{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T20:24:59Z","timestamp":1783542299932,"version":"3.55.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T00:00:00Z","timestamp":1611187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T00:00:00Z","timestamp":1611187200000},"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":["J Med Screen"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe cervical cancer screening participation among women who have sex exclusively with women (WSEW) and women who have sex with women and men (WSWM) compared with women who have sex exclusively with men (WSEM), and women who have never had sex and compare this with bowel (colorectal) and breast screening participation. To explore whether there is evidence of differential stage 3 cervical intraepithelial neoplasia (CIN3) or cervical cancer risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We describe cervical, bowel and breast cancer screening uptake in age groups eligible for the national screening programmes, prevalent CIN3 and cervical cancer at baseline, and incident CIN3 and cervical cancer at five\u2009years follow-up, among 218,674 women in UK Biobank, a cohort of healthy volunteers from the UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with WSEM, in adjusted analysis [odds ratio (95% confidence interval)], WSEW 0.10 (0.08\u20130.13), WSWM 0.73 (0.58\u20130.91), and women who have never had sex 0.02 (0.01\u20130.02) were less likely to report ever having attended cervical screening. There were no differences when considering bowel cancer screening uptake (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.61). For breast cancer screening, attendance was lower among WSWM 0.79 (0.68 to 0.91) and women who have never had sex 0.47 (0.29\u20130.58), compared with WSEM. There were incident and prevalent cases of both CIN3 and cervical cancer among WSEW and WSWM. Compared with WSEM with a single male partner, among WSEW there was a twofold increase in CIN3 1.91 (1.01 to 3.59); among WSWM with only one male partner, this was 2.25 (1.19 to 4.24).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These findings highlight the importance of improving uptake of cervical screening among all women who have sex with women and breast screening among WSWM and women who have never had sex.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0969141320987271","type":"journal-article","created":{"date-parts":[[2021,1,21]],"date-time":"2021-01-21T12:09:37Z","timestamp":1611230977000},"page":"349-356","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":33,"title":["Cervical screening attendance and cervical cancer risk among women who have sex with women"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3127-3218","authenticated-orcid":false,"given":"Catherine L","family":"Saunders","sequence":"first","affiliation":[{"name":"Primary Care Unit, University of Cambridge, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efthalia","family":"Massou","sequence":"additional","affiliation":[{"name":"Primary Care Unit, University of Cambridge, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4025-9132","authenticated-orcid":false,"given":"Jo","family":"Waller","sequence":"additional","affiliation":[{"name":"Cancer Prevention Group, King's College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Meads","sequence":"additional","affiliation":[{"name":"Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura AV","family":"Marlow","sequence":"additional","affiliation":[{"name":"Cancer Prevention Group, King's College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8501-2531","authenticated-orcid":false,"given":"Juliet A","family":"Usher-Smith","sequence":"additional","affiliation":[{"name":"Primary Care Unit, University of Cambridge, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,1,21]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Cancer Research UK. Cervical cancer incidence statistics 2020 www.cancerresearchuk.org\/health-professional\/cancer-statistics\/statistics-by-cancer-type\/cervical-cancer\/incidence (accessed 31 December 2020)."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)62035-8"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2017.72.5465"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14414"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14449"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2006.086439"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2000.106681"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/108729100416669"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2013-002810"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.91.4.591"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-014-2905-y"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969141315600192"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.23922"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2968"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2016.290"},{"key":"e_1_3_2_17_2","unstructured":"Mackie A. Screening inequalities and what we\u2019re doing about them. Blog. PHE Screening https:\/\/phescreening.blog.gov.uk\/2017\/09\/12\/screening-inequalities-and-what-were-doing-about-them\/ (2017 accessed 31 December 2020)."},{"key":"e_1_3_2_18_2","unstructured":"Meagher S. Addressing inequalities in LGBT cancer screening coverage. Blog. PHE Screening https:\/\/phescreening.blog.gov.uk\/2019\/03\/15\/addressing-inequalities-in-lgbt-cancer-screening-coverage\/ (2019 accessed 31 December 2020)."},{"key":"e_1_3_2_19_2","unstructured":"Mather S. Reducing barriers to screening for LGBT people. Blog. PHE Screening https:\/\/phescreening.blog.gov.uk\/2020\/01\/08\/reducing-barriers-screening-lgbt\/ (2020 accessed 31 December 2020)."},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2014.0119"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-14-1333"},{"key":"e_1_3_2_22_2","unstructured":"Light BA Ormandy P. Lesbian gay and bisexual women in the north west: a multi-method study of cervical screening attitudes experiences and uptake http:\/\/usir.salford.ac.uk\/id\/eprint\/16596 (2011 accessed 31 December 2020)."},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2016.72.0441"},{"key":"e_1_3_2_24_2","unstructured":"MacMillan Cancer Support LGBT People with Cancer: The emerging picture http:\/\/be.macmillan.org.uk\/Downloads\/CancerInformation\/RichPicture\/RP-LGBT-people-with-cancer.pdf (2016 accessed 20 May 2017)."},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11912-018-0737-3"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1186\/1745-6215-16-S2-O68"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwx246"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlpt.2012.07.003"},{"key":"e_1_3_2_29_2","unstructured":"Yousaf S Bonsall A UK. Townsend Deprivation Scores from 2011 census data. UK Data Archive www.statistics.digitalresources.jisc.ac.uk\/dataset\/2011-uk-townsend-deprivation-scores. (2017 accessed 31 December 2020)."},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S109116"},{"key":"e_1_3_2_31_2","unstructured":"Public Health England Promotional material: Cervical screening for lesbian and bisexual women. https:\/\/www.gov.uk\/government\/publications\/cervical-screening-lesbian-and-bisexual-women\/cervical-screening-for-lesbian-and-bisexual-women (2009 accessed 31 December 2020)."},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1576\/toag.7.2.098.27066"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S246220"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1136\/sti.79.2.147"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12914-015-0072-9"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12670"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp18X694841"},{"key":"e_1_3_2_38_2","first-page":"455","article-title":"Cancer mortality among nuns: role of marital status in etiology of neoplastic disease in women","volume":"42","author":"Fraumeni JF","year":"1969","unstructured":"Fraumeni JF, Lloyd JW, Smith EM, et\u00a0al. Cancer mortality among nuns: role of marital status in etiology of neoplastic disease in women. J Natl Cancer Inst 1969; 42: 455\u2013468.","journal-title":"J Natl Cancer Inst"},{"key":"e_1_3_2_39_2","unstructured":"Nuffield Trust. How has cervical screening coverage in England changed over time? www.nuffieldtrust.org.uk\/chart\/how-has-cervical-screening-coverage-in-england-changed-over-time-2 (2020 accessed 31 December 2020)."},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0189607"}],"container-title":["Journal of Medical Screening"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0969141320987271","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0969141320987271","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0969141320987271","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:25:05Z","timestamp":1777677905000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0969141320987271"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,21]]},"references-count":39,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1177\/0969141320987271"],"URL":"https:\/\/doi.org\/10.1177\/0969141320987271","relation":{},"ISSN":["0969-1413","1475-5793"],"issn-type":[{"value":"0969-1413","type":"print"},{"value":"1475-5793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1,21]]}}}