Preventive medicine最新文献

{"title":"Evaluating Canada's innovative policy for health warnings on cigarette sticks: A pre/post assessment among adults who smoke","authors":"James F. Thrasher ,&nbsp;Samantha Petillo ,&nbsp;Yanwen Sun ,&nbsp;Liyan Xiong ,&nbsp;Emily E. Hackworth ,&nbsp;Stuart G. Ferguson ,&nbsp;David Hammond ,&nbsp;Crawford Moodie ,&nbsp;on behalf of the Insert Project Team","doi":"10.1016/j.ypmed.2025.108330","DOIUrl":"10.1016/j.ypmed.2025.108330","url":null,"abstract":"<div><h3>Objective</h3><div>Evaluate Canada's innovative policy mandating warning messages on cigarette sticks.</div></div><div><h3>Methods</h3><div>We analyzed data from an open cohort of Canadian adults who smoke, surveyed every 3 months (February 2023–November 2024; <em>n</em> = 11,487 observations from 4716 individuals). Participants reported: liking the look of their cigarette sticks (1-Dislike a lot to 7-Like a lot); feelings when looking at sticks (1-Very bad to 7-Very good); frequency of thinking about smoking-related harms due to sticks (1-Not at all to 5-Extremely); and forgoing cigarettes they normally smoke due to the look of sticks (no vs. yes). Linear and logistic generalized estimating equations regressed these outcomes on implementation period (i.e., pre-policy 2023 surveys [ref.] vs post-policy 2024 surveys), adjusting for covariates and post-stratification weights. Analyzing participants followed to the next survey (<em>n</em> = 6959 observations, 2356 individuals), separate adjusted mixed-effects logistic models regressed quit attempts in the 3-month interval since the prior survey on each stick measure from the prior survey (coded: neutral [ref.], dislike, like; neutral [ref.], bad, good; no forgoing [ref.], forwent cigarettes).</div></div><div><h3>Results</h3><div>From pre- to post-policy periods, liking and feelings about sticks became more negative (B = -0.15, 95 %CI = -0.22, −0.08; B = -0.07, 95 %CI = -0.13, −0.01) and forgoing cigarettes increased (AOR = 1.18, 95 %CI = 1.06, 1.32). Those who felt bad (vs. neutral) when looking at sticks were more likely to try to quit by the next survey (AOR = 1.31, 95 %CI = 1.05, 1.62), as were those who forwent cigarettes (AOR = 1.73, 95 %CI = 1.40, 2.15).</div></div><div><h3>Conclusions</h3><div>Countries should consider expanding cigarette labeling to include on-cigarette warnings, which appear to have increased outcomes that predict quit attempts in Canada.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"198 ","pages":"Article 108330"},"PeriodicalIF":4.3,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144485601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determining the optimal cervical cancer screening exit strategy in the Netherlands","authors":"Veerle J.C. Schevenhoven,&nbsp;Erik E.L. Jansen,&nbsp;Inge M.C.M. de Kok","doi":"10.1016/j.ypmed.2025.108329","DOIUrl":"10.1016/j.ypmed.2025.108329","url":null,"abstract":"<div><h3>Objective</h3><div>In the Netherlands, women are currently invited for human papillomavirus (HPV) screening until age 60 (or age 65 for HPV-positive women). New data from HPV screening implementation in the Netherlands improved understanding of its longer-term protective effects and risk differences between population subgroups. With this, our aim was to optimize screening exit strategies.</div></div><div><h3>Methods</h3><div>The microsimulation model MISCAN-Cervix was used to simulate a population of unvaccinated women born between 1962 and 1992 over their lifetime. We simulated 20 different exit strategies, varying by screening end ages and screening interval dependent on previous HPV status, with two triage methods (cytology triage or direct colposcopy referral for HPV16/18+ women aged ≥60). Main outcome measures were total and unnecessary colposcopy referrals (i.e. ≤ cervical intra-epithelial neoplasia stage 1), cancer cases and deaths prevented, and (quality-adjusted) life years gained ((QA)LYG). The incremental cost-effectiveness ratios (ICERs) were calculated for scenarios on the cost-effectiveness frontier.</div></div><div><h3>Results</h3><div>Screening of HPV-positive women at age 65 and age 70, with direct colposcopy referral of HPV16/18+ women aged ≥60 was the optimal exit strategy considering a threshold of €50,000 per LYG (ICER: €20,190/LYG, €46,985/QALY). This resulted in 18 additional cancer deaths prevented and 158 additional unnecessary referrals per 100,000 simulated women compared to the current strategy. Direct colposcopy referral of HPV16/18+ women aged ≥60 improved cost-effectiveness in all scenarios.