Variation in the duration of protection given by screening using the Pap test for cervical cancer.

Abstract:

:The duration of protection offered by Pap screening for cervical cancer was examined using data on 101 cases of invasive cervical cancer and 396 controls from a Maryland case-control study. Receipt of a Pap test up to 4 years ago afforded significant protection, compared to women screened 11 or more years ago, or never screened. Smoking, intercourse before age 19, and a history of sexually transmitted disease were significant risk factors for cervical cancer; barrier contraception use was protective. Variation in protection from Pap screening was examined by age, race, age at first intercourse, barrier contraception use, and source of last Pap test (obstetrician-gynecologist vs other provider type). Results showed older women, women with earlier age of first intercourse, and non-users of barrier contraception received slightly less protection from Pap tests, while women who received their last Pap test from an obstetrician-gynecologist received significantly more protection than women who did not. Issues of quality of screening and follow-up are discussed in regard to these results.

journal_name

J Clin Epidemiol

authors

Klassen AC,Celentano DD,Brookmeyer R

doi

10.1016/0895-4356(89)90166-2

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

1003-11

issue

10

eissn

0895-4356

issn

1878-5921

pii

0895-4356(89)90166-2

journal_volume

42

pub_type

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