Evidence map›Paper›PMID 29470167›Full record

Observational studyPreventing chronic disease2018

Role of Race/Ethnicity, Language, and Insurance in Use of Cervical Cancer Prevention Services Among Low-Income Hispanic Women, 2009-2013.

John Heintzman, Brigit Hatch, Gloria Coronado, David Ezekiel, Stuart Cowburn, Octavio Escamilla-Sanchez, Miguel Marino

Registry-linked trialOpen access · diamondAbstract readObservational Study
In one paragraph

Observational study in Preventing chronic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07214506 (Human Papillomavirus Self-Sampling Options to Promote Equity), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07214506 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Human Papillomavirus Self-Sampling Options to Promote Equity (HOPE)

TypeinterventionalSponsorUniversity of ArizonaRan2026 to 2027Enrolled100ConditionsUterine Cervical Neoplasms, HPV Testing, Pap SmearArmsHuman papillomavirus Self-collection, Usual Care
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Cervical Cancer Screening and Prevention among Latinas in the United States among a Network of Community Health Centers.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  4. Article
  5. Article
  6. Observational
  7. Lung Cancer Screening by Nativity Among Latino Community Health Center Patients.Journal of the American Board of Family Medicine : JABFM · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Trends and Racial/Ethnic Differences in Predictors of Cervical Cancer Screening among US Women Ages 30-64 Years.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

John HeintzmanOregon Health and Science University, 3181 SW Sam Jackson Park Rd, Portland, OR 97239. Email: heintzma@ohsu.edu.
Brigit HatchOregon Health and Science University, Portland, Oregon.
Gloria CoronadoKaiser Permanente Center for Health Research, Portland, Oregon.
David EzekielOregon Health and Science University, Portland, Oregon.
Stuart CowburnOCHIN, Inc, Portland, Oregon.
Octavio Escamilla-SanchezAntioch College, Yellow Springs, Ohio.
Miguel MarinoOregon Health and Science University, Portland, Oregon.
Ochin · USOregon Health & Science University · USAntioch College · USKaiser Permanente Center for Health Research · US

Funding

HEALTH PROMOTION RESEARCH CENTERU48DP001911 · DP · UNIVERSITY OF WASHINGTON · PI AU, DAVID H, HARRIS, JEFFREY RANDALL · 2009 to 2013
$14.3M
AHRQ HHS K08 HS021522NCCDPHP CDC HHS U48 DP001911
6 · The paper itself

Abstract

introductionHispanic women in the United States have an elevated risk of cervical cancer, but the existