{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T02:06:52Z","timestamp":1790215612578,"version":"4.1.0"},"reference-count":59,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>Human papillomavirus (HPV) infections cause more than 35,900 cancers annually in the United States. Although cervical cancer is the most prevalent HPV-related malignancy in women, the virus is also responsible for a significant percentage of anal, vaginal, and vulvar cancers. A comprehensive approach to mitigating cervical cancer includes HPV vaccination (primary prevention), screening and treatment of precancerous lesions (secondary prevention), and diagnosis and treatment of invasive cancer (tertiary prevention). Although a successful strategy, there are opportunities to innovate and increase access that can also be adapted to address the unique clinical care gaps that exist with the other anogenital cancers. The Society for Women's Health Research held a series of interdisciplinary meetings and events, during which expert researchers, clinicians, patient advocates, and health care policy leaders evaluated the current landscape of HPV-related cancers and their effects on women's health. This report summarizes the discussions of this working group and areas it identified in which to address gaps in primary and secondary prevention approaches to improve access and health outcomes for women with HPV-related anogenital cancers.<\/jats:p>","DOI":"10.1089\/jwh.2021.0507","type":"journal-article","created":{"date-parts":[[2021,12,6]],"date-time":"2021-12-06T12:16:43Z","timestamp":1638793003000},"page":"1667-1672","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Gaps and Opportunities to Improve Prevention of Human Papillomavirus-Related Cancers"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1747-9148","authenticated-orcid":false,"given":"Irene O.","family":"Aninye","sequence":"first","affiliation":[{"name":"Society for Women's Health Research, Washington, District of Columbia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Michael","family":"Berry-Lawhorn","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Blumenthal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Stanford University, Stanford, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamika","family":"Felder","sequence":"additional","affiliation":[{"name":"Cervivor, Inc., Upper Marlboro, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi","family":"Jay","sequence":"additional","affiliation":[{"name":"Anal Neoplasia Clinic, Research, and Education Center, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janette","family":"Merrill","sequence":"additional","affiliation":[{"name":"Policy Programs, American Society of Clinical Oncology, Alexandria, Virginia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenna B.","family":"Messman","sequence":"additional","affiliation":[{"name":"University Health Center, University of Maryland, College Park, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Nielsen","sequence":"additional","affiliation":[{"name":"Human Relations, High Point University, High Point, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Perkins","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Boston University, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tami","family":"Rowen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Gynecologic Surgery, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debbie","family":"Saslow","sequence":"additional","affiliation":[{"name":"Department of Prevention and Early Detection, American Cancer Society, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Connie Liu","family":"Trimble","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Johns Hopkins Medicine, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Smith-McCune","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Gynecologic Surgery, University of California San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,12,16]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000193"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6526a1"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61416-0"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djv086"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6833a3"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21616"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2011.3385"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30482-6"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6733a2"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21139"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.11334"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1586\/14760584.2014.963561"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7035a1"},{"key":"e_1_3_5_15_2","first-page":"1","article-title":"Quadrivalent human papillomavirus vaccine: Recommendations of the Advisory Committee on Immunization Practices (ACIP)","volume":"56","author":"Markowitz LE","year":"2007","unstructured":"Markowitz LE, , Dunne EF, , Saraiya M, , Lawson HW, , Chesson H, , Unger ER. Quadrivalent human papillomavirus vaccine: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep, 2007; 56:1\u201324.","journal-title":"MMWR Recomm Rep"},{"key":"e_1_3_5_16_2","first-page":"1750","article-title":"Recommendations on the use of quadrivalent human papillomavirus vaccine in