ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Sexual Orientation Differences in Cervical Cancer Prevention among a Cohort of U.S. Women.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Canadian Guideline on the Management of a Positive Human Papillomavirus Test and Guidance for Specific Populations.Current oncology (Toronto, Ont.) · 2023Guideline
- Disparities in cancer screening and preventive care access among LGBTQ+ populations: A cross-sectional study.Journal of family medicine and primary care · 2026Article
- Disparities in human papillomavirus vaccination uptake across the intersection of disability and sexual orientation.Cancer causes & control : CCC · 2025Article
- Differences in medically assisted reproduction use by sexual identity and partnership: a prospective cohort of cisgender women.Human reproduction (Oxford, England) · 2024Article
- Barriers to Cervical Cancer Screening by Sexual Orientation Among Low-Income Women in North Carolina.Archives of sexual behavior · 2024Article
- The association of sexual orientation with prostate, breast, and cervical cancer screening and diagnosis.Cancer causes & control : CCC · 2022Article
- The intersection of sexual orientation with race and ethnicity in cervical cancer screening.Cancer · 2022Article
- Partner-Level and Sexual Networking Factors Are Associated With Vaccine-Type and Nonvaccine-Type Human Papillomavirus Infection After Vaccine Introduction in Young Women.Sexually transmitted diseases · 2022Article
- Human Papillomavirus Infection: Knowledge, Risk Perceptions and Behaviors among SMW and AFAB.Diagnostics (Basel, Switzerland) · 2022Review
- "The Health System Just Wasn't Built for Us": Queer Cisgender Women and Gender Expansive Individuals' Strategies for Navigating Reproductive Health Care.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
- "Give me the sense that I matter:" Queer women's recommendations for an ideal cervical cancer screening exam and pathways to screening equity.Women's health (London, England)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundAlthough much has been published in recent years on differences in Papanicolaou (Pap) tests across sexual orientation, other aspects of cervical cancer prevention remain underexplored, such as human papillomavirus (HPV) vaccination, HPV co-tests, or abnormal Pap tests.
methodsData came from participants (aged 24-54 years) enrolled in an ongoing, longitudinal, U.S.-based cohort study, the Nurses' Health Study 3 (N = 12,175). Analyses were restricted to participants who met the current guidelines for care (e.g., ≥21 years of age for Pap tests).
resultsMostly heterosexual women were more likely to initiate HPV vaccination than completely heterosexual women with no same-sex partners. All other comparisons across sexual orientation for HPV vaccination initiation and completion and the age of initiation were not statistically significant. Compared with completely heterosexual women with no same-sex partners, mostly heterosexual and lesbian women had lower odds of having a Pap test within the past 2 years. Completely heterosexual women with same-sex partners, mostly heterosexual women, and bisexual women had their first Pap test at an earlier age, had higher odds of having an HPV co-test, and had higher odds of having a positive HPV or abnormal Pap test compared with completely heterosexual women with no same-sex partners. In contrast, lesbian women had lower odds of having positive HPV or abnormal Pap results (odds ratio, 0.65; 95% confidence interval, 0.49-0.86) than completely heterosexual women with no same-sex partners.
conclusionsThere are significant differences across sexual orientation groups in cervical cancer prevention for Pap test timing and positive HPV and abnormal Pap tests, but few differences in HPV vaccination initiation, completion, and age at initiation. Interventions should focus on increasing routine Pap testing among mostly heterosexual and lesbian women.
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