Challenges for cervical screening in people experiencing homelessness

There are over 3000 new cases of cervical cancer each year across the UK, most being associated with persistent infection with human papillomavirus (HPV). Cervical screening greatly reduces the risk of cancer and is offered in Scotland to women and individuals with a cervix aged 25–64 years. Cervical screening has been based on HPV testing since 2020.

Two of the main risk factors for the development of cervical cancer are non-engagement in regular screening and socioeconomic deprivation.1 Women experiencing homelessness are particularly vulnerable due to challenges in accessing healthcare. These women are also more likely to smoke, have multiple sexual partners, and are less likely to have received HPV vaccination – all risk factors for cervical cancer. Additionally, women experiencing homelessness are more likely to have experienced childhood sexual abuse than the general population, which may affect their ability to engage in cervical screening.

The Access Place offers primary care,…

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