Cervical cancer has a major impact on women’s lives; it is the second most common cause of cancer-related diseases and death among women worldwide. According to the Center for Disease Control and Prevention (2010), cervical cancer is the cancer that forms in tissues of the cervix. The cervix is the lower, narrow end of the uterus that connects the vagina to the upper part of the uterus. Cervical cancer is a slow-growing cancer that may not cause any symptoms at first but may cause pelvic pain or bleeding from the vagina later. It is mostly caused by a human papillomavirus (HPV) infection. HPV is a common virus that is passed from one person to another during sexual activity (Center for Disease Control and Prevention [CDC], 2010).
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The rate is more than twice of what is seen in non-Hispanic white women. African-American women develop cervical cancer about 50% more often than non-Hispanic white women. Besides ethnicity, other factors that can increase the risk of getting cervical cancer are smoking, using birth control pills for a long time, and having multiple sex partners (CDC, 2010).
2 Pertinent issues on the delivery of healthcare related to cervical cancer The two main issues that affect the delivery of healthcare related to prevention and early detection of cervical cancer are finance and the lack of awareness. Financial issues play a major role in whether or not women are screened or vaccinated for cervical cancer. The ACS (2010) reported that uninsured women are less likely to acquire screenings or vaccines. However, many states tried to solve the financial problem by ensuring that private insurance companies, Medicaid, and public employee health plans will provide coverage and reimbursement for Pap smear screening tests. The ACS supported such coverage assurances because they removed financial barriers for women who have health insurance, but whose insurance plans previously did not cover Pap smears (ACS, 2010). The lack of awareness about cervical cancer is another contributing factor besides financial concerns. According to the National Cancer Institute (NCI), women with low
Cervical cancer has an effect on women not only in a health manner. The emotional cost from HPV is a further burden as it may include fear of cervical cancer, apprehension, and the stigma associated with a sexually transmitted infection. HPV is so common that drug companies long sought to develop a vaccine against it.
Cervical cancer is when there are malignant cells present in the cervix; it is developed in the lining of the cervix. A cervix is a narrow opening located at the bottom of the uterus that leads into the vagina. Cervical cancer mostly affects women between the ages of 40 and 55. This cancer can be prevented by screening for precancerous cells, and it can also be cured if it is detected at an early stage. Over the past few decades the number of cervical cancer cases has declined dramatically due to a more widespread screening of the disease. Today, it is estimated that 10,000 new
Center for Disease Control and Prevention (CDC's) National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides access to breast and cervical cancer screening to underserved women in all 50 states. NBCCEDP programs use population-based approaches such as public education, patient navigation, and outreach, care coordination to increase screening and reach underserved and uninsured populations. This program provides cervical screening for 21 to 64 year and breast screening for 40 to 64 years. Since this program initiated in 1991 almost 3.7 million women has been screened and 44,885 cases of breast cancer, 2,554 cervical cancers and123, 563 cervical precursor lesions have been detected (Benard et.al , 2011). NBCCEDP use Conceptual Framework supports a collection of strategies to reach uninsured women, including program controlling, screening and diagnostic services. Team members of the NBCCEDP work collaboratively to provide breast and cervical cancer screening, diagnostic evaluation, treatment and referrals. “The program's continued success depends in large part on the complementary efforts of a variety of national partner organizations, as well as on state and community partners” (CDC, 2012). The key success for these two cancer screening programmes
Cervical cancer is caused by the uncontrollable growth of cells in the cervix, the lower part of the uterus that opens into the vagina. Some signs of cervical cancer are abnormal bleeding in the vagina (between menstrual cycles, after sex, and after menopause), pain in the lower belly, pain during sex, and abnormal vaginal discharge.
Cervical Cancer affects around 34000 women every year around the UK (Bupa UK, 2013). Cervical Cancer is a result of the mutation of the DNA caused by the by the Human papillomavirus (HPV), (NHS, 2013).
