The Nurse’s Role in the Prevention of Cervical Cancer Among Underserved and Minority Populations

Department of Family Nursing Care, The University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA.
Journal of Community Health (Impact Factor: 1.28). 11/2008; 34(2):135-43. DOI: 10.1007/s10900-008-9134-4
Source: PubMed


Since the implementation of the Papanicolaou test, there has been a significant decline in the incidence of cervical cancer over the last 50 years. Despite this reduction, each year there are approximately 11,000 women in the United States diagnosed with cervical cancer, the second most common type of cancer in women worldwide. Infection with oncogenic human papillomavirus (HPV) is necessary for the development of precancerous lesions and the progression to cervical cancer. For those diagnosed with an HPV infection or cervical cancer, a considerable personal and financial burden often results. Recent analyses estimate that the total direct costs associated with cervical dysplasia and cancer are extensive. Additionally, a patient's quality of life (social, emotional, and sexual functioning) is adversely affected following a diagnosis with an HPV infection or cervical cancer. The data also show disparities in the incidence of cervical cancer and barriers that may contribute to these phenomena in underserved populations. National programs have been implemented and can help reduce the burden of disease, but vaccination against HPV remains the primary method of prevention. In the healthcare field, nurses play many roles, a prominent one being a patient educator. As a result, there is a need to educate nurses about the risks and impact of HPV and cervical cancer. Nurses can be instrumental in educating the public about vaccination and increasing awareness of HPV and cervical cancer among the underserved.

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    • "Detta påtalar också behov av studier om hur vårdpersonal uppdaterar sina kunskaper i takt med utveckling av medicinsk och vårdvetenskaplig kunskap. Martinez Rogers och Cantu (2009) anser att sjuksköterskor har en central roll i utbildning om cervixcancerscreening och HPVvaccination , speciellt för utsatta kvinnor. Giordano m.fl. "

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    ABSTRACT: OBJECTIVE: Explore the regional differences in breast (BC) and cervical cancer (CC) mortality in Mexico. MATERIAL AND METHODS: We estimated mortality trends for BC and CC using probabilistic models adjusted by state marginalization level and urban and rural residence. RESULTS: BC mortality shows a rising trend, from a rate of 5.6 deaths per 100000 women in 1979 to 10.1 in 2006. The CC mortality rate reached a peak in 1989 and after this decreased significantly to 9.9 in 2006. The highest BC mortality rates are found in Mexico City (13.2) and the northern part of the country (11.8). As for CC, the highest mortality rates are found in the south (11.9 per 100000 women the). DISCUSSION: The number of BC cases are increased gradually at the national level during the last three decades and high rates of CC mortality persist in marginalized areas.
    Salud publica de Mexico 01/2009; 51. DOI:10.1590/S0036-36342009000800011 · 0.94 Impact Factor
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    ABSTRACT: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States and the leading cause of cervical cancer. The Food and Drug Administration approved the first human papillomavirus vaccine and has recommended routine vaccination of 11 to 12 year old girls with catch-up vaccination for females 13 to 26 years of age. This primary prevention tool for cervical cancer could significantly reduce cervical cancer, but broad vaccination coverage will be required. Health care providers are in a position to educate parents and teens about the benefits of receiving the recommended HPV vaccine. Mandating the HPV vaccine can be effective in increasing vaccine rates, reducing disease disparities, and decreasing rates of cervical cancer.
    Policy Politics &amp Nursing Practice 02/2010; 11(1):23-8. DOI:10.1177/1527154410370368
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