males\u2014Advisory Committee on Immunization Practices (ACIP), 2011","volume":"60","author":"Centers for Disease Control and Prevention (CDC)","year":"2011","unstructured":"Centers for Disease Control and Prevention (CDC). Recommendations on the use of quadrivalent human papillomavirus vaccine in males\u2014Advisory Committee on Immunization Practices (ACIP), 2011. MMWR Morb Mortal Wkly Rep, 2011; 60:1750\u20131758.","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000004000"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2017.1346755"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2015.1019"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-0395"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmicb.2018.02896"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2019.1565267"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2014.0154"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pvr.2017.04.004"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732310383868"},{"key":"e_1_3_5_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-017-0457-x"},{"key":"e_1_3_5_27_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-15-0326"},{"key":"e_1_3_5_28_2","doi-asserted-by":"publisher","DOI":"10.1080\/21645515.2018.1520592"},{"key":"e_1_3_5_29_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-1764"},{"key":"e_1_3_5_30_2","doi-asserted-by":"publisher","DOI":"10.1586\/14737140.2014.856273"},{"key":"e_1_3_5_31_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0172548"},{"key":"e_1_3_5_32_2","doi-asserted-by":"publisher","DOI":"10.5888\/pcd11.130174"},{"key":"e_1_3_5_33_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.10897"},{"key":"e_1_3_5_34_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21628"},{"key":"e_1_3_5_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)17354-6"},{"key":"e_1_3_5_36_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.a1754"},{"key":"e_1_3_5_37_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.8373"},{"key":"e_1_3_5_38_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2018.7380"},{"key":"e_1_3_5_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2021.106596"},{"key":"e_1_3_5_40_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-018-4165-4"},{"key":"e_1_3_5_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(19)30067-1"},{"key":"e_1_3_5_42_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21654"},{"key":"e_1_3_5_43_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djz219"},{"key":"e_1_3_5_44_2","unstructured":"National Cancer Institute: Surveillance Epidemiology and End Results Program. Cancer Stat Facts: Anal Cancer. Available at: https:\/\/seer.cancer.gov\/statfacts\/html\/anus.html Accessed November23 2020."},{"key":"e_1_3_5_45_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2019.02.024"},{"key":"e_1_3_5_46_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncy.20126"},{"key":"e_1_3_5_47_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncy.22018"},{"key":"e_1_3_5_48_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(19)30164-1"},{"key":"e_1_3_5_49_2","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0000000000000458"},{"key":"e_1_3_5_50_2","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0000000000000508"},{"key":"e_1_3_5_51_2","doi-asserted-by":"publisher","DOI":"10.4251\/wjgo.v9.i2.50"},{"key":"e_1_3_5_52_2","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0000000000000256"},{"key":"e_1_3_5_53_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000000227"},{"key":"e_1_3_5_54_2","unstructured":"Centers for Disease Control and Prevention. United States Cancer Statistics: Data Visualizations. Available at: https:\/\/gis.cdc.gov\/Cancer\/USCS\/DataViz.html Accessed November23 2020."},{"key":"e_1_3_5_55_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2017.10.029"},{"key":"e_1_3_5_56_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001713"},{"key":"e_1_3_5_57_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2015.11.023"},{"key":"e_1_3_5_58_2","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0000000000000525"},{"key":"e_1_3_5_59_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-07-2753"},{"key":"e_1_3_5_60_2","first-page":"1004","article-title":"Vital signs: Cervical cancer incidence, mortality, and screening\u2014United States, 2007\u20132012","volume":"63","author":"Benard VB","year":"2014","unstructured":"Benard VB, , Thomas CC, , King J, et al. Vital signs: Cervical cancer incidence, mortality, and screening\u2014United States, 2007\u20132012. MMWR Morb Mortal Wkly Rep, 2014; 63:1004\u20131009.","journal-title":"MMWR Morb Mortal Wkly Rep"}],"container-title":["Journal of Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/jwh.2021.0507","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2021.0507","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2021.0507","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:56:26Z","timestamp":1777658186000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/jwh.2021.0507"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":59,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1089\/jwh.2021.0507"],"URL":"https:\/\/doi.org\/10.1089\/jwh.2021.0507","relation":{},"ISSN":["1540-9996","1931-843X"],"issn-type":[{"value":"1540-9996","type":"print"},{"value":"1931-843X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12]]}}}