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Addressing Disparities in Healthcare

Disparities in cervical cancer in African American women: What primary care physicians can do

Cynthia Arvizo, MD and Haider Mahdi, MD
Cleveland Clinic Journal of Medicine October 2017, 84 (10) 788-794; DOI: https://doi.org/10.3949/ccjm.84a.15115
Cynthia Arvizo
Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, TN
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Haider Mahdi
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  • For correspondence: mahdih@ccf.org
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    TABLE 1

    HPV vaccines available in the United States

    VaccineHPV types covered
    2-valent (Cervarix)16,18
    4-valent (Gardasil)6, 11, 16, 18
    9-valent (Gardasil-9)6, 11, 16, 18, 31, 33, 45, 52, 58
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    TABLE 2

    Cervical cancer prevention: Tips for the primary care physician

    Have the conversation. Educate women about cancers related to human papillomavirus (HPV), including cervical cancer.
    Screen all women for cervical cancer and ensure adequate follow-up of abnormal tests by implementing patient reminders and interactive telephone counseling.
    Routinely offer HPV vaccination with other required vaccinations. Introduce the HPV vaccine as a vaccine for cancer prevention, as opposed to a vaccine related to sexually transmitted disease.
    Vaccinate all children equally. Do not offer the vaccine based on perceived risk factors. In other words, do not assume certain children are not at risk.
    Educate patients about risk factors for cervical cancer.
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Cleveland Clinic Journal of Medicine: 84 (10)
Cleveland Clinic Journal of Medicine
Vol. 84, Issue 10
1 Oct 2017
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Disparities in cervical cancer in African American women: What primary care physicians can do
Cynthia Arvizo, Haider Mahdi
Cleveland Clinic Journal of Medicine Oct 2017, 84 (10) 788-794; DOI: 10.3949/ccjm.84a.15115

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Disparities in cervical cancer in African American women: What primary care physicians can do
Cynthia Arvizo, Haider Mahdi
Cleveland Clinic Journal of Medicine Oct 2017, 84 (10) 788-794; DOI: 10.3949/ccjm.84a.15115
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  • Article
    • ABSTRACT
    • WHY ARE BLACK WOMEN MORE LIKELY TO DIE OF CERVICAL CANCER?
    • CERVICAL CANCER SCREENING
    • THE ROLE OF PREVENTION
    • REPRODUCTIVE HEALTH
    • HOW CAN PRIMARY CARE PHYSICIANS CLOSE THE GAP?
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  • Cervical cancer in African American women: Optimizing prevention to reduce disparities
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  • Cervical cancer in African American women: Optimizing prevention to reduce disparities
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