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2001 MAR 15 -- (NewsRx.com & NewsRx.net) -- by Julie Crawshaw, staff medical writer -- Indian and Alaskan native women are less likely than other American women to have had a Papanicolaou (Pap) test, researchers at the U.S. Centers for Disease Control and Prevention say.
But black women with abnormal Pap tests were the least likely to have a follow-up exam, they said.
V.B. Benard and colleagues analyzed the percentage of abnormal Pap tests and the rate of high-grade, pre-cancerous, or cancerous lesions reported in data from the U.S. National Breast and Cervical Cancer Early Detection Program. From the program's inception in 1981 through March 2000, 912,688 women have received 1,480,590 Pap tests. Researchers organized their findings by racial or ethnic group ("Race-specific results of Papanicolaou testing and the rate of cervical neoplasia in the National Breast and Cervical Cancer Early Detection Program, 1991-1998 (United States)," Cancer Causes and Control, 2001; 12(1):61-68).
The Benard team found that American Indian or Alaskan native women were less likely than others to have had a Pap test prior to participating in the study. These two groups also had the highest proportion of abnormal Pap tests (4.4%) for first program screens.
"Our findings that black women with a high-grade Pap test were less likely to get a work-up are disconcerting and merit further study and ultimate correction," Benard et al. added.
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