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State of Alaska

Health Indicator Report of Cancer Screening - Cervical (Pap test) - Women (Ages 21-65)

If detected early, cervical cancer is one of the most successfully treatable cancers. The Papanicolaou ("Pap") test is the screening tool used to detect cancerous and precancerous changes in a woman's cervix. The American College of Obstetrics and Gynecologists (ACOG) recommends that women should have their first Pap test at age 21. Women aged 21 - 30 may then be screened every other year, women 30 and older may be screened once every three years. Women with certain risk factors may need more frequent screening and should discuss their medical history with their clinician.^1^ [[br]][[br]] ---- {{class .SmallerFont 1. Cervical Cancer Screening. American Congress of Obstetricians and Gynecologists website. [http://www.acog.org/Patients/FAQs/Cervical-Cancer-Screening]. Accessed April 4, 2016. }}

Data Sources

  • Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion
  • U.S. Data: National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System (BRFSS)

Data Interpretation Issues

Note: Prevalence of cervical cancer screening excludes women who report having had a hysterectomy. Questions on cervical cancer screening were asked from 1991-2000 and subsequently in even-numbered years.

Definition

Percentage of women aged 21-65 years who have had a Pap test within the past 3 years as assessed by answering the [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System (BRFSS)] questions: "Yes" to the following question: "A Pap test is a test for cancer of the cervix. Have you ever had a Pap test?", and "Within the past year", "Within the past 2 years", or "Within the past 3 years" to the following question: "How long has it been since you last had your last Pap test?" Note: this excludes women who report having had a hysterectomy.

Numerator

Weighted number of women aged 21-65 years who reported having a Pap test in the last three years of the BRFSS based upon the following questions: "Yes" to the following question: "A Pap test is a test for cancer of the cervix. Have you ever had a Pap test?", and "Within the past year", "Within the past 2 years", or "Within the past 3 years" to the following question: "How long has it been since you last had your last Pap test?"

Denominator

Weighted number of female respondents aged 21-65 years with complete and valid responses on the BRFSS to the questions on having a Pap test and time of last test, excluding those who responded "don't know" or "refused" to either question.

Healthy People Objective: Increase the proportion of women who receive a cervical cancer screening based on the most recent guidelines

U.S. Target: 93.0 percent

How Are We Doing?

The percentage of Alaska women (ages 21-65) who have had a pap test to screen for cervical cancer in the prior 3 years has decreased over the past two decades from 95.1% in 1991 to 76.7% in 2018. Similar declines have occurred among Alaska Native women, from 94.1% in 1991 to 83.2% in 2018. Since the development of the Healthy Alaskans 2020 targets, the US Preventive Services Task Force released its recommendations for screening for cervical cancer.^2^ This updated recommendation is that women ages 21 and older be screened every 3 years. The Healthy Alaskans 2020 target of 95% has not been met. There are no significant differences in cervical cancer screening rates by race or ethnicity or between most regions. Crosstabulations by BMI, current smoking, sexual orientation, disability, and Adverse Childhood Experiences (ACEs) score were conducted for the 3-year average of 2014-2018. [[br]][[br]] ---- {{class .SmallerFont 2. Screening for Cervical Cancer. Recommendations and Rationale. U.S. Preventive Services Task Force website. [https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/cervical-cancer-screening2?ds=1&s=cervical]. Accessed September 23, 2019. }}

How Do We Compare With the U.S.?

Cervical cancer screening rates have been declining for the US and Alaska. In 2018, the US cervical cancer screening rate, 80.1%, was similar to Alaska (76.7%).

What Is Being Done?

[http://dhss.alaska.gov/dph/wcfh/Pages/ladiesfirst/default.aspx Ladies First] is dedicated to improving access to high-quality breast and cervical cancer screening and diagnostic services for women who are underserved. Ladies First also works to increase public awareness through education about prevention, disease processes, and the importance of appropriate screening for early detection.

Evidence-based Practices

The [https://www.thecommunityguide.org/ Guide to Community Preventive Services] is a resource to help choose programs and policies to improve health and prevent disease in communities. The Community Guide for Cancer Screening recommends client reminders, small media, group education, reducing structural barriers, and reducing client out-of-pocket costs to increase cancer screening.^3^ [[br]] [[br]] ---- {{class .SmallerFont 3. The Community Guide: Cancer.[https://www.thecommunityguide.org/topic/cancer]. Accessed September 23, 2019. }}

Available Services

Ladies First 1-800-410-6266 [http://dhss.alaska.gov/dph/wcfh/Pages/ladiesfirst/default.aspx] YWCA Encore Plus Program 907-644-9600 [http://ywcaak.org/] Alaska Breast and Cervical Health Partnership [http://alaskagetscreened.com/]

Health Program Information

In collaboration with four Tribal National Breast and Cervical Cancer Early Detection Program grantees, Department of Health and Social Services' Ladies First program is working to increase both public and provider awareness about breast and cervical cancer screening recommendations as well as access to services throughout the state. Ladies First is federally funded through the Centers for Disease Control and Prevention and can cover the cost of screening and diagnostic tests for low income women who are under or uninsured. For more information about eligibility of services visit the Ladies First website at: [http://dhss.alaska.gov/dph/wcfh/Pages/ladiesfirst/default.aspx].
Page Content Updated On 09/26/2019, Published on 09/26/2019
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Wed, 13 November 2019 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Mon, 30 Sep 2019 08:30:35 AKDT
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Wed, 13 November 2019 1:35:06 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Mon, 30 Sep 2019 08:30:35 AKDT