129 Cervical cancer screening among marginalized women Results In total, 74 women were included in the study, with a mean age of 38.2 year (SD 10.4 years of age). Out of 74 participants, 12 participants (16%) were found to be screen positive. In total 26 participants tested positive on HR-HPV, and fifteen cervical smears returned as abnormal. Figure 1 shows the distribution of the test results of the cervical smears from the women included in the study. In Table 1, the occurrence of HR-HPV and the cytological results per age cohort are presented. Based solely on the current Dutch CSP age-boundaries of 30-60 years, 54 women would be eligible for screening, 8 of which were found to be screen-positive. Prevalence ratios Calculating the PR of the included 54 marginalized women (age boundaries 30-60 years), compared with women screened by the Dutch CSP resulted in a ratio of 4.4 (95% CI 1.98.6). This indicates that marginalized women, between the age 30-60 years, have an increased risk of 4.4 being screen-positive in comparison with women screened by the Dutch CSP (Table 2a). The additional calculation, which included the women younger than 30 years of age, provided a PR of 4.8 (95% CI 2.5-8.3) (Table 2b). The additional sub-analysis showed that of the 17 undocumented women, 5/17 (29%) were identified as screen-positives, compared with 7/37 (8%) in the documented group. Figure 1: Distribution test results of the cervical smears. HR-HPV= High Risk Human Papillomavirus 5
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