screening options thanks to its mobile health unit, which offers cervical cancer screening and moves to medically un served areas.
Current screening recommendations of the US preventive services for Women at Middle Risks are that 21 to 65 years old should receive a PAP smear every three years, or that 30 to 65 years should receive HPV (alone or with PAP) every five years.