</div></div><div><h3>Conclusions</h3><div>In the Dutch HPV screening program, adding screening moments for older HPV-positive women and/or incorporating direct referrals for HPV16/18+ women is cost-effective and could increase the efficiency and effectiveness of screening.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"197 ","pages":"Article 108329"},"PeriodicalIF":4.3,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144306939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity among adolescents from Culturally and Linguistically Diverse backgrounds: Findings from the Longitudinal Study of Australian Children","authors":"Nariman Dennaoui ,&nbsp;Gregory S. Kolt ,&nbsp;Emma S. George ,&nbsp;Justin M. Guagliano","doi":"10.1016/j.ypmed.2025.108328","DOIUrl":"10.1016/j.ypmed.2025.108328","url":null,"abstract":"<div><h3>Objective</h3><div>This study examined longitudinal changes in moderate-to-vigorous physical activity among culturally and linguistically diverse (CALD) and non-CALD adolescents.</div></div><div><h3>Methods</h3><div>Data were drawn from the Longitudinal Study of Australian Children<em>,</em> conducted in Australia between 2010 and 2018, focusing on participants aged 10–15 years. CALD status was determined based on parental birthplace and main language spoken at home. Moderate-to-vigorous physical activity were assessed using time use diaries, with generalised estimating equation models used to analyse longitudinal changes.</div></div><div><h3>Results</h3><div>Moderate-to-vigorous physical activity declined significantly over time among CALD adolescents compared to their non-CALD counterparts (CALD girls: coefficient = −17.54, 95 % CI: −23.97 to −11.11; CALD boys: coefficient = −18.23, 95 % CI: −25.30 to −11.17). At each time point, CALD girls exhibited the lowest minutes of moderate-to-vigorous physical activity levels among all other age groups, with mean values of 73.41 (95 % CI: 67.11–79.71) at 10–11 years, 52.91 (95 % CI: 47.20–58.61) at 12–13 years, and 37.26 (95 % CI: 32.05–42.46) at 14–15 years.</div></div><div><h3>Conclusion</h3><div>The consistently lower levels of moderate-to-vigorous physical activity among CALD adolescents, especially girls, highlight the need for culturally tailored interventions to address cultural and language barriers, to promote greater physical activity participation among this population.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"197 ","pages":"Article 108328"},"PeriodicalIF":4.3,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ongoing incentives' 36-month effect on physical activity in a Japanese insurance-based health-promotion program","authors":"Masashi Kanai ,&nbsp;Naoki Onozato ,&nbsp;Yosuke Fujisawa ,&nbsp;Takashi Hamatani ,&nbsp;Kakeru Tateyama ,&nbsp;Takahiro Miki ,&nbsp;Takuya Toda ,&nbsp;Tsutomu Sugawara ,&nbsp;Yuta Hagiwara","doi":"10.1016/j.ypmed.2025.108327","DOIUrl":"10.1016/j.ypmed.2025.108327","url":null,"abstract":"<div><h3>Objective</h3><div>Although incentive-based interventions have shown promise in promoting physical activity, evidence on their long-term effectiveness remains limited. This study aimed to evaluate ongoing, structured incentives' long-term effects on physical activity in a large, real-world population.</div></div><div><h3>Methods</h3><div>This retrospective cohort study used a pre–post observational design using data from the SUMITOMO LIFE Vitality program in Japan. Participants enrolled from January to June 2021 with three years of uninterrupted participation. Participants earning weekly incentives for step goals received tangible rewards, such as beverages or food, reinforcing engagement. Additionally, accumulated points contributed to improving their insurance status, which resulted in greater reductions in insurance premiums and access to a broader range of benefits. The primary outcome was an upward trend in average daily step counts that were continuously tracked over 36-months with wearable devices and smartphone applications.</div></div><div><h3>Results</h3><div>Included in the final analysis were 86,175 participants (mean [standard deviation] age, 43.4 [12.1] years; 57.7 % men). Model-adjusted average daily step counts increased from 7239.7 (95 % CI, 7213.4 to 7266.0) steps/day at Month 1 to 9054.9 (95 % CI, 9023.7 to 9086.2) at Month 12, 9350.1 (95 % CI, 9318.4 to 9381.8) at Month 24, and 9392.7 (95 % CI, 9361.1 to 9424.3) at Month 36. These increases were statistically significant (<em>P</em> &lt; 0.001), and sensitivity analyses confirmed consistent results.</div></div><div><h3>Conclusions</h3><div>Ongoing, structured incentives were associated with sustained increases in physical activity over 36 months, providing evidence for incentive-based interventions' long-term effectiveness in real-world settings.