Table 4.
Precancers and Cancers detected in women served in the National Breast and Cervical Cancer Early Detection Program in four US-Affiliated Pacific Islands, 2007–2015.a
| Unduplicated Women screened with Pap tests | Biopsy Confirmed Cervical Intraepithelial Neoplasia (CIN) and Invasive Cancer (Worst Outcome)b | |||||||
|---|---|---|---|---|---|---|---|---|
|
|
|
|||||||
| N = 14,206 | Low-grade CIN (N = 68) | High-grade CIN (N = 80) | Invasive Cervical Cancer (N = 10) | |||||
|
|
|
|
|
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| n | % | % | Rate/1000 Pap screens | % | Rate/1000 Pap screens | % | Rate/1000 Pap screens | |
| Age (years) | ||||||||
| 18–29 | 2626 | 18.5 | 35.3 | 7.3 | 17.5 | 4.3 | 0 | 0 |
| 30–39 | 3498 | 24.6 | 27.9 | 3.8 | 27.5 | 4.5 | 10.0 | 0.2 |
| 40–49 | 4043 | 28.5 | 29.4 | 3.1 | 36.3 | 4.5 | 40.0 | 0.6 |
| 50–59 | 2862 | 20.1 | 2.9 | 0.4 | 12.5 | 2.0 | 20.0 | 0.4 |
| 60–64 | 733 | 5.2 | 2.9 | 1.5 | 5.0 | 2.9 | 20.0 | 1.5 |
| 65+ | 444 | 3.1 | 1.5 | 1.3 | 1.3 | 1.3 | 10.0 | 1.3 |
| Screening round with worst outcome | ||||||||
| First | 10677 | 75.2 | 60.3 | 3.8 | 56.3 | 4.2 | 60.0 | 0.6 |
| Subsequent | 3529 | 24.8 | 39.7 | 2.4 | 43.7 | 3.2 | 40.0 | 0.4 |
| Race | ||||||||
| Asian/Pacific Islanderc | 13848 | 97.5 | 98.5 | 3.1 | 97.5 | 3.6 | 100.0 | 0.5 |
| Other | 358 | 2.5 | 1.5 | 2.1 | 2.5 | 4.3 | 0.0 | 0 |
| Screening Year | ||||||||
| 2007 | 2617 | 18.4 | 23.5 | 5.8 | 15.0 | 4.4 | 20.0 | 0.7 |
| 2008 | 3208 | 22.6 | 14.7 | 2.5 | 18.8 | 3.7 | 20.0 | 0.5 |
| 2009 | 2341 | 16.5 | 19.1 | 3.6 | 17.5 | 3.8 | 30.0 | 0.8 |
| 2010 | 1371 | 9.7 | 10.3 | 2.7 | 7.5 | 2.3 | 10.0 | 0.4 |
| 2011 | 1038 | 7.3 | 4.4 | 1.5 | 10.0 | 4.0 | 0 | 0 |
| 2012 | 697 | 4.9 | 5.9 | 2.9 | 7.5 | 4.3 | 20.0 | 1.4 |
| 2013 | 943 | 6.6 | 4.4 | 1.6 | 10.0 | 4.3 | 0 | 0 |
| 2014 | 1004 | 7.1 | 8.8 | 3.3 | 8.8 | 3.9 | 0 | 0 |
| 2015 | 987 | 6.9 | 8.8 | 3.4 | 5.0 | 2.3 | 0 | 0 |
a
The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) was implemented in four US-Affiliated Pacific Islands between 2007 and 2015: American Samoa, Guam, the Commonwealth of the Northern Mariana Islands (CNMI) and the Republic of Palau.
b
Low-grade CIN = CIN1; High-grade CIN = CIN2 and CIN3.
c
“Asian/Pacific Islander” is a standard category for race used by NBCCEDP, and could not be further separated into “Pacific Islander” and “Asian” categories.