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HPV Vaccination Linked to Sharp Declines in Young Women’s Cervical Cancer as State Progress Diverges

Researchers link larger drops to higher HPV vaccination coverage, urging targeted efforts in lagging states.

Overview

  • Nationwide incidence fell from 5.1 to 3.7 per 100,000 among women aged 20 to 31 when comparing pre-vaccine years to the vaccination era, according to a new JNCI analysis.
  • Washington, D.C., Rhode Island, Michigan and Hawaii recorded reductions greater than 50%, while Vermont, West Virginia, Idaho, Arkansas and Alabama saw little or no change.
  • Across states, each 10% increase in HPV vaccination coverage was associated with an 11.5% lower relative risk after adjusting for screening rates.
  • The study assessed 22,686 cases from the United States Cancer Statistics database and notes it cannot prove causality, calling for more granular policy and implementation research.
  • The American Cancer Society projects about 13,490 new cases and 4,200 deaths in 2026, and researchers highlight school-entry vaccine requirements as a lever, with lenient exemptions in Virginia cited as a possible drag on impact.