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Cervical Cancer Screening and Follow-Up Practices in U.S. Prisons.

Publication ,  Journal Article
Kanbergs, AN; Sullivan, MW; Maner, M; Brinkley-Rubinstein, L; Goodman, A; Davis, M; Feldman, S
Published in: Am J Prev Med
February 2023

INTRODUCTION: The objective of this study is to better understand cervical cancer screening and follow-up practices in U.S. prisons. METHODS: A 29-question survey examining cervical cancer screening practices, education, and facility/patient characteristics was disseminated to state-prison medical directors. RESULTS: A total of 70% (35/50) of state medical directors completed the survey between August 2021 and January 2022. All prison systems provided cervical cancer screening both at intake and specified intervals. A total of 36% provided colposcopy on site, and 9% performed excisional procedures on site. A total of 11 states identified 1‒5 cases of cervical cancer within the last year. Frequently cited challenges included a perceived lack of patient interest, delays in community referral, and lack of follow-up of abnormal results after release. CONCLUSIONS: This study found relatively high rates of screening with a perceived lack of patient interest as the most reported barrier. Follow-up care was also often affected by reported lack of patient interest, delays in community referral for diagnostic procedures, and patient release before follow-up. There is room for further optimization of screening and surveillance among incarcerated women by understanding and addressing systems-based challenges. By understanding patient barriers to primary screening, expanding access to onsite testing and community referral for abnormal results, and streamlining post-release follow-up, disparities in care among incarcerated women can be reduced.

Duke Scholars

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Published In

Am J Prev Med

DOI

EISSN

1873-2607

Publication Date

February 2023

Volume

64

Issue

2

Start / End Page

244 / 249

Location

Netherlands

Related Subject Headings

  • Uterine Cervical Neoplasms
  • Public Health
  • Prisons
  • Pregnancy
  • Mass Screening
  • Humans
  • Follow-Up Studies
  • Female
  • Early Detection of Cancer
  • Colposcopy
 

Citation

APA
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ICMJE
MLA
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Kanbergs, A. N., Sullivan, M. W., Maner, M., Brinkley-Rubinstein, L., Goodman, A., Davis, M., & Feldman, S. (2023). Cervical Cancer Screening and Follow-Up Practices in U.S. Prisons. Am J Prev Med, 64(2), 244–249. https://doi.org/10.1016/j.amepre.2022.09.021
Kanbergs, Alexa N., Mackenzie W. Sullivan, Morgan Maner, Lauren Brinkley-Rubinstein, Annekathryn Goodman, Michelle Davis, and Sarah Feldman. “Cervical Cancer Screening and Follow-Up Practices in U.S. Prisons.Am J Prev Med 64, no. 2 (February 2023): 244–49. https://doi.org/10.1016/j.amepre.2022.09.021.
Kanbergs AN, Sullivan MW, Maner M, Brinkley-Rubinstein L, Goodman A, Davis M, et al. Cervical Cancer Screening and Follow-Up Practices in U.S. Prisons. Am J Prev Med. 2023 Feb;64(2):244–9.
Kanbergs, Alexa N., et al. “Cervical Cancer Screening and Follow-Up Practices in U.S. Prisons.Am J Prev Med, vol. 64, no. 2, Feb. 2023, pp. 244–49. Pubmed, doi:10.1016/j.amepre.2022.09.021.
Kanbergs AN, Sullivan MW, Maner M, Brinkley-Rubinstein L, Goodman A, Davis M, Feldman S. Cervical Cancer Screening and Follow-Up Practices in U.S. Prisons. Am J Prev Med. 2023 Feb;64(2):244–249.
Journal cover image

Published In

Am J Prev Med

DOI

EISSN

1873-2607

Publication Date

February 2023

Volume

64

Issue

2

Start / End Page

244 / 249

Location

Netherlands

Related Subject Headings

  • Uterine Cervical Neoplasms
  • Public Health
  • Prisons
  • Pregnancy
  • Mass Screening
  • Humans
  • Follow-Up Studies
  • Female
  • Early Detection of Cancer
  • Colposcopy