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Building Capacity for Cervical Cancer Prevention in U.S.-Affiliated Pacific Islands: The Pacific Against Cervical
Jin Qin1, Isabel Scarinci2, Enriquito Lu3
1Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Journal of Women'S Health (2002)
|June 12, 2024
Summary
The Pacific Against Cervical Cancer (PACe) project evaluated primary human papillomavirus (HPV) testing for cervical cancer screening in U.S.-affiliated Pacific Islands. This strategy is feasible and acceptable, addressing barriers in resource-limited regions.
Area of Science:
- Public Health
- Oncology
- Epidemiology
Background:
- U.S.-affiliated Pacific Islands (USAPI) exhibit higher cervical cancer rates and lower screening coverage than the U.S.
- Barriers include economic, geographic, healthcare delivery, and cultural factors in isolated, resource-constrained regions.
Purpose of the Study:
- To evaluate the feasibility, acceptability, and cost-effectiveness of primary human papillomavirus (HPV) testing strategies in Guam and Yap.
- To implement primary HPV testing as a novel cervical cancer screening approach in the USAPI.
Main Methods:
- The Pacific Against Cervical Cancer (PACe) project involved community engagement, medical/laboratory capacity building, health system improvements, and cost-effectiveness analysis.
- Primary HPV testing, including self-sampling options in Yap, was implemented.
Main Results:
- The PACe project demonstrated systematic implementation of resource-appropriate technologies for cervical cancer screening.
- Findings support the adoption of primary HPV testing in the USAPI and similar underserved populations.
Conclusions:
- Primary HPV testing is a viable and acceptable cervical cancer screening strategy for the USAPI.
- The PACe project offers a model for improving screening in underserved populations facing access barriers.
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