Journal article

Should Cervical Cancer Screening be Performed Before the Age of 25 Years?

Anna-Barbara Moscicki, Rebecca B Perkins, Marion Saville, Julia ML Brotherton

Journal of Lower Genital Tract Disease | LIPPINCOTT WILLIAMS & WILKINS | Published : 2018

Abstract

When should young women begin cervical cancer screening? Dr. Moscicki states that we should continue to initiate screening before the age of 25 years in the US. The reasons include a lower rate of HPV vaccination among the current generation of young adult women and increases in invasive cervical cancer cases in countries that have raised the screening age to 25 years. She further cites specific shortcomings of the US healthcare system that can contribute to underscreening among young women, including fragmented healthcare, lack of health insurance, and a rapidly declining rate of pelvic examinations for cervical cancer screening among this age group, despite current guidelines that continue..

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Grants

Funding Acknowledgements

The institution of J.M.L.B. and M.S. has received research funding for laboratory testing from Roche for the Compass trial and from Seqirus for a cervical cancer typing study. J.M.L.B. was an investigator on an investigator-initiated grant from Merck that supported laboratory testing for a national recurrent respiratory papillomatosis surveillance study. J.M.L.B. and M.S. have never received any personal financial benefits. A.B.M. serves on advisory boards for Merck and Glaxo-Smith-Kline for work unrelated to this article. R.B.P. has declared she has no conflicts of interest.