Clinical Edge

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Cervical Cancer Incidence in Younger Women

Gynecol Oncol; ePub 2016 Nov 26; Beachler, et al

Diagnoses of invasive cervical cancer (ICC) in US females in their early 20s were rare and lower than those born in earlier years, despite that fact that those born in 1986 through 1991 were less likely to receive a Pap test before the age 21, a recent study found. The study aimed to assess the temporal trends in ICC incidence rates among US females aged 21 to 25 years from 2000 to 2013. Researchers found:

  • The prevalence of never having a Pap test before age 21 increased from 22.0% in 1996-2004 to 38.3% in 2006-2012, indicating US guideline adaption.
  • Nonetheless, ICC incidence among those aged 21 to 23 years significantly declined between 2000 and 2013.
  • ICC incidence remained constant among those aged 24-25 years.
  • Compared to women born in 1978-1985, women born in 1986-1991 had a higher prevalence of never receiving a Pap test prior to age 21, but a lower ICC incidence at age 21-23.


Beachler DC, Tota JE, Silver ML, et al. Trends in cervical cancer incidence in younger US women from 2000 to 2013. [Published online ahead of print November 26, 2013]. Gynecol Oncol. doi:10.1016/j.ygyno.2016.11.031.