Advanced stage cervical cancer is rising in White and Black women in the US

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The American Cancer Society recommends that cervical cancer screening should begin at the age of 25 and that screenings should take place every five years up to the age of 65.

Sea Mar Burien Well Woman Day provides breast and cervical cancer screenings for Seattle women on April 17, 2021 in Burien, Washington. Advanced-stage cervical cancer is rising in the United States among White and Black women, according to a new study in the International Journal of Gynecological Cancer.

“I think the biggest takeaway is that we are seeing this increase, and there are a couple of things,” Francouer said. “One thing is that, you know, as with many health disparities, metastatic cervical cancer disproportionately affects minority populations, Black and Hispanic women. But then when you look at these trends, we’re actually seeing the largest rate of increase in advanced cervical cancer in non-Hispanic White patients.

In the study, Francouer and colleagues noted that “known” disparities in access to screening and health care are associated with higher rates of advanced cervical cancer among Black and Hispanic women. But the findings showed White women were more likely to report no cervical cancer screening in over five years than other racial and ethnic groups, and White teens have the lowest rate of HPV vaccination.

“I suspect that with reduced access to health care during the Covid-19 pandemic, we may even see continued worsening of these trends,” she said. “There’s many studies looking at different cancers and how people are having later presentations in the setting of the Covid-19 pandemic.”routine HPV vaccination at 11 or 12 years old, although it can be started as early as age nine. If not adequately vaccinated when younger, vaccination is recommended for everyone through the age of 26.

 

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