Danish study finds HPV test better that Pap for women >40yo. The study is: Kjaer S, Hogdall E, Frederiksen K, Munk C, van den Brule A, Svare E, Meijer C, Lorincz A, Iftner T. The absolute risk of cervical abnormalities in high-risk human papillomavirus positive, cytologically normal women over a 10-year period. Cancer Res. 2006 Nov 1;66(21):10630-6. [Abstract]
This prospective cohort study was conducted in ~10,000 Danish women who were available for both initial examination and follow-up examination via Pap test and cervical swab for HPV detection. The women were divided into two groups, the younger group (n=7,219) and the older group (n=2,200). Denmark has a personal identification system and pathology data bank that allowed the researchers to track cervical cytology in the study population. From the authors:
"Results from this prospective cohort study with a long-term follow-up of women from the general population through the routine screening system showed that among women 40 to 50 years old, who were cytologically negative with a concurrent positive HPV DNA test (high-risk types), nearly 25% developed cytologic abnormalities (atypia) within 5 years, and after 10 years, more than 35% had had an abnormal Pap test. These risk estimates were higher than those observed among women with both negative cytology and negative HPV DNA test (high-risk types), which were as low as 4% and 10% after 5 and 10 years, respectively. Also among younger HPV-positive women (22-32 years old at enrollment), we found a high absolute risk of subsequent cervical abnormalities (atypia), 18% after 5 years and 24% after 10 years, and a low risk among HPV-negative women, 5% after 5 years."
Feministing has a summary of the latest government vs sex education brouhaha.
The Kaiser Network's Women's Health Policy Daily Update brings us this info:
Our government wants to make it more difficult for the U.S.-born children (i.e., citizens) of immigrants to get healthcare, by requiring further proof of citizenship before receiving Medicaid. Critics think the parents may be reluctant to jump through the hoops for fear of deportation. This seems like the time to introduce my device for remembering which is Medicaid and Medicare: "We aid the poor, but we care for the elderly."
Technorati Tags: abortion; abstinence; cervical cancer; endometriosis; foodborne illness; HPV test; medicaid; pap test; sex ed; Sex Education
MeSH Tags: Abortion, Induced/legislation and jurisprudence; Endometriosis; Food Poisoning; Medicaid; Papillomavirus, Human; Sex Education; Sexual Abstinence; Uterine Cervical Neoplasms; Vaginal Smears
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