Community-based referral cytology was reported using the Bethesda nomenclature, including the categories “Normal for intraepithelial lesion or malignancy” (NILM), “atypical squamous cells of undermined significance” (ASC-US), “low-grade squamous intraepithelial lesion” (LSIL), “atypical squamous cells, favor high-grade” (ASC-H), and “high-grade squamous intraepithelial lesion” (HSIL)19 (link). HPV genotyping was performed using the Linear Array (LA) HPV Genotyping Test (Roche Molecular Diagnostics, Branchburg, NJ) according to the manufacturer’s instructions, with slight modifications 23 (link),24 (link).