Study Reveals Alarming HPV Infection Rates in Women Over 65, Challenging Screening Guidelines
July 3, 2025
A recent large-scale study involving over 2.1 million women in China has uncovered alarming findings regarding cervical cancer-causing HPV infections, particularly among women aged 65 and older.
The study highlights that older women have significantly higher rates of HPV infections compared to their younger counterparts, despite existing guidelines that recommend ceasing screening at age 65.
Moreover, the research indicates a strong correlation between the number of HPV infections and the likelihood of developing abnormal cervical cells in older women, with risks increasing dramatically for those with multiple infections.
Specifically, single, double, and triple infections elevate the risk of abnormal cervical cells by 56-fold, 66-fold, and 85-fold, respectively.
Researchers suggest that factors such as declining immunity and hormonal changes post-menopause may play a significant role in this heightened risk, particularly for women who have not undergone earlier screenings.
While the study's findings are significant, it is important to note its limitations, including potential selection bias and a lack of generalizability beyond the Shenzhen region.
Additionally, the study did not provide sufficient detail regarding the cytologic detection products utilized, which could affect the interpretation of results.
HPV is responsible for approximately 95% of cervical cancer cases, as it leads to the development of abnormal cells in the cervix that can progress to tumors.
In response to the global cervical cancer crisis, the World Health Organization has set ambitious targets for 2030, aiming for 90% of girls to be vaccinated with the HPV vaccine by age 15, 70% of women to be screened, and 90% of those with cervical disease to receive treatment.
Summary based on 3 sources
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Sources

The Guardian • Jul 1, 2025
Women over 65 still at risk from cancer from HPV and should be offered cervical screening – study
McKnight's Long-Term Care News • Jul 2, 2025
Women 65+ show higher cervical cancer risk from HPV infections than younger women, large study finds