Cervical Cancer Screening and Prevention in 78 Sexually Transmitted Disease Clinics—United States, 2014–2015

BACKGROUNDHuman papillomavirus (HPV) infections cause approximately 30,700 cancers annually among US men and women, cervical cancer being the most common. Human papillomavirus vaccination is recommended routinely for US girls and boys at age 11 to 12 years, and for those not previously vaccinated, t...

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Bibliographic Details
Published in:Sexually transmitted diseases 2017-10, Vol.44 (10), p.637-641
Main Authors: McGinnis, Emily, Meyerson, Beth E., Meites, Elissa, Saraiya, Mona, Griesse, Rebecca, Snoek, Emily, Haderxhanaj, Laura, Markowitz, Lauri E., Smith, William
Format: Article
Language:English
Subjects:
Adolescent
Adult
Cancer
Cancer screening
Cervical cancer
Cervix
Child
Clinical medicine
Clinics
Colonies & territories
Disease prevention
Early Detection of Cancer
Female
Girls
Human papillomavirus
Humans
Immunization
Male
Medical screening
Papillomavirus Infections - diagnosis
Papillomavirus Infections - prevention & control
Papillomavirus Infections - virology
Papillomavirus Vaccines
Polls & surveys
Prevention
Sexually transmitted diseases
Sexually Transmitted Diseases - diagnosis
Sexually Transmitted Diseases - prevention & control
Sexually Transmitted Diseases - virology
STD
The Real World of STD Prevention
Underserved populations
United States
Uterine Cervical Neoplasms - diagnosis
Uterine Cervical Neoplasms - prevention & control
Uterine Cervical Neoplasms - virology
Vaccination
Young Adult
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Summary:BACKGROUNDHuman papillomavirus (HPV) infections cause approximately 30,700 cancers annually among US men and women, cervical cancer being the most common. Human papillomavirus vaccination is recommended routinely for US girls and boys at age 11 to 12 years, and for those not previously vaccinated, through age 26 and 21 years for women and men, respectively. Our objective was to assess current cervical cancer screening and HPV vaccination practices among sexually transmitted disease (STD) clinics in the United States. METHODSWe surveyed a geographically diverse convenience sample of US STD clinics identified by members of the National Coalition of STD Directors within 65 state, territorial, and local jurisdictions. An online multiple-choice survey about clinical services was administered to clinic directors or designees during October 2014 to February 2015. RESULTSSurvey respondents included 78 clinics from 46 states and territories. Of these clinics, 31 (39.7%) offered both cervical cancer screening and HPV vaccination, 6 (7.7%) offered cervical cancer screening only, 21 (26.9%) offered HPV vaccination only, and 20 (25.6%) offered neither cervical cancer prevention service. Among those not offering the service, the most commonly reported barrier to cervical cancer screening was time constraints (25/41, 61.0%); for HPV vaccination it was reimbursement (11/26, 42.3%). CONCLUSIONSBy early 2015, in a geographically diverse group of 78 STD clinics, 39.7% provided nationally recommended HPV vaccination and cervical cancer screening, whereas 25.6% provided neither. Further research could identify strategies for STD clinics to reduce HPV-associated cancers by increasing provision of HPV vaccination and cervical cancer screening services, particularly among medically underserved populations.
ISSN:0148-5717
1537-4521
DOI:10.1097/OLQ.0000000000000659