Table. Routine Cervical Cancer Screening Rates Among Women Aged 21 to 65 Years From the Government Health Plan of Puerto Rico, January 2016 through June 2020.
| Trimester | Cervical cancer screening tests | |||
|---|---|---|---|---|
| Age 21-29 y, Papanicolaou test | Age 30-65 y, Papanicolaou test or HPV cotesting | |||
| Rate (95% CI), per 100 person-months | Rate ratio (95% CI) | Rate (95% CI), per 100 person-months | Rate ratio (95% CI) | |
| 2016 | ||||
| January-March | 2.90 (2.83-2.97) | 1 [Reference] | 3.85 (3.80-3.90) | 1 [Reference] |
| April-June | 2.87 (2.80-2.94) | 0.99 (0.95-1.02) | 4.25 (4.20-4.30) | 1.10 (1.08-1.12) |
| July-September | 2.59 (2.52-2.66) | 0.89 (0.86-0.93) | 3.94 (3.90-3.99) | 1.02 (1.01-1.04) |
| October-December | 2.05 (1.99-2.11) | 0.71 (0.68-0.73) | 3.42 (3.38-3.47) | 0.89 (0.87-0.91) |
| 2017 | ||||
| January-March | 2.22 (2.16-2.29) | 0.77 (0.74-0.80) | 3.67 (3.62-3.71) | 0.95 (0.94-0.97) |
| April-June | 2.15 (2.09-2.22) | 0.74 (0.72-0.77) | 3.71 (3.66-3.75) | 0.96 (0.95-0.98) |
| July-Septembera | 1.54 (1.49-1.59) | 0.53 (0.51-0.55) | 2.59 (2.55-2.62) | 0.67 (0.66-0.68) |
| October-December | 1.44 (1.39-1.49) | 0.50 (0.48-0.52) | 1.83 (1.80-1.87) | 0.48 (0.47-0.49) |
| 2018 | ||||
| January-March | 1.83 (1.78-1.89) | 0.63 (0.61-0.66) | 3.26 (3.21-3.30) | 0.85 (0.83-0.86) |
| April-June | 1.75 (1.69-1.80) | 0.60 (0.58-0.63) | 3.65 (3.61-3.70) | 0.95 (0.93-0.97) |
| July-September | 1.60 (1.55-1.66) | 0.55 (0.53-0.58) | 3.44 (3.40-3.49) | 0.89 (0.88-0.91) |
| October-December | 1.41 (1.36-1.46) | 0.49 (0.46-0.51) | 2.80 (2.76-2.84) | 0.73 (0.71-0.74) |
| 2019 | ||||
| January-March | 1.73 (1.68-1.79) | 0.60 (0.57-0.62) | 3.31 (3.26-3.35) | 0.86 (0.84-0.88) |
| April-June | 1.58 (1.53-1.64) | 0.55 (0.52-0.57) | 3.33 (3.29-3.38) | 0.87 (0.85-0.88) |
| July-September | 1.57 (1.52-1.63) | 0.54 (0.52-0.57) | 3.14 (3.10-3.19) | 0.82 (0.80-0.83) |
| October-December | 1.39 (1.34-1.44) | 0.48 (0.46-0.50) | 2.95 (2.91-2.99) | 0.77 (0.75-0.78) |
| 2020 | ||||
| January-Marchb | 1.29 (1.24-1.34) | 0.44 (0.42-0.46) | 2.42 (2.38-2.46) | 0.63 (0.62-0.64) |
| April-Junec | 1.00 (0.95-1.04) | 0.34 (0.33-0.36) | 1.13 (1.10-1.16) | 0.29 (0.29-0.30) |
a
Coinciding with Hurricanes Irma and María (September 7 and September 20, 2017).
b
Coinciding with the Puerto Rican earthquakes (started on December 28, 2020; strongest earthquake occurred on January 7, 2020, and resulted in declaration of a state of emergency) and COVID-19 related lockdown (started on March 15, 2020).
c
Coinciding with the COVID-19–related lockdown.