{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:40:03Z","timestamp":1777898403210,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2011,5,1]],"date-time":"2011-05-01T00:00:00Z","timestamp":1304208000000},"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":["Public Health Rep"],"published-print":{"date-parts":[[2011,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives.<\/jats:title>\n                    <jats:p>We described prevalence estimates of high-risk human papillomavirus (HR-HPV), HPV types 16 and 18, and abnormal Papanicolaou (Pap) smear tests among American Indian\/Alaska Native (AI\/AN) women compared with women of other races\/ethnicities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>A total of 9,706 women presenting for cervical screening in a sentinel network of 26 clinics (sexually transmitted disease, family planning, and primary care) received Pap smears and HR-HPV type-specific testing. We compared characteristics of 291 women self-identified as AI\/AN with other racial\/ethnic minority groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>In our population, AI\/AN and non-Hispanic white (NHW women had similar age- and clinic-adjusted prevalences of HR-HPV (29.1%, 95% confidence interval [CI] 23.9, 34.3 for AI\/AN women vs. 25.8%, 95% CI 24.4, 27.2 for NHW women), HPV 16 and 18 (6.7%, 95% CI 3.9, 9.6 for AI\/AN women vs. 8.8%, 95% CI 7.9, 9.7 for NHW women), and abnormal Pap smear test results (16%, 95% CI 11.7, 20.3 for AI\/AN women vs. 14.9%, 95% CI 13.7, 16.0 for NHW women). AI\/AN women had a higher prevalence of HR-HPV than Hispanic women, and a similar prevalence of HPV 16 and 18 as compared with Hispanic and African American women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions.<\/jats:title>\n                    <jats:p>We could not demonstrate differences in the prevalence of HR-HPV, HPV 16 and 18, or abnormal Pap smear test results between AI\/AN and NHW women. This finding should improve confidence in the benefit of HPV vaccine and Pap smear screening in the AI\/AN population as an effective strategy to reduce rates of cervical cancer.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/003335491112600305","type":"journal-article","created":{"date-parts":[[2017,1,25]],"date-time":"2017-01-25T17:59:38Z","timestamp":1485367178000},"page":"330-337","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Prevalence of High-Risk HPV Types and Abnormal Cervical Cytology in American Indian\/Alaska Native Women, 2003\u20132005"],"prefix":"10.1177","volume":"126","author":[{"given":"Grace A.","family":"Alfonsi","sequence":"first","affiliation":[{"name":"Denver Public Health, Denver, CO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. Deblina","family":"Datta","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of STD Prevention, Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theresa","family":"Mickiewicz","sequence":"additional","affiliation":[{"name":"Denver Public Health, Denver, CO"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura A.","family":"Koutsky","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, WA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khalil","family":"Ghanem","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine, Baltimore, MD"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Hagensee","sequence":"additional","affiliation":[{"name":"Louisiana State University Health Sciences Center, New Orleans, LA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Kerndt","sequence":"additional","affiliation":[{"name":"Los Angeles County Department of Health, STD Program, Los Angeles, CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Hsu","sequence":"additional","affiliation":[{"name":"Massachusetts Department of Public Health, Boston, MA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hillard","family":"Weinstock","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention, Division of STD Prevention, Atlanta, GA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith C.","family":"Shlay","sequence":"additional","affiliation":[{"name":"Denver Public Health, Denver, CO"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,5,1]]},"reference":[{"key":"bibr1-003335491112600305","doi-asserted-by":"publisher","DOI":"10.3322\/CA.2007.0010"},{"key":"bibr2-003335491112600305","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23044"},{"key":"bibr3-003335491112600305","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23736"},{"key":"bibr4-003335491112600305","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20876"},{"issue":"7","key":"bibr5-003335491112600305","first-page":"1","volume":"57","author":"Kilmer G","year":"2008","journal-title":"MMWR Surveill Summ"},{"key":"bibr6-003335491112600305","doi-asserted-by":"publisher","DOI":"10.1023\/A:1008959019019"},{"key":"bibr7-003335491112600305","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0b013e31817e308e"},{"key":"bibr8-003335491112600305","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9896(199909)189:1<12::AID-PATH431>3.0.CO;2-F"},{"key":"bibr9-003335491112600305","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.55.4.244"},{"key":"bibr10-003335491112600305","doi-asserted-by":"publisher","DOI":"10.1016\/S1286-4579(00)00276-8"},{"key":"bibr11-003335491112600305","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2007.06.007"},{"key":"bibr12-003335491112600305","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa061760"},{"key":"bibr13-003335491112600305","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa061741"},{"key":"bibr14-003335491112600305","doi-asserted-by":"publisher","DOI":"10.3402\/ijch.v67i4.18347"},{"key":"bibr15-003335491112600305","volume-title":"Paper presented at the Annual Meeting of the National Coalition of STD Directors","author":"Sapsis K","year":"2008"},{"key":"bibr16-003335491112600305","unstructured":"Indian Health Service (US). 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