Evidence map›Paper›PMID 33476213›Full record

ArticleJournal of medical screening2021

Cervical screening attendance and cervical cancer risk among women who have sex with women.

Catherine L Saunders, Efthalia Massou, Jo Waller, Catherine Meads, Laura Av Marlow, Juliet A Usher-Smith

Abstract read
In one paragraph

Article in Journal of medical screening, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Cervical Cancer Screening After Menopause.Healthcare (Basel, Switzerland) · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Cervical screening: the evolving landscape.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  17. Observational
  18. 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

6 authors.

Catherine L SaundersPrimary Care Unit, University of Cambridge, Cambridge, UK.ORCID 0000-0002-3127-3218
Efthalia MassouPrimary Care Unit, University of Cambridge, Cambridge, UK.
Jo WallerCancer Prevention Group, King's College London, London, UK.ORCID 0000-0003-4025-9132
Catherine MeadsFaculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Cambridge, UK.
Laura Av MarlowCancer Prevention Group, King's College London, London, UK.
Juliet A Usher-SmithPrimary Care Unit, University of Cambridge, Cambridge, UK.ORCID 0000-0002-8501-2531

Funding

Cancer Research UK 21464Cancer Research UK C7492/A17219Medical Research Council MC_PC_17228Medical Research Council MC_QA137853
6 · The paper itself

Abstract

objectivesTo describe cervical cancer screening participation among women who have sex exclusively with women (WSEW) and women who have sex with women and men (WSWM) compared with women who have sex exclusively with men (WSEM), and women who have never had sex and compare this with bowel (colorectal) and breast screening participation. To explore whether there is evidence of differential stage 3 cervical intraepithelial neoplasia (CIN3) or cervical cancer risk.

methodsWe describe cervical, bowel and breast cancer screening uptake in age groups eligible for the national screening programmes, prevalent CIN3 and cervical cancer at baseline, and incident CIN3 and cervical cancer at five years follow-up, among 218,674 women in UK Biobank, a cohort of healthy volunteers from the UK.

resultsCompared with WSEM, in adjusted analysis [odds ratio (95% confidence interval)], WSEW 0.10 (0.08-0.13), WSWM 0.73 (0.58-0.91), and women who have never had sex 0.02 (0.01-0.02) were less likely to report ever having attended cervical screening. There were no differences when considering bowel cancer screening uptake (

conclusionsThese findings highlight the importance of improving uptake of cervical screening among all women who have sex with women and breast screening among WSWM and women who have never had sex.

Indexed as

Papillomavirus InfectionsSexual and Gender MinoritiesUterine Cervical DysplasiaUterine Cervical NeoplasmsChild, PreschoolEarly Detection of CancerFemaleHumansMaleMass ScreeningVaginal SmearsBowel screeningbreast screeningcervical intraepithelial neoplasiacervical screeningsexual minority healthwomen who have sex with women

Identifiers

PMID33476213
PMCPMC8366122

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.