Pap test results among low-income youth: prevalence of dysplasia and practice implications.

Linda L. Halcón, Alan R. Lifson, Marcia Shew, Marilyn Joseph, Peter J. Hannan, Charles R. Hayman

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

OBJECTIVES: To describe Papanicolaou (Pap) test findings and identify prevalence and correlates of dysplastic cervical abnormalities in low-income adolescent females. DESIGN AND SETTING: This cross-sectional study included a modified random sample of female students ages 16 to 25 years at 54 U.S. Job Corps centers. PARTICIPANTS: 5,734 female students enrolled in a federal job training program. Admission health records were reviewed and abstracted. MAIN OUTCOME MEASURE: Pap test findings using the Bethesda classifications. Pap smear results indicating dysplasia (atypical squamous cells of undetermined significance [ASCUS] with dysplasia) or squamous intraepithelial lesions (low-grade squamous interepithelial lesions [LGSIL] or high-grade squamous intraepithelial lesions [HGSIL]). Participants with less severe findings were compared with those who needed follow-up. RESULTS: For 71.4% of participants, no abnormalities were found. 15.6% had benign cellular changes, 9.2% had reactive changes, and 9.9% had epithelial cell abnormalities. Of those tested, 5.6% (+/- 0.8%) had dysplastic Pap smear findings, with 0.3% (n = 12) HGSIL. All groups were equally affected, with abnormalities not associated with race/ethnicity, age, geographic region, education level, size of city of residence, or receiving public assistance. CONCLUSIONS: In this population, dysplastic Pap smear results were not uncommon. Findings indicate that Pap screening, alone or in combination with more sensitive tests, can identify cervical abnormalities, including HGSIL, that suggest a need for further evaluation or follow-up.

Original languageEnglish (US)
Pages (from-to)294-304
Number of pages11
JournalJOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
Volume31
Issue number3
StatePublished - May 2002
Externally publishedYes

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Papanicolaou Test
Public Assistance
Students
Education
Cross-Sectional Studies
Epithelial Cells
Squamous Intraepithelial Lesions of the Cervix
Health
Population

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Pap test results among low-income youth : prevalence of dysplasia and practice implications. / Halcón, Linda L.; Lifson, Alan R.; Shew, Marcia; Joseph, Marilyn; Hannan, Peter J.; Hayman, Charles R.

In: JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, Vol. 31, No. 3, 05.2002, p. 294-304.

Research output: Contribution to journalArticle

Halcón, Linda L. ; Lifson, Alan R. ; Shew, Marcia ; Joseph, Marilyn ; Hannan, Peter J. ; Hayman, Charles R. / Pap test results among low-income youth : prevalence of dysplasia and practice implications. In: JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2002 ; Vol. 31, No. 3. pp. 294-304.
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abstract = "OBJECTIVES: To describe Papanicolaou (Pap) test findings and identify prevalence and correlates of dysplastic cervical abnormalities in low-income adolescent females. DESIGN AND SETTING: This cross-sectional study included a modified random sample of female students ages 16 to 25 years at 54 U.S. Job Corps centers. PARTICIPANTS: 5,734 female students enrolled in a federal job training program. Admission health records were reviewed and abstracted. MAIN OUTCOME MEASURE: Pap test findings using the Bethesda classifications. Pap smear results indicating dysplasia (atypical squamous cells of undetermined significance [ASCUS] with dysplasia) or squamous intraepithelial lesions (low-grade squamous interepithelial lesions [LGSIL] or high-grade squamous intraepithelial lesions [HGSIL]). Participants with less severe findings were compared with those who needed follow-up. RESULTS: For 71.4{\%} of participants, no abnormalities were found. 15.6{\%} had benign cellular changes, 9.2{\%} had reactive changes, and 9.9{\%} had epithelial cell abnormalities. Of those tested, 5.6{\%} (+/- 0.8{\%}) had dysplastic Pap smear findings, with 0.3{\%} (n = 12) HGSIL. All groups were equally affected, with abnormalities not associated with race/ethnicity, age, geographic region, education level, size of city of residence, or receiving public assistance. CONCLUSIONS: In this population, dysplastic Pap smear results were not uncommon. Findings indicate that Pap screening, alone or in combination with more sensitive tests, can identify cervical abnormalities, including HGSIL, that suggest a need for further evaluation or follow-up.",
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