Ecological association of human papillomavirus vaccination with cervical dysplasia prevalence in the United States, 2007-2014

E.W. Flagg, E.A. Torrone and H. Weinstock

American Journal of Public Health, 2016, vol. 106, issue 12, 2211-2218

Abstract: Objectives. To examine prevalence of low-and high-grade cervical lesions over time in a large cohort of US female adolescents and women. Methods. We used health care claims data from 9 million privately insured female patients aged 15 to 39years to estimate annual prevalence of cytologically detected cervical low-grade (LSIL) and high-grade squamous intraepithelial lesions (HSIL) and high-grade histologically detected cervical intraepithelial neoplasia grades 2 and 3 (CIN2+) during 2007 through 2014. Werestrictedanalysestothosewhoreceivedcervicalcancerscreeninginagivencalendar year. Results. Prevalence of HSIL and CIN2+ decreased significantly for those aged 15 to 19 years. Average annual percent change in prevalence in this group during 2007 through 2014 for HSIL and CIN2+ was-8.3% and-14.4%, respectively (P

Keywords: adolescent; adult; female; human; insurance; Papillomavirus Infections; prevalence; United States; Uterine Cervical Dysplasia; vaccination; young adult, Adolescent; Adult; Female; Humans; Insurance Claim Review; Papillomavirus Infections; Prevalence; United States; Uterine Cervical Dysplasia; Vaccination; Young Adult (search for similar items in EconPapers)
Date: 2016
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2016.303472_7

DOI: 10.2105/AJPH.2016.303472

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