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Health Indicator Report of Cervical Cancer Screening

Cervical cancer is one of the most curable cancers if detected early through routine screening. Almost all cases of cervical cancer are caused by infection with high-risk types of the human papillomavirus (HPV). The HPV vaccine protects against the HPV types that most often cause cervical cancer. Women who have had an HPV vaccine still need to have routine Pap smears because the vaccine does not fully protect against all the strains of the virus and other risk factors that can cause cervical cancer. HPV is transmitted through sexual contact. Any woman who is sexually active is at risk for developing cervical cancer. Other risk factors include giving birth to many children, having sexual relations at an early age, having multiple sex partners or partners with many other partners, cigarette smoking, and use of oral contraceptives. Cervical cancer screening should begin about three years after a woman begins having intercourse but no later than 21 years of age. Cervical screening should be performed every year with conventional Pap tests or every two years with liquid-based Pap tests. Beginning at age 30, women who have had three normal test results in a row may undergo screening every two to three years.

Notes

All prevalence estimates are age-adjusted to the U.S. 2000 standard population.   Women aged 18+ with intact cervix who had pap smear within the past two years.

Data Source

Behavioral Risk Factor Survey, Center for Health Statistics, New Jersey Department of Health, [http://www.state.nj.us/health/chs/njbrfs/]

Data Interpretation Issues

Data from the New Jersey Risk Factor Survey are intended to represent non-institutionalized adults in households with telephones. Data are collected using a random sample of all possible telephone numbers. Prior to analysis, data are weighted to represent the population distribution of adults by age, sex, and "race"/ethnicity. As with all surveys, however, some residual bias may result from nonresponse (e.g., refusal to participate in the survey or to answer specific questions) and measurement error (e.g., social desirability or recall). Attempts are made to minimize such error by use of a strict calling protocol (up to 15 calls are made to reach each household), good questionnaire design, standardization of interviewer behavior, interviewer training, and frequent, on-site interviewer monitoring and supervision. Starting in 2011, BRFSS protocol requires that the NJBRFS incorporate a fixed quota of interviews from cell phone respondents along with a new weighting methodology called iterative proportional fitting or "raking". The new weighting methodology incorporates additional demographic information (such as education, race, and marital status) in the weighting process. These methodological changes were implemented to account for the underrepresentation of certain demographic groups in the land line sample (which resulted in part from the increasing number of U.S. households without land line phones). Comparisons between 2011 and prior years should therefore be made with caution. (More details about these changes can be found at [http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6122a3.htm].)

Definition

Estimated percentage of women ages 21-65 years who have had a Pap test in the past three years.

Numerator

The number of women ages 21-65 years who reported having a Pap test in the last three years.

Denominator

The total number of female survey respondents ages 21-65 years excluding those who responded "don't know" or "refused" to the numerator 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

Other Objectives

'''Healthy New Jersey 2020 Objective CA-14''': Increase the proportion of women aged 21 to 65 years who receive a cervical cancer screening based on the most recent guidelines

How Are We Doing?

In 2015, approximately 84 percent of respondents reported that they had received a Pap test within the past three years.

Available Services

NJDOH has many programs and partnerships related to cancer resources, cancer information and cancer prevention [http://nj.gov/health/ces/].

Health Program Information

American Cancer Society's Cancer Screening Guidelines [https://www.cancer.org/healthy/find-cancer-early/cancer-screening-guidelines.html]:
Page Content Updated On 08/11/2017, Published on 09/21/2017
The information provided above is from the Department of Health's NJSHAD web site (https://nj.gov/health/shad). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sat, 16 December 2017 17:41:48 from Department of Health, New Jersey State Health Assessment Data Web site: https://nj.gov/health/shad ".

Content updated: Wed, 15 Nov 2017 07:52:42 EST