Publications

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prevalence of the human papillomavirus in an inner-city indigent population with previously normal pap tests.to determine the prevalence of human papillomavirus (hpv) in our inner-city indigent population (clinic population) of women with previously normal pap tests and to identify any associated risk factors.200818820543
assessment of the perceptions and administration of the human papillomavirus vaccine.to investigate practitioner acceptability of the recommendation to offer the human papillomavirus (hpv) vaccine to adolescent women.201020354417
risk factors for rapid-onset cervical cancer.the current study was designed to elucidate risk factors associated with the development of cervical cancer during the course of routine papanicolaou smear screening (rapid-onset cervical cancer).study design: four hundred eighty-three women diagnosed with invasive cervical cancer, representing 73% of all such tumors diagnosed in connecticut between 1985 and 1990, were studied. papanicolaou smear screening and risk factor information was obtained by questionnaire and physician record review. res ...199910076130
second primary cancers following anal and cervical carcinoma: evidence of shared etiologic factors.the authors examined the incidence of second primary cancers occurring after cervical and anal cancer. data from the connecticut tumor registry for 1935-1988 and eight other us tumor registries for 1973-1988 were used. women with primary invasive cervical cancer had a relative risk of 4.6 (95% confidence interval (ci) 2.4-8.1) for subsequent invasive anal cancer. increased relative risks after cervical cancer were also found for cancers of the oral cavity (relative risk (rr) = 2.2), stomach (rr ...19921329500
changing patterns of tonsillar squamous cell carcinoma in the united states.tonsillar squamous cell carcinoma (scc) may differ etiologically from other oral cancers. the aim of this study was to provide a detailed description of the incidence patterns of tonsillar scc in the united states.200010880031
declines in hpv-associated high-grade cervical lesions after introduction of hpv vaccines in connecticut, us, 2008-2015.trends in hpv-associated cervical lesions can provide an indication of vaccine impact. our purpose was to measure trends in cervical lesions during 2008-2015 and to consider possible explanations including vaccination coverage, changes in screening for cervical cancer, and risk behaviors for acquiring hpv.201728520854
surveillance of the frequency and results of testing of incident oropharyngeal cancers for human papillomavirus: the potential role of population-based cancer registries.temporal increases in incidence rates for certain cancers of the oropharynx (op), especially the base of tongue and tonsil (btt), have been interpreted in relation to the epidemic of human papillomavirus (hpv) infection, but data on the actual presence of hpv in these tumors are limited. data on the frequency and results of testing for hpv in op cancers in defined populations also can be useful to clinicians. this study used the american joint committee on cancer collaborative staging system's s ...201425419603
national, state, and local area vaccination coverage among adolescents aged 13-17 years --- united states, 2009.the advisory committee for immunization practices (acip) recommends that adolescents routinely receive the following vaccines: meningococcal conjugate (menacwy, 1 dose); tetanus, diphtheria, acellular pertussis (tdap, 1 dose); and (for females) human papillomavirus (hpv, 3 doses). adolescents also should receive the following recommended vaccinations they missed during childhood: measles, mumps, rubella (mmr, 2 doses); hepatitis b (hepb, 3 doses); and varicella (var, 2 doses). since 2006, cdc ha ...201020724968
geographic poverty and racial/ethnic disparities in cervical cancer precursor rates in connecticut, 2008-2009.we examined associations of geographic measures of poverty, race, ethnicity, and city status with rates of cervical intraepithelial neoplasia grade 2 or higher and adenocarcinoma in situ (cin2+/ais), known precursors to cervical cancer.201322515856
declining rates of high-grade cervical lesions in young women in connecticut, 2008-2011.vaccines that prevent infection with human papillomavirus (hpv) types 16 and 18 that are known to cause cervical cancer have been available in the united states since 2006. high-grade cervical lesions are important for monitoring early vaccine impact because they are strong surrogates for cancer yet can develop within years after infection as opposed to decades. trends in high-grade cervical lesions including cervical intraepithelial neoplasia grades 2, 2/3, and 3 and adenocarcinoma in situ amon ...201323704476
the prevalence of hpv associated cervical intraepithelial neoplasia in women under age 21: who will be missed under the new cervical cancer screening guidelines?to quantify the number of adolescent females < age 21 years with pre-cancerous cervical lesions (cervical intraepithelial neoplasia grade 2 or higher (cin 2+) or adenocarcinoma in situ (ais)) in connecticut in the time period before new cervical screening recommendations went into effect and identify any demographic associations with a diagnosis of cin 3.201324119656
sources of information for assessing human papillomavirus vaccination history among young women.assessing history of human papillomavirus (hpv) vaccination is important for monitoring vaccine uptake, impact, and effectiveness. based on data collected from 1720 women with high-grade cervical lesions reported to a statewide surveillance system in connecticut, we found that available medical records did not contain hpv vaccination information for 34% of women, and 43% of women could not be reached for interview. when both were used for data collection, concordance of vaccination history (83%) ...201424713369
cancers coded as tongue not otherwise specified: relevance to surveillance of human papillomavirus-related cancers.data from us population-based cancer registries have shown increasing incidence rates for cancer of the base of the tongue, interpreted as related to the epidemic of human papillomavirus (hpv) infection, but rates could be underestimated due to miscoding of some base of tongue cancers to tongue "not otherwise specified" (nos). tongue nos was the most commonly coded subsite among incident (2000-2011) invasive cancers of the oral tongue (tongue excluding base of tongue and lingual tonsil which tog ...201425803632
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