Papanicolaou test screening and prevalence of genital human papillomavirus among women who have sex with women.
Open accessAbstract
OBJECTIVES: The purpose of this study was to examine frequency of and attitudes toward Papanicolaou (Pap) test screening in women who have sex with women (WSW) and to determine prevalence of genital human papillomavirus (HPV). METHODS: Women were eligible if they reported having engaged in sex with another woman in the preceding year Medical and sexual histories were obtained. Cervical specimens for Pap tests and cervical and vaginal specimens for HPV DNA testing were collected. RESULTS: HPV DNA was detected in 31 of 248 WSW (13%). Women who had never had sex with men were less likely to have undergone pelvic examinations and had fewer recent Pap tests. Reasons for not undergoing Pap tests included lack of insurance, previous adverse experiences, and belief that Pap tests were unnecessary. CONCLUSIONS: Despite the occurrence of genital HPV, WSW do not receive adequate Pap test screening. Pap test screening recommendations should not differ for WSW, regardless of sexual history with men.
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“Perhaps of equal importance, studies have shown that most WSW (53%–99%) have had sex with men and that many (21%–30%) continue to have sex with men.(18,19) Among these women, acquisition of chronic viral sexually transmitted diseases, including HPV, genital herpes, and HIV, from male partners presumably occurs at a ra…”
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- Authors
- Marrazzo, J. M., Koutsky, L. A., Kiviat, N. B., Kuypers, J. M., & Stine, K.
- Affiliations
- University of Washington (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2001-06-01
- Volume
- 91
- Issue
- 6
- Pages
- 947-952
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC1446473
- OpenAlex
- W1515230631
- Cited by
- 239
- References
- 37
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 7 · 2023: 4 · 2022: 7 · 2021: 7 · 2020: 7 · 2019: 11 · 2018: 12 · 2017: 7 · 2016: 15 · 2015: 14 · 2014: 13 · 2013: 18 · 2012: 12
- FWCI
- 3.56
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Cancer Institute (R01CA034493, CA 34493)
- National Institute of Allergy and Infectious Diseases (R29-AI41153-04, R29AI041153)
- Topics
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Keywords
- genital human papillomavirus, women who have sex with women, HPV prevalence, cervical cancer screening, barriers to screening, sexual minority women, HPV testing, cervical specimens
- MeSH terms
- Adult, Female, Humans, Male, Patient Acceptance of Health Care, Sexual Partners, Sexually Transmitted Diseases, Vaginal Smears, Washington, Prevalence, Polymerase Chain Reaction, Homosexuality, Female, Papillomaviridae, Papillomavirus Infections, Papanicolaou Test
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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