The Possible Effects on Socio-Economic Inequalities of Introducing HPV Testing as Primary Test in Cervical Cancer Screening Programs.

ABSTRACT:

Background

Screening with HPV is more effective than Pap test in preventing cervical cancer. HPV as primary test will imply longer intervals and a triage test for HPV positive women. It will also permit the development of self-sampling devices. These innovations may affect population coverage, participation, and compliance to protocols, and likely in a different way for less educated, poorer, and disadvantaged women.

Aim

To describe the impact on inequalities, actual or presumed, of the introduction of HPV-based screening.

Methods

The putative HPV-based screening algorithm has been analyzed to identify critical points for inequalities. A systematic review of the literature has been conducted searching PubMed on HPV screening coverage, participation, and compliance. RE

SUBMITTER: Giorgi Rossi P 

PROVIDER: S-EPMC3919018 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature