Cervical Cancer Prevention in Individuals With Criminal Legal System Involvement.

IF 2.4 4区 医学 Q2 OBSTETRICS & GYNECOLOGY
Megha Ramaswamy, Bianca Hall, Helen Cejtin, Carolyn Sufrin, Shawana Moore, Noah Nattell, Dominique Jodry, Lisa Flowers
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引用次数: 0

Abstract

Objectives: Women with a history of criminal legal system involvement have cervical cancer rates that are 4-5 times higher than the general population-a disparity that has persisted for nearly 50 years. Our objective is to describe the intersection of mass incarceration in the United States and risk factors for cervical cancer to offer equitable prevention and treatment strategies for the field.

Results: A group was convened by American Society for Colposcopy and Cervical Pathology members and experts in the field to address a topic of importance relevant to cervical cancer elimination in underserved groups. This topic has received consistent attention from the American Society for Colposcopy and Cervical Pathology. After convening multiple times to discuss salient issues on the topic, the group proposed 12 specific recommendations related to vaccination, screening, treatment, practice, research, and policy to address the burden of cervical cancer among individuals with criminal legal system involvement.

Discussion: At least 10% of the incarcerated population is at risk for cervical cancer. Clinicians in all areas of practice will encounter patients with incarceration histories or current incarceration, regularly throughout their careers.

Conclusions: Clinicians who provide preventive care for people at risk of cervical cancer can play a critical role in eliminating disparities for this vulnerable population, by drawing on these expert recommendations.

有刑事法律系统介入者的宫颈癌预防。
目标:有刑事法律系统介入史的女性患宫颈癌的比例是普通人群的 4-5 倍--这种差异已持续了近 50 年。我们的目标是描述美国大规模监禁与宫颈癌风险因素之间的交叉点,从而为该领域提供公平的预防和治疗策略:结果:美国阴道镜和宫颈病理学协会的成员和该领域的专家召集了一个小组,讨论与在服务不足的群体中消除宫颈癌相关的重要课题。该主题一直受到美国阴道镜和宫颈病理学会的关注。在多次召开会议讨论该主题的突出问题后,该小组提出了与疫苗接种、筛查、治疗、实践、研究和政策相关的 12 项具体建议,以解决涉及刑事法律系统的个人患宫颈癌的问题:讨论:至少有 10% 的被监禁人口面临罹患宫颈癌的风险。所有执业领域的临床医生在其职业生涯中都会经常遇到有监禁史或正在服刑的患者:为宫颈癌高危人群提供预防保健的临床医生可以借鉴这些专家建议,在消除这一弱势群体的不平等方面发挥关键作用。
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来源期刊
Journal of Lower Genital Tract Disease
Journal of Lower Genital Tract Disease OBSTETRICS & GYNECOLOGY-
CiteScore
6.80
自引率
8.10%
发文量
158
审稿时长
6-12 weeks
期刊介绍: The Journal of Lower Genital Tract Disease is the source for the latest science about benign and malignant conditions of the cervix, vagina, vulva, and anus. The Journal publishes peer-reviewed original research original research that addresses prevalence, causes, mechanisms, diagnosis, course, treatment, and prevention of lower genital tract disease. We publish clinical guidelines, position papers, cost-effectiveness analyses, narrative reviews, and systematic reviews, including meta-analyses. We also publish papers about research and reporting methods, opinions about controversial medical issues. Of particular note, we encourage material in any of the above mentioned categories that is related to improving patient care, avoiding medical errors, and comparative effectiveness research. We encourage publication of evidence-based guidelines, diagnostic and therapeutic algorithms, and decision aids. Original research and reviews may be sub-classified according to topic: cervix and HPV, vulva and vagina, perianal and anal, basic science, and education and learning. The scope and readership of the journal extend to several disciplines: gynecology, internal medicine, family practice, dermatology, physical therapy, pathology, sociology, psychology, anthropology, sex therapy, and pharmacology. The Journal of Lower Genital Tract Disease highlights needs for future research, and enhances health care. The Journal of Lower Genital Tract Disease is the official journal of the American Society for Colposcopy and Cervical Pathology, the International Society for the Study of Vulvovaginal Disease, and the International Federation of Cervical Pathology and Colposcopy, and sponsored by the Australian Society for Colposcopy and Cervical Pathology and the Society of Canadian Colposcopists.
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