ArticleCancer causes & control : CCC2015
The effectiveness of targeting never or rarely screened women in a national cervical cancer screening program for underserved women.
Article in Cancer causes & control : CCC, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Cervical Cancer Screening Behaviors Among Asian Indians in the United States: A Systematic Review.Journal of immigrant and minority health · 2022Pooled it
- Pooled it
- Perspectives of women and healthcare providers on facilitators and barriers to cervical cancer screening in the rural Kilimanjaro region Tanzania: a qualitative study.Global health action · 2026Article
- Disparities in early-stage cervical cancer detection: the critical role of educational attainment in 75,268 women in Hubei Province.BMC public health · 2026Article
- A bibliometric analysis of artificial intelligence applied to cervical cancer.Frontiers in medicine · 2025Article
- Awareness, Practice, and Barriers Regarding Cervical Cancer Screening Among Women of Kageshwori Manohara Municipality, Nepal.Obstetrics and gynecology international · 2025Article
- Papanicolaou test in Brazil: analysis of the National Health Survey of 2013 and 2019.Revista de saude publica · 2023Article
- Barriers and facilitators to cervical cancer screening among under-screened women in Cuenca, Ecuador: the perspectives of women and health professionals.BMC public health · 2022Article
- COVID-19 impact on the psychological health of Latinx transgender and non-binary individuals in mainland United States and Puerto Rico: a mixed-methods study.BMC public health · 2022Article
- COVID-19 impact on the psychological health of Latinx transgender and non-binary individuals in mainland United States and Puerto Rico: A mixed-methods study.Research square · 2022Article
- Hispanic Ethnicity and Cervical Cancer Precursors Among Low-Income Women in Arizona.International journal of women's health · 2021Article
- Article
- Article
- Predictors of Cervical Cancer Screening Among Infrequently Screened Women Completing Human Papillomavirus Self-Collection: My Body My Test-1.Journal of women's health (2002) · 2019Article
- Article
- The Need for Societal Investment to Improve Cervical Cancer Outcomes in Nigeria: A commentary.African journal of reproductive health · 2017Article
- Cervical Cancer Screening and Incidence by Age: Unmet Needs Near and After the Stopping Age for Screening.American journal of preventive medicine · 2017Article
- Assessing local capacity to expand rural breast cancer screening and patient navigation: An iterative mixed-method tool.Evaluation and program planning · 2017Article
- Disparities in cervical cancer survival among Asian-American women.Annals of epidemiology · 2016Article
- Forward. The reach and health impacts of the national breast and cervical cancer early detection program.Cancer causes & control : CCC · 2015Article
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
Abstract
purposeTo evaluate the effectiveness of a policy supporting early detection and prevention of cervical cancer among low-income and uninsured women by comparing women who reported never or rarely being screened (last screen >5 years) to those who reported screening in the past ≤5 years.
methodsWe analyzed data from 1,485,251 women who received their first Pap test in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) from July 2002 through June 2012. Of these, 461,893 women (31 %) reported being never or rarely screened and 1,023,358 (69 %) reported being screened in the past 5 years. Demographic (age, race/ethnicity, residence, and region) and clinic (cytologic and histologic results) characteristics were examined for the two groups.
resultsWomen who were aged ≥50 years, Asian and Pacific Islander, American Indian or Alaska Native, multiracial, living in non-metro areas, or living in the South or a territory were more likely to report being never or rarely screened. The percentage of abnormal Pap tests and the rate of precancer and cancer (combined) was higher in the never or rarely screened group compared with the screened group (abnormal percentage: 2.9 vs 2.6 %, p value < 0.01; rate of precancer and cancer: 6.9 vs 3.7 per 1,000 women, p value < 0.01).
conclusionsThe priority of reaching never or rarely screened women should continue since those women who entered the NBCCEDP not adequately screened had a greater prevalence of high-grade histological lesions and invasive cervical cancers at later stages than women screened more recently.
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