Evidence map›Paper›PMID 23137444›Full record

ArticlePreventive medicine2013

Changes to cervical cancer prevention guidelines: effects on screening among U.S. women ages 15-29.

Jillian T Henderson, Mona Saraiya, Gladys Martinez, Cynthia C Harper, George F Sawaya

Abstract read
In one paragraph

Article in Preventive medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Cervical Cancer Screening.The Medical clinics of North America · 2017
    Review
  7. Article
  8. Article
  9. Article
  10. Cervical cancer screening among young adult women in the United States.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2013
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Jillian T HendersonUniversity of California, San Francisco, Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology & Reproductive Sciences, San Francisco, CA 94118, USA. HendersonJ@obgyn.ucsf.edu
Mona Saraiya
Gladys Martinez
Cynthia C Harper
George F Sawaya
University of California, San Francisco · USCenters for Disease Control and Prevention · USNational Center for Chronic Disease Prevention and Health Promotion · US

Funding

CTSA: K12 COMPONENTKL2RR024130 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$19.3M
Women's Reproductive Health Care in the Transition from Adolescence to AdulthoodK01HD054495 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HENDERSON, JILLIAN T · 2007 to 2011
$539k
NCRR NIH HHS KL2 RR024130NICHD NIH HHS K01 HD054495NICHD NIH HHS K01HD054495
6 · The paper itself

Abstract

objectiveA shift toward later initiation of cervical cancer screening for women began in 2002. We generated national estimates of screening prevalence rates and guideline-consistent screening among U.S. women ages 15-29 before and after the first evidence-based recommendations for reduced cervical cancer screening.

methodWe used National Survey of Family Growth data to compare self-reported cervical cancer screening in 2002 and 2006-2008, stratified by age (15-17, 18-20, 21-29) and sexual activity. We also assessed receipt of guideline-consistent screening by selected demographic variables.

resultsAmong females ages 15-17, the proportion screened decreased from 23% to 12%, and screening was significantly more likely to be guideline-consistent. Among females ages 18-20, 24% were screened too early in 2006-2008, but among those not yet sexually active, screening declined to 8%, appropriately reflecting new guidelines. In multivariable analysis, private health insurance, pregnancy, and hormonal contraceptive use were associated with guideline-consistent screening among sexually-active women.

conclusionFewer adolescents were being screened before sexual initiation, representing newer guidelines. However, sexually-active young adult women also should have later screening initiation. Factors related to health care access contribute to receipt of screening. Monitoring and provider education are needed to improve guideline-consistent screening, as newer guidelines call for less screening.

Indexed as

Practice Guidelines as TopicAdolescentAdultAge FactorsFemaleHealth Care SurveysHuman papillomavirus 16HumansMass ScreeningMultivariate AnalysisUnited StatesUterine Cervical NeoplasmsVaginal SmearsYoung Adult

Identifiers

PMID23137444
PMCPMC4350673
OpenAlexW2019343886

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.