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预防拉丁裔人群中的宫颈癌。

Preventing cervical cancer in the Latina population.

机构信息

Department of Family and Community Medicine, University of California, San Francisco School of Medicine, Fresno, California 93710, USA.

出版信息

J Womens Health (Larchmt). 2009 Dec;18(12):1935-43. doi: 10.1089/jwh.2008.1151.

Abstract

Cervical cancer causes great morbidity and mortality worldwide and in the United States. Infection with oncogenic human papillomavirus (HPV), the etiological agent of almost all cervical cancer cases, is common among sexually active women in the United States. Over the past 5 decades, the implementation of Papanicolaou screening programs in the United States has led to a significant decrease in cervical cancer cases. However, notable disparities in the incidence and mortality of cervical cancer and cervical screening rates among Hispanics in the United States remain. If current disparities persist without intervention, the Latina population in the United States may remain at a higher risk of developing and dying from cervical cancer. We discuss disparities in cervical cancer screening, incidence, and mortality among the Latina population, as well as the barriers that may propagate these disparities. We also address how these barriers can be overcome through the coordination of outreach programs and widespread prophylactic HPV vaccination to reduce cervical cancer disparities in Latinas.

摘要

宫颈癌在全球和美国都造成了很大的发病率和死亡率。致癌型人乳头瘤病毒(HPV)感染是几乎所有宫颈癌病例的病因,在美国,性活跃的女性中很常见。在过去的 50 年中,美国实施巴氏涂片筛查计划导致宫颈癌病例显著减少。然而,在美国,西班牙裔人群中宫颈癌的发病率、死亡率和宫颈癌筛查率仍存在显著差异。如果这些差异在没有干预的情况下持续存在,那么美国的拉丁裔人群可能仍然面临更高的患宫颈癌和死于宫颈癌的风险。我们讨论了拉丁裔人群中宫颈癌筛查、发病率和死亡率方面的差异,以及可能导致这些差异的障碍。我们还讨论了如何通过协调外展计划和广泛预防性 HPV 疫苗接种来克服这些障碍,以减少拉丁裔人群中宫颈癌的差异。

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