ArticleGynecologic oncology2014
Application of the Carolina Framework for Cervical Cancer Prevention.
Article in Gynecologic oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Follow-Up After Receiving Abnormal Results From Self-Sampled Colorectal and Cervical Cancer Screening Tests Among Underserved Patients.Cancer medicine · 2025Article
- Exploratory Analysis of Concordance Between Clinician-Collected and Self-Sampled Human Papillomavirus Tests in a Small Cohort of Average- and High-Risk Patients.Women's health reports (New Rochelle, N.Y.) · 2024Article
- County-level characteristics associated with incidence, late-stage incidence, and mortality from screenable cancers.Cancer epidemiology · 2021Article
- Predictors of Cervical Cancer Screening Among Infrequently Screened Women Completing Human Papillomavirus Self-Collection: My Body My Test-1.Journal of women's health (2002) · 2019Article
- Impact of Pharmacists on Access to Vaccine Providers: A Geospatial Analysis.The Milbank quarterly · 2018Article
- Knowledge of cervical cancer, human papillomavirus and prevention among first-year female students in residences at the University of the Free State.African journal of primary health care & family medicine · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveThe Carolina Framework for Cervical Cancer Prevention describes 4 main causes of cervical cancer incidence: human papillomavirus (HPV) infection, lack of screening, screening errors, and not receiving follow-up care. We present 2 applications of the Carolina Framework in which we identify high-need counties in North Carolina and generate recommendations for improving prevention efforts.
methodsWe created a cervical cancer prevention need index (CCPNI) that ranked counties on cervical cancer mortality, HPV vaccine initiation and completion, Pap smear screening, and provision of Pap tests to rarely- or never-screened women. In addition, we conducted in-depth interviews with 19 key informants from programs and agencies involved in cervical cancer prevention in North Carolina.
resultsNorth Carolina's 100 counties varied widely on individual CCPNI components, including annual cervical cancer mortality (median 2.7/100,000 women; range 0.0-8.0), adolescent girls' HPV vaccine initiation (median 42%; range 15%-62%), and Pap testing in the previous 3 years among Medicaid-insured adult women (median 59%; range 40%-83%). Counties with the greatest prevention needs formed 2 distinct clusters in the northeast and south-central regions of the state. Interviews generated 9 recommendations to improve cervical cancer prevention in North Carolina, identifying applications to specific programs and policies in the state.
conclusionsThis study found striking geographic disparities in cervical cancer prevention need in North Carolina. Future prevention efforts in the state should prioritize high-need regions as well as recommended strategies and applications in existing programs. Other states can use the Carolina Framework to increase the impact of their cervical cancer prevention efforts.
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