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APHA Scientific Session and Event Listing

Recorded presentation

Seijeoung Kim, PhD¹, Tina Richardson, MD², Sergio Rodriguez, MD², and Faith Davis, PhD³. (1) School of Public Health, Division of Biostatistics and Epidemiology, University of Illinois at Chicago,1603 W. Taylor St. #823, Chicago, IL 60612. 312-355-0122, skim49@uic.edu, (2) Medical/Surgical Department, Cermak Health Services, 2800 S. California Ave, Chicago, IL 60608, (3) School of Public Health - Epidemiology & Biostatistics, University of Illinois at Chicago, 1601-3 W Taylor St, MC 923, Chicago, IL 60612

Objectives: The purpose of this study was to describe the cervical cancer screening results during the six-year period (2000-2005) in a large urban jail in Chicago, and to compare the epidemiology of abnormal outcomes between female inmates and the general population. Methods: We examined all cervical cancer (PAP) results in the jail during the study period. Abnormal PAP results were matched with the colposcopy logbook to explore the percent of women received a subsequent further evaluation/treatment. The screening results were compared with the results among the general population. Results: A total of 8,473 women were screened for cervical cancer in the jail. Of those, 82.8% were normal, 9.1% were unsatisfactory, 0.3% AGUS, 4.3% ASCUS, 2.2% LGSIL, 1.1% HGSIL, and 0.1% squamous cell carcinoma. Overall, 46.2% of women who had a PAP test in the jail returned home before they received the results. On average, 31.3% of women with abnormal PAP had colposcopy in the jail: 40.3% of LGSIL, 34.4% of HGSIL, but none of SQ Cell Ca cases. The PAP results for the female inmates did not significantly differ from the results for the general population. Conclusions: Unlike several previous studies, we did not find abnormal PAP results at higher rates. These results show lower number of abnormalities than the number in the general population in previous studies. High proportion of women with abnormal PAP returned home before they received the test results. Further research is required to examine patterns of follow-up behaviors among these high-risk vulnerable women.

Learning Objectives: At the conclusion of the session, the participant will be able to

• Identify the rates of abnormal cervical cancer screening results among incarcerated women.
• Recognize the importance of follow-up of abnormal cervical cancer screening results after these women's release from the jail.
• Discuss policy implication of a systematic cancer screening mechanism in correctional settings.

Keywords: Cervical Cancer, Prisoners Health Care

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation