Impact of the 2013 WHO guidelines for screening and treatment of cervical precancerous lesions on women’s screening rates, by HIV-status, in East and Southern Africa: A regression discontinuity design analysis

David Chipanta, Connie Osborne, Julia Bohlius, Ani Shakarishvilia, Silas Amo-Agyei, Alinane Linda Nyondo-Mipando, Janne Anton Markus Estill, Olivia Keiser
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Abstract

Introduction In 2013, the World Health Organization (WHO) issued guidelines for cervical pre-cancer screening. It recommended screening women aged 30–49, and younger women once they tested HIV-positive. Subsequent WHO guidelines recommended screening women living with HIV (WLHIV) starting at age 25. However, the impact of 2013 guidelines and age to start screening on screening has not been studied.
2013 年世界卫生组织宫颈癌前病变筛查和治疗指南对东部和南部非洲妇女筛查率(按艾滋病毒感染状况分类)的影响:回归不连续设计分析
导言 2013 年,世界卫生组织(WHO)发布了宫颈癌前病变筛查指南。该指南建议对 30-49 岁的女性进行筛查,并对 HIV 检测呈阳性的年轻女性进行筛查。随后,世卫组织的指南建议从 25 岁开始对女性艾滋病病毒感染者(WLHIV)进行筛查。然而,2013 年的指南和开始筛查的年龄对筛查的影响尚未进行研究。
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