Home > Review Articles > Cancer > Impact of the National Cervical Screening Programme in New Zealand by age: analysis of cervical cancer trends 1985–2013 in all women and in Māori women

Impact of the National Cervical Screening Programme in New Zealand by age: analysis of cervical cancer trends 1985–2013 in all women and in Māori women

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Authors:
Summary:

These researchers obtained data from the New Zealand Cancer Registry for this analysis of cervical cancer trends by age and ethnicity between 1985 and 2013, and by morphology between 1997 and 2013. The overall incidence of cervical cancer was 56% lower in 2009–2013 than in 1985–1989, and significant reductions were observed in women aged 25–49, 50–69, and ≥70 years. Substantial, similar reductions in cervical cancer occurred among Māori and non-Māori women aged 25–49 (50% in Māori; 52% in non-Māori) and 50–69 years (65% in Māori; 69% in non-Māori), whereas cervical cancer incidence among women aged 20–24 years has appeared to increase after around 1996. This increasing trend was significant for women aged 20–24 overall and for non-Māori women (p<0.01 in both cases).

Comment:
Some encouraging, and yet some worrying, results reported here. We must take advantage of opportunities to screen young women for cervical cancer, particularly when they may not present to the GP for themselves and are on long-term contraception (and not requiring the 6-monthly script).
Reference: Cancer Causes Control. 2017;28(12):1393-404
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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