High-Risk Human Papillomavirus (HPV) Infection and Cervical Cancer Prevention in Britain: Evidence of Differential Uptake of Interventions from a Probability Survey

Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology
Clare TantonPam Sonnenberg

Abstract

The third British National Survey of Sexual Attitudes and Lifestyles (Natsal-3) provides an opportunity to explore high-risk human papillomavirus (HR-HPV) and uptake of cervical screening and HPV vaccination in the general population. Natsal-3, a probability sample survey of men and women ages 16 to 74, resident in Britain, interviewed 8,869 women in 2010 to 2012. We explored risk factors for HR-HPV (in urine from 2,569 sexually experienced women ages 16 to 44), nonattendance for cervical screening in the past 5 years, and noncompletion of HPV catch-up vaccination. HR-HPV was associated with increasing numbers of lifetime partners, younger age, increasing area-level deprivation, and smoking. Screening nonattendance was associated with younger and older age, increasing area-level deprivation (age-adjusted OR 1.91, 95% confidence interval, 1.48-2.47 for living in most vs. least deprived two quintiles), Asian/Asian British ethnicity (1.96, 1.32-2.90), smoking (1.97, 1.57-2.47), and reporting no partner in the past 5 years (2.45, 1.67-3.61 vs. 1 partner) but not with HR-HPV (1.35, 0.79-2.31). Lower uptake of HPV catch-up vaccination was associated with increasing area-level deprivation, non-white ethnicity, smoking, and increasing ...Continue Reading

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Citations

Aug 2, 2017·Journal of Epidemiology and Community Health·Ross L CameronKevin G Pollock
Jan 17, 2019·International Journal of Cancer. Journal International Du Cancer·Jiafeng PanKatie Wakeham
Feb 7, 2019·Sexually Transmitted Infections·Pam SonnenbergAnne M Johnson
Mar 11, 2020·European Journal of Public Health·Vincent De PrezPiet Bracke
Nov 16, 2016·PloS One·Luisa Del Río-OspinaManuel Alfonso Patarroyo
Jan 22, 2021·Journal of Medical Screening·Catherine L SaundersJuliet A Usher-Smith

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