Some signs and symptoms of cervical cancer are abnormal vaginal bleeding or discharge and pelvic pain and pressure. Cervical cancer is preventable with regular screening tests. One test is a Pap test sometimes also called a Pap smear. This test looks for precancerous cells that
Cervical cancer is the leading cause of cancerous death, in women, since 1950. Approximately 200,000 cervical cancer patients die each year in developing countries. Strains like HPV 16 and 18 cause about 70% of cervical cancer in women– one of the top causes of death in the world (WebMD, 2010, p.1). In the Unites States, about 10,000 women acquire the disease and 3,700 die annually Human Papilloma Virus (HPV) is directly associated as a cause of cervical cancer. This virus affects the skin and genital area and, in some cases, it can also infect the throat and mouth. Since the HPV is passed from one person to another through skin-to-skin or sexual contact, sexually active people are more prone to this virus. Merck
Following this further, African American women die from cervical cancer more frequently than Caucasian women. The most common
Cervical cancer is one of the highly popular disease for the women. Different programmes has been made up to fight against this deadly disease. New Zealand has one of the best screening programmes in the world. The establishment of National Cervical Cancer Screening Programme in NZ in 1990 had reduced a significant number of 60% of women who develop cervical cancer and who die from it since it was built. More than 1 million New Zealander women are enrolled in this programme and 95 % are eligible. The Cervical Cancer screening programme aims to; informing women about the importance of having the cervical screening tests; promoting cervical screening tests on a regular basis to women aged 20–70; ensuring high-quality and culturally appropriate services; supporting women with abnormal tests; ensuring there is regular monitoring to see that the goals of the programme are being met. The NCSP also acknowledges the importance of the Treaty of Waitangi in providing a screening programme that is successful for all New Zealand women.
The morbidity and mortality rates for cervical cancer caused by HPV in the United States are 8.1 and 2.4 per 100,000 respectively; worldwide the mortality rate for cervical
Although there are several known risk factors for getting cervical cancer, no one knows exactly why one woman gets it and another doesn't. One of the most important risk factors for cervical cancer is infection with a virus called HPV (human papillomavirus). HPV is a sexually transmitted disease that is incredibly common in the population, one study showed that 43% of college age women were infected in a 3-year period. HPV is the virus that causes genital warts, but having genital warts doesn't necessarily mean you are going to get cervical cancer. There are different subtypes, or strains, of HPV. Only certain subtypes are likely to cause cervical cancer, and the subtypes that cause warts are unlikely to cause a cancer. Often, infection with HPV causes no symptoms at all, until a woman develops a pre-cancerous lesion mostly of the cervix. Because infection with a STD is a risk factor for cervical cancer, any risk factors for developing STD are also risk factors for developing cervical cancer. Women who have had many or several male sexual partners, having sexual intercourse at an early age, or have had male sexual partners who are considered high risk (meaning that they have had several sexual partners and/or began having sexual intercourse at an early age) are at higher risks for developing Cervical
family history is a non-modifiable risk factor that puts a woman at a risk of cervical cancer.
Cervical cancer is one of the most common cancers in women worldwide according to, WebMD.com. Because cervical cancer is so common it is important to know about the cancer, what to look for, how we get it so we can cure/treat it so we can fight it. The likelihood in developing cancer depends on genetics, environmental factors, and random changes.
Cervical cancer is one type of cancer happening from the cervix due to abnormal growth of cells. There are many reasons to cause cervical cancer. One of them is that the abnormal cells from other parts of body are able to invade or spread to the cervix and cause the abnormal growth. Unfortunately, in early stage, typically no symptoms are seen, and later symptoms may include abnormal vaginal bleeding, pelvic pain, or pain during sexual intercourse. What’s more, when bleeding after sex, it also may indicate the presence of cervical cancer.7
Cervical cancer is one of the leading causes of cancer related mortality in countries such as India accounting for more than 17% of all cancer deaths in women aged 30-69. [3] Cervical cancer is one such type of cancer in which screening plays a significant role. Clinical trials done in below poverty level populations do encounter ethical issues to a certain extent with regards to informed consent as most or all of these patients are illiterate. However informed consent is extremely important when justifying data for such clinical trials. Countries such as US have implemented Pap smear screening as one of the most important cervical cancer screening methods. In countries as densely populated as India where proper healthcare facilities does not reach slums and extremely poverty stricken societies, alternatives for screening are indicated- VIA or Visual inspection with acetic acid