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"197 ","pages":"Article 108327"},"PeriodicalIF":4.3,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144240795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association of childhood experiences of abuse on timely cervical cancer screening utilization among women in the United States","authors":"Khaila A. Prather,&nbsp;Suman Kanti Chowdhury,&nbsp;Harsha Puri,&nbsp;Elizabeth Zacharias,&nbsp;Melissa Newsome,&nbsp;Russell S. Kirby","doi":"10.1016/j.ypmed.2025.108326","DOIUrl":"10.1016/j.ypmed.2025.108326","url":null,"abstract":"<div><h3>Objective</h3><div>Cervical cancer remains a significant public health concern, particularly among vulnerable populations. This study examines the association between Adverse Childhood Experiences (ACEs) and timely Pap test utilization for cervical cancer screening among women aged 21–65 years, with a focus on the association of abuse.</div></div><div><h3>Methods</h3><div>This study utilized the 2020 Behavioral Risk Factor Surveillance System (BRFSS) that included 41,111 women aged 21–65 years from 29 states. Using descriptive analysis and multivariable logistic regression, we conducted exploratory analyses to assess the association between experiences of abuse and timely Pap test utilization and to examine if household challenges moderate this association.</div></div><div><h3>Results</h3><div>Women who did not experience abuse had higher odds of receiving a timely Pap test compared to those with a history of abuse (aOR = 1.29, 95 % CI: 1.08–1.54). While household challenges were not significantly associated with timely screenings (aOR = 0.84, 95 % CI: 0.71–1.01), women without household challenges and abuse had significantly higher odds of receiving timely Pap tests (aOR = 1.66, 95 % CI: 1.27–2.17). Non-Hispanic Black women, married women, women with higher education, women who were employed, and women who had health insurance showed higher odds of timely Pap test utilization.</div></div><div><h3>Conclusions</h3><div>The study highlights the association between ACEs and preventive health behaviors. These findings emphasize the need for trauma-informed care interventions to address these disparities. Policy recommendations include expanding and enhancing access to cervical cancer screening for women with ACEs.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"197 ","pages":"Article 108326"},"PeriodicalIF":4.3,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Life satisfaction, loneliness, and routine health check-ups: Evidence from the UK Household Longitudinal Study","authors":"Fernando Antonio Ignacio González ,&nbsp;Gimena Ramos","doi":"10.1016/j.ypmed.2025.108324","DOIUrl":"10.1016/j.ypmed.2025.108324","url":null,"abstract":"<div><h3>Objective</h3><div>While sociodemographic factors affect health check-ups, less is known about the role of psychosocial factors. Based on a nationally representative longitudinal survey in the United Kingdom (UK), this study explores the association of satisfaction with multiple dimensions and loneliness with health check-ups.</div></div><div><h3>Methods</h3><div>We use microdata from the UK Household Longitudinal Study, representative of the UK adult population (2017–2022). A multiple linear regression model with interactions and fixed effects was used to analyze the relationship between both objective (having close friends) and subjective (feeling lonely) measures of loneliness and satisfaction in multiple dimensions (work, health, income, leisure time, and life) and five types of health check-ups: ophthalmology, blood pressure, cholesterol, X-rays, and blood tests. In addition, we analyzed the association between satisfaction and the probability of trust and openness toward friends as a mechanism to explain the relationship.</div></div><div><h3>Results</h3><div>Having more friends, feeling loneliness more often, and being satisfied with income were associated with greater use of different health check-ups. On the contrary, being satisfied with one's health was negatively associated health check-ups. Higher satisfaction levels were associated with greater trust and openness with friends, suggesting a potential explanatory mechanism.</div></div><div><h3>Conclusion</h3><div>Our study underscores the need for a comprehensive approach to understanding psychosocial factors in healthcare utilization. When designing future research and policy, it is crucial to consider objective and subjective indicators of individuals' psychosocial well-being and satisfaction across multiple dimensions.