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Showing content from https://pubmed.ncbi.nlm.nih.gov/27500413/ below:

Adverse Childhood Experiences and Cervical Cancer Screening

Affiliations

• ¹ 1 Department of Public Health, University of Virginia , Charlottesville, Virginia.
• ² 2 School of Nursing, University of Virginia , Charlottesville, Virginia.

• PMID: 27500413
• DOI: 10.1089/jwh.2016.5823

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Héctor E Alcalá et al. J Womens Health (Larchmt). 2017 Jan.

• ¹ 1 Department of Public Health, University of Virginia , Charlottesville, Virginia.
• ² 2 School of Nursing, University of Virginia , Charlottesville, Virginia.

• PMID: 27500413
• DOI: 10.1089/jwh.2016.5823

Item in Clipboard

Background: Adverse childhood experiences (ACEs) have been associated with an increased risk of a variety of diseases, including cancer. However, research has largely ignored how ACEs impact cancer screening, a potential intermediate outcome. As such, the present study examined the association between ACEs and ever and recent use of Papanicolaou (Pap) test, among women aged 21 and older.

Materials and methods: Analyses used the 2009 Tennessee Behavioral Risk Factor Surveillance System (n = 1527) to model odds of ever and recently (within the last 3 years) engaging in Pap tests screening from nine different adversities. Bivariate and multivariate logistic regression models were run to accomplish this.

Results: In bivariate and multivariate models, living in a household in which adults treated each other violently increased odds of ever receiving a Pap test. In bivariate models, physical and sexual abuse was associated with decreased odds of receiving a recent Pap test. After accounting for confounders, only the latter association remained significant.

Conclusions: Results highlight a potential mechanism by which early childhood experiences can impact the development of cervical cancer. Providers of care should consider modifications to their screening practices, including screening for child abuse, to better serve all women.

Keywords: adverse childhood experiences; cancer; cancer screening; cervical cancer; child abuse; pap test.

PubMed Disclaimer

• Gender Differences in the Association between Adverse Childhood Experiences and Cancer.

  Alcalá HE, Tomiyama AJ, von Ehrenstein OS. Alcalá HE, et al. Womens Health Issues. 2017 Nov-Dec;27(6):625-631. doi: 10.1016/j.whi.2017.06.002. Epub 2017 Jul 31. Womens Health Issues. 2017. PMID: 28774479 Free PMC article.

• Colorectal cancer screening and adverse childhood experiences: Which adversities matter?

  Alcalá HE, Keim-Malpass J, Mitchell E. Alcalá HE, et al. Child Abuse Negl. 2017 Jul;69:145-150. doi: 10.1016/j.chiabu.2017.04.026. Epub 2017 May 2. Child Abuse Negl. 2017. PMID: 28472698

• Heterogeneous impacts: adverse childhood experiences and cancer screening.

  Alcalá HE, Mitchell EM, Keim-Malpass J. Alcalá HE, et al. Cancer Causes Control. 2018 Mar;29(3):343-351. doi: 10.1007/s10552-018-1007-2. Epub 2018 Feb 6. Cancer Causes Control. 2018. PMID: 29411203

• Cervical cancer screening in the United States, 1993-2010: characteristics of women who are never screened.

  Chen HY, Kessler CL, Mori N, Chauhan SP. Chen HY, et al. J Womens Health (Larchmt). 2012 Nov;21(11):1132-8. doi: 10.1089/jwh.2011.3418. Epub 2012 Aug 8. J Womens Health (Larchmt). 2012. PMID: 22873781

• Pap smear screening, pap smear abnormalities and psychosocial risk factors among women in a residential alcohol and drug rehabilitation facility.

  Soccio J, Brown M, Comino E, Friesen E. Soccio J, et al. J Adv Nurs. 2015 Dec;71(12):2858-66. doi: 10.1111/jan.12745. Epub 2015 Aug 17. J Adv Nurs. 2015. PMID: 26279461

• Adverse childhood experiences and access and utilization of health care.

  Alcalá HE, Valdez-Dadia A, von Ehrenstein OS. Alcalá HE, et al. J Public Health (Oxf). 2018 Dec 1;40(4):684-692. doi: 10.1093/pubmed/fdx155. J Public Health (Oxf). 2018. PMID: 29182751 Free PMC article.

• Cancer Screening Behaviors and Associations with Childhood Trauma, Resiliency, and Patient-Provider Relationships: Findings from an Exploratory Study of Appalachian Cervical Cancer Survivors.

  Boatman D, Kennedy-Rea S, Cottrell L, Hazard-Jenkins H. Boatman D, et al. J Appalach Health. 2023 Apr 1;5(1):22-37. doi: 10.13023/jah.0501.03. eCollection 2023. J Appalach Health. 2023. PMID: 38023113 Free PMC article.

• The Impact of COVID-19 on Cancer Screening: Challenges and Opportunities.

  Cancino RS, Su Z, Mesa R, Tomlinson GE, Wang J. Cancino RS, et al. JMIR Cancer. 2020 Oct 29;6(2):e21697. doi: 10.2196/21697. JMIR Cancer. 2020. PMID: 33027039 Free PMC article.

• Gender Differences in the Association between Adverse Childhood Experiences and Cancer.

  Alcalá HE, Tomiyama AJ, von Ehrenstein OS. Alcalá HE, et al. Womens Health Issues. 2017 Nov-Dec;27(6):625-631. doi: 10.1016/j.whi.2017.06.002. Epub 2017 Jul 31. Womens Health Issues. 2017. PMID: 28774479 Free PMC article.

• Exploring the health and service utilisation of general practice patients with a history of adverse childhood experiences (ACEs): an observational study using electronic health records.

  Hardcastle K, Bellis MA, Sharp CA, Hughes K. Hardcastle K, et al. BMJ Open. 2020 Sep 25;10(9):e036239. doi: 10.1136/bmjopen-2019-036239. BMJ Open. 2020. PMID: 32978186 Free PMC article.

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