期刊
PREVENTIVE MEDICINE
卷 57, 期 5, 页码 426-433出版社
ACADEMIC PRESS INC ELSEVIER SCIENCE
DOI: 10.1016/j.ypmed.2013.01.020
关键词
HPV; Screening; Vaccination; North America; US and Canada
资金
- Abbott Molecular
- Becicton-Dickinson
- Copan
- Digene-Qiagen
- Genomica
- Gen-Probe
- Greiner Bio-One
- GSK/GSK biologicals
- Graceway pharma/Medicis
- Hologic
- IncellDx
- Innogenetics NV
- Laboratoire Biron
- Marubeni
- Merck/Merck Sharp Dohme
- MTM laboratories
- NeoDiagnostix
- Roche molecular systems
- Warnex
Objective. Declines in cervical cancer incidence and mortality in Canada and in the United States have been widely attributed to the introduction of the Papanicolaou (Pap) test. This article reviews changes in screening and introduction of HPV vaccination. Method. Sentinel events in cervical cancer screening and primary prevention through HPV vaccination in the US and Canada are described. Results. Despite commonalities, cervical cancer screening and prevention differ between the two countries. Canada has a combination of opportunistic and organized programs at the provincial and territorial level, while the US has opportunistic screening and vaccination systems. In the US, the HPV test along with the Pap test (co-testing) is part of national recommendations for routine cervical cancer screening for women age 30 and older. Co-testing is not being considered anywhere in Canada, but primary HPV testing is currently recommended (but not implemented) in one province in Canada. Conclusion. Many prevention strategies are available for cervical cancer. Continued public health efforts should focus on increasing vaccine coverage in the target age groups and cervical cancer screening for women at appropriate intervals. Ongoing evaluation will be needed to ensure appropriate use of health resources, as vaccinated women become eligible for screening. Published by Elsevier Inc.
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