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"197 ","pages":"Article 108324"},"PeriodicalIF":4.3,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tobacco marketing exposure and lifetime and current nicotine pouch use among US youth, 2022","authors":"Saber Feizy ,&nbsp;Delvon T. Mattingly ,&nbsp;Melinda Ickes ,&nbsp;Mary Kay Rayens ,&nbsp;W. Jay Christian ,&nbsp;Melissa Abadi ,&nbsp;Seth Himelhoch ,&nbsp;Shyanika W. Rose","doi":"10.1016/j.ypmed.2025.108322","DOIUrl":"10.1016/j.ypmed.2025.108322","url":null,"abstract":"<div><h3>Objective</h3><div>The rising popularity of nicotine pouches among youth necessitates an understanding how marketing exposure influences their use, to inform regulation. This study examines the associations of tobacco marketing exposures with nicotine pouch use among adolescent students in the United States.</div></div><div><h3>Methods</h3><div>We analyzed data from 26,860 middle and high-school students in the United States who participated in the 2022 National Youth Tobacco Survey. The survey was administered during January–May 2022. Weighted logistic regressions with and without covariates (i.e., sociodemographic characteristics, other tobacco product use, and social media use) were used to evaluate the relationships between exposure to a variety of tobacco product advertisement modes (television/streaming/movies; Internet; newspapers/magazines; and convenience store/supermarket/gas station/kiosk/shopping center) and lifetime and current use of nicotine pouch products.</div></div><div><h3>Results</h3><div>Nicotine pouches were used by 1 % of middle and high school youth ever in their lifetime in the United States. Most current use was of flavored products and 16 % of youth who used nicotine pouches purchased the product themselves. Controlling for other factors, exposure to tobacco advertising in newspapers/magazines was associated with higher likelihood of lifetime (aOR = 1.74, CI = 1.06–2.84) and current (aOR = 4.37, CI = 2.23–8.53) nicotine pouch use. Additionally, odds of lifetime and current use were highest among youth who also used smokeless tobacco, followed by e-cigarettes, and cigarettes.</div></div><div><h3>Conclusions</h3><div>This study demonstrates that tobacco marketing exposure is associated with youth nicotine pouch use. In addition, nicotine pouches appeal especially to youth who use smokeless tobacco, e-cigarettes, and cigarettes suggesting the potential for dual/poly use.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"197 ","pages":"Article 108322"},"PeriodicalIF":4.3,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 vaccine hesitancy among European older adults: the role of living alone, social isolation and loneliness","authors":"Valentien Taeldeman ,&nbsp;Maaike Paredis ,&nbsp;Elise Braekman ,&nbsp;Kirsten A. Verhaegen ,&nbsp;Piet Bracke ,&nbsp;Katrijn Delaruelle","doi":"10.1016/j.ypmed.2025.108325","DOIUrl":"10.1016/j.ypmed.2025.108325","url":null,"abstract":"<div><h3>Objective</h3><div>Given the significant public health challenge posed by vaccine hesitancy during the COVID-19 pandemic, researchers have increasingly focused on understanding its underlying determinants. While previous research has paid attention to predisposing, enabling, and need factors the role of psychosocial factors remains less understood. This study examines COVID-19 vaccine hesitancy among older adults in Europe, specifically in relation to living alone, social isolation, and loneliness as distinct factors. Additionally, it considers potential cross-country variations in these effects, in relation to differences in policy stringency.</div></div><div><h3>Methods</h3><div>Using data from the Survey of Health Ageing and Retirement in Europe (SHARE) and SHARE Corona Surveys (2020−2021), this study analyses a sample of 36,890 adults aged 50 and above across 28 European countries and Israel. Two-level binomial logistic regression was employed.</div></div><div><h3>Results</h3><div>Household composition, social isolation and loneliness among older adults related to COVID-19 vaccine hesitancy. More specifically: older adults who (i) lived alone, (ii) were more socially isolated, and (iii) were more lonely, tended to be more hesitant to get vaccinated against COVID-19. These effects did not differ by policy stringency.</div></div><div><h3>Conclusions</h3><div>This study underscores the relevance of the absence of a partner, social isolation, and loneliness when addressing vaccine hesitancy in older adults. When implementing effective vaccination policies compassionate measures with sufficient attention for psychosocial factors are a necessity. Addressing the psychosocial roots of COVID-19 vaccine hesitancy is not just key to managing current COVID-19 risks, but a blueprint for a more resilient and inclusive approach to future health crises.