Khan Kris, Curtis C Robinette, Ekwueme Donatus U, Stokley Shannon, Walker Chastity, Roland Katherine, Benard Vicki, Saraiya Mona
Centers for Disease Control and Prevention, National Center for Chronic Disease and Health Promotion, Division of Cancer Prevention and Control, Atlanta, Georgia, USA.
Cancer. 2008 Nov 15;113(10 Suppl):3004-12. doi: 10.1002/cncr.23765.
Three federal programs with the potential to reduce cervical cancer incidence, morbidity, and mortality, especially among underserved populations, are administered by the Centers for Disease Control and Prevention (CDC): the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), the Vaccines for Children (VFC) Program, and the Section 317 immunization grant program. The NBCCEDP provides breast and cervical cancer screening and diagnostic services to uninsured and underinsured women. The VFC program and the Section 317 immunization grant program provide vaccines, including human papillomavirus (HPV) vaccine, to targeted populations at no cost for these vaccines. This article describes the programs, their histories, populations served, services offered, and roles in preventing cervical cancer through HPV vaccination and cervical cancer screening. Potential long-term reduction in healthcare costs resulting from HPV vaccination is also discussed. As an example of an initiative to vaccinate uninsured women aged 19-26 years through a cancer services program, a state-based effort that was recently launched in New York, is highlighted.
美国疾病控制与预防中心（CDC）管理着三项有可能降低宫颈癌发病率、发病率和死亡率的联邦项目，尤其是在服务不足的人群中：国家乳腺癌和宫颈癌早期检测项目（NBCCEDP）、儿童疫苗计划（VFC）以及第317节免疫拨款计划。NBCCEDP为未参保和参保不足的女性提供乳腺癌和宫颈癌筛查及诊断服务。VFC计划和第317节免疫拨款计划为目标人群免费提供疫苗，包括人乳头瘤病毒（HPV）疫苗。本文介绍了这些项目、它们的历史、服务的人群、提供的服务以及通过HPV疫苗接种和宫颈癌筛查在预防宫颈癌方面的作用。还讨论了HPV疫苗接种可能带来的长期医疗成本降低。作为通过癌症服务项目为19至26岁未参保女性接种疫苗的一项举措的示例，重点介绍了纽约最近发起的一项基于州的努力。
