Implementation of second round of HPV-based screening for cervical cancer in programmatic contexts in Argentina

Fil: Barcena Barbeira P. Centro de Estudios de Estado y Sociedad Buenos Aires Argentina Centro de Estudios de Estado y Sociedad; Buenos Aires, Argentina

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Autores principales: Baena, Armando, Arrossi, Silvina, Paolino, Melisa, Almonte, Maribel, Mazzadi, Juan David, Binder, Fernando, Barcena Barbeira, Pilar
Formato: Artículo
Lenguaje:Inglés
Publicado: 2026
Materias:
NEOPLASIAS DEL CUELLO UTERINO
ESTUDIOS RETROSPECTIVOS
TAMIZAJE MASIVO
ARGENTINA
Acceso en línea:http://repositorio.cedes.org/handle/123456789/4823
Aporte de:
Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad de Centro de Estudios de Estado y Sociedad (CEDES)
id I61-R167-123456789-4823
record_format dspace
spelling I61-R167-123456789-48232026-04-19T04:53:47Z Implementation of second round of HPV-based screening for cervical cancer in programmatic contexts in Argentina Baena, Armando Arrossi, Silvina Paolino, Melisa Almonte, Maribel Mazzadi, Juan David Binder, Fernando Barcena Barbeira, Pilar NEOPLASIAS DEL CUELLO UTERINO ESTUDIOS RETROSPECTIVOS TAMIZAJE MASIVO ARGENTINA Fil: Barcena Barbeira P. Centro de Estudios de Estado y Sociedad Buenos Aires Argentina Centro de Estudios de Estado y Sociedad; Buenos Aires, Argentina Fil: Paolino M. Centro de Estudios de Estado y Sociedad Buenos Aires Argentina Centro de Estudios de Estado y Sociedad, Buenos Aires, Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Buenos Aires, Argentina. Fil: Binder F. Centro de Estudios de Estado y Sociedad Buenos Aires Argentina Centro de Estudios de Estado y Sociedad; Buenos Aires, Argentina Fil: Almonte M. World Health Organization Geneva Switzerland World Health Organization; Geneva, Switzerland Fil: Baena A. International Agency for Research on Cancer Lyon; France Fil: Mazzadi JD. Centro de Estudios de Estado y Sociedad; Buenos Aires Argentina Fil: Arrossi S. Centro de Estudios de Estado y Sociedad; Buenos Aires, Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Buenos Aires, Argentina [ABSTRACT]: OBJECTIVES: To evaluate implementation of the second round of human papillomavirus (HPV)-based cervical screening, introduced in Argentina in 2012-2014 through the Jujuy Demonstration Project for women 30 years and older, and describe the characteristics of women who adhere to the recommended five-year rescreening interval. METHODS: A retrospective cohort study was conducted based on the data of two rounds of screening. All women aged 30 years or older who had been HPV-tested during the Jujuy Demonstration Project and had a negative result were included. The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework was used to evaluate implementation. Multivariable regression was used to examine factors associated with adherence to rescreening. RESULTS: Of 42 307 HPV-negative women, 47.9% (n = 20 285) were rescreened in the second round (Reach); 69.2% of health centers provided at least one HPV test at second-round screening (Adoption); and 13.3% (n = 5 639) of women were rescreened within the recommended five-year interval. Among the total rescreened, 9.3% (n = 1 888) were HPV-positive, of which 95.0% underwent triage Pap and 79.2% of the HPV-positive/abnormal Pap women had colposcopy. Considering women rescreened at five years, the second-round detection rate was 5.3/1 000 screened women. Rescreening at five years was significantly higher among women aged 30-44, with public health insurance, and those living in the provincial capital. CONCLUSIONS: Rescreening of HPV-negative women faced challenges linked to its reduced reach, especially if we consider the recommended five-year interval. Our findings suggest that we need to devise specific strategies to increase second-round screening rates. 2026-04-18T19:12:37Z 2026-04-18T19:12:37Z 2025-09 Artículo 1680-5348 http://repositorio.cedes.org/handle/123456789/4823 10.26633/RPSP.2025.92 en Rev Panam Salud Publica;2025 Aug 28;49:e92
institution Centro de Estudios de Estado y Sociedad (CEDES)
institution_str I-61
repository_str R-167
collection Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad
language Inglés
topic NEOPLASIAS DEL CUELLO UTERINO
ESTUDIOS RETROSPECTIVOS
TAMIZAJE MASIVO
ARGENTINA
spellingShingle NEOPLASIAS DEL CUELLO UTERINO
ESTUDIOS RETROSPECTIVOS
TAMIZAJE MASIVO
ARGENTINA
Baena, Armando
Arrossi, Silvina
Paolino, Melisa
Almonte, Maribel
Mazzadi, Juan David
Binder, Fernando
Barcena Barbeira, Pilar
Implementation of second round of HPV-based screening for cervical cancer in programmatic contexts in Argentina
topic_facet NEOPLASIAS DEL CUELLO UTERINO
ESTUDIOS RETROSPECTIVOS
TAMIZAJE MASIVO
ARGENTINA
description Fil: Barcena Barbeira P. Centro de Estudios de Estado y Sociedad Buenos Aires Argentina Centro de Estudios de Estado y Sociedad; Buenos Aires, Argentina
format Artículo
author Baena, Armando
Arrossi, Silvina
Paolino, Melisa
Almonte, Maribel
Mazzadi, Juan David
Binder, Fernando
Barcena Barbeira, Pilar
author_facet Baena, Armando
Arrossi, Silvina
Paolino, Melisa
Almonte, Maribel
Mazzadi, Juan David
Binder, Fernando
Barcena Barbeira, Pilar
author_sort Baena, Armando
title Implementation of second round of HPV-based screening for cervical cancer in programmatic contexts in Argentina
title_short Implementation of second round of HPV-based screening for cervical cancer in programmatic contexts in Argentina
title_full Implementation of second round of HPV-based screening for cervical cancer in programmatic contexts in Argentina
title_fullStr Implementation of second round of HPV-based screening for cervical cancer in programmatic contexts in Argentina
title_full_unstemmed Implementation of second round of HPV-based screening for cervical cancer in programmatic contexts in Argentina
title_sort implementation of second round of hpv-based screening for cervical cancer in programmatic contexts in argentina
publishDate 2026
url http://repositorio.cedes.org/handle/123456789/4823
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