Human papillomavirus and cervical cancer behavioral surveillance in the US.

Department of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9066, USA.
Cancer (Impact Factor: 4.9). 11/2008; 113(10 Suppl):3013-30. DOI: 10.1002/cncr.23760
Source: PubMed

ABSTRACT In the US, federal and state behavioral surveillance systems routinely monitor self-reported sexual behavior and Papanicolaou (Pap) test use to identify high-risk populations, trends, and disparities and to guide and evaluate interventions for cervical cancer prevention and control. Clinical uptake of human papillomavirus (HPV) vaccination and testing necessitates the expansion of behavioral surveillance systems. Cervical disease is the main focus of HPV-related behavioral surveillance because of greater cancer incidence and mortality relative to other susceptible organs, and the availability of effective technologies for prevention and control. In the current study, a framework is presented for the types of behaviors to monitor, their conceptual and operational definitions, target populations, and evidence supporting the reliability and validity of self-report measures. An overview is also provided of 8 population-based and 2 provider-based data systems that are nationally representative and accessible for behavioral surveillance research. Ongoing surveillance at the national, state, and local level is critical for monitoring the dissemination of HPV technologies and their impact on reducing disparities in the detection of precursor lesions, incidence of invasive cancer, and mortality.

  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective To study the characteristics of sexuality in a series of patients: 399 with vaginal infections and 32 with cervical cell lesions, diagnosed by cervicovaginal cytology during a 1-year period.
    Clínica e Investigación en Ginecología y Obstetricia 05/2012; DOI:10.1016/j.gine.2011.03.003
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Background: Human Papillomavirus (HPV) -associated cervical cancer is the second-most common cancer in women worldwide but it is the most frequent gynaecological cancer and cancer associated death in India women. The objective of this study was to assess knowledge about cervical cancer, HPV, HPV vaccine, HPV vaccine acceptance among school and undergraduates students and their parent’s perception about acceptance of HPV vaccine in Northern part of India (Delhi and NCR regions). Materials and Methods: A qualitative questionnaire based survey among 2500 urban/rural students aged 12–22 years was conducted. Results: Overall, a low frequency (15%) of HPV and cervical cancer awareness was observed in students and their parents. However, the awareness was much higher in females belonging to urban setup compared to boys with a perception thatHPV causes cervical cancer in women only. Additionally, only (13%) participants who were aware of cervical cancer and HPV were willing to accept HPV vaccination. Apparently, parents of female students were two times more willing to accept HPV vaccination for their ward than male students (p,0.001; OR 95%CI = 2.09 (1.58–2.76). Conclusion: Cervical cancer and HPV awareness among school, undergraduate students and also to their parents was found to be very low in this part of India. The level of awareness and education appears to be insignificant determinants in rural compared to urban setup. Better health education will be needed to maximize public awareness for cervical cancer prevention.
    PLoS ONE 11/2014; DOI:10.1371/journal.pone.0112861 · 3.53 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Little is known about the effect of language preference, socioeconomic status, and health care access on human papillomavirus (HPV) vaccination. We examined these factors in Hispanic parents of daughters aged 11 to 17 years in California (n = 1090). Spanish-speaking parents were less likely to have their daughters vaccinated than were English speakers (odds ratio [OR] = 0.55; 95% confidence interval [CI] = 0.31, 0.98). Adding income and access to multivariate analyses made language nonsignificant (OR = 0.68; 95% CI = 0.35, 1.29). This confirms that health care use is associated with language via income and access. Low-income Hispanics, who lack access, need information about free HPV vaccination programs.(Am J Public Health. Published online ahead of print December 13, 2012: e1-e3. doi:10.2105/AJPH.2012.300920).
    American Journal of Public Health 12/2012; 103(2). DOI:10.2105/AJPH.2012.300920 · 3.93 Impact Factor

Full-text (2 Sources)

Available from
Nov 5, 2014