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"197 ","pages":"Article 108325"},"PeriodicalIF":4.3,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of tobacco smoking and provision of tobacco treatment in an innovative low-threshold substance use disorder bridge clinic.","authors":"Joanna M Streck, Susan Regan, Sydney McGovern, Michele Reyen, Cecely Sterling-Maisel, Dinah Applewhite, Martha Kane, Sarah Wakeman","doi":"10.1016/j.ypmed.2025.108323","DOIUrl":"https://doi.org/10.1016/j.ypmed.2025.108323","url":null,"abstract":"<p><strong>Objective: </strong>Substance use disorder Bridge Clinics have been established across the country to increase access to addiction treatment and remove barriers to care. Bridge Clinics are innovative low-threshold treatment models designed to provide rapid access to addiction treatment and harm reduction services. It is not clear how tobacco use, or treatment, is handled in BCs and no work has characterized smoking prevalence nor provision of treatment services in this setting.</p><p><strong>Methods: </strong>We used health record data during Bridge Clinic encounters at Massachusetts General Hospital in Boston, Massachusetts from 2019 to 2023 (N = 1592 unique patients) to examine cigarette smoking prevalence, provision of tobacco treatment within our healthcare system, and subsequent quitting 12 months after the initial encounter.</p><p><strong>Results: </strong>At the initial Bridge encounter, 66 % of patients were currently smoking tobacco, with the highest prevalence observed among those with any stimulant use disorder (80 %). Stimulant use disorder combined with opioid and alcohol use disorder was the combination with the highest smoking prevalence (84 %). Smoking prevalence increased with the number of substance diagnoses (OR: 1.36 per disorder; 95 % CI: 1.25-1.49). 60 days following the initial Bridge encounter, 18 % of patients received either nicotine replacement or varenicline. At 12-month follow-up, 9 % of patients with a documented quit status had quit smoking.</p><p><strong>Conclusions: </strong>Individuals seen for addiction treatment at a low-threshold Bridge Clinic, a population at high risk for overdose, are engaging with tobacco treatment. Provision of tobacco treatment is lower than what is observed in the general population and providers should increase evidence-based tobacco treatment provision.</p>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":" ","pages":"108323"},"PeriodicalIF":4.3,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"International Papillomavirus Society policy statement on human papillomavirus-based cervical cancer screening for women living with HIV","authors":"Elisabeth McClymont ,&nbsp;Silvia de Sanjosé ,&nbsp;Suzanne M. Garland ,&nbsp;Anna-Barbara Moscicki ,&nbsp;on behalf of the IPVS Policy Committee","doi":"10.1016/j.ypmed.2025.108314","DOIUrl":"10.1016/j.ypmed.2025.108314","url":null,"abstract":"<div><h3>Objectives</h3><div>Women living with HIV (WLWH) are among those at highest risk for cervical cancer development, thereby making this a key population for primary and secondary prevention. Human papillomavirus (HPV) nucleic acid (DNA or RNA) tests, which have been clinically validated, are supported by the World Health Organization (WHO) as the preferred method for cervical screening for all women, although HPV DNA is preferred in WLWH until further evidence demonstrates that HPV RNA is equivalent. We sought to describe current guidelines for HPV-based cervical cancer screening for WLWH.</div></div><div><h3>Methods</h3><div>This paper outlines current recommendations and the state of knowledge regarding HPV-based cervical cancer screening for WLWH.</div></div><div><h3>Results</h3><div>Current recommendations and the state of knowledge have been subdivided into the following topics: cervical screening and triage; treatment; additional considerations; and challenges and opportunities.</div></div><div><h3>Conclusions</h3><div>The International Papillomavirus Society supports the WHO recommendations regarding HPV-based screening for all women, including WLWH. As data to support best practices in WLWH are limited, we strongly encourage continued research into this important topic.</div></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":"197 ","pages":"Article 108314"},"PeriodicalIF":4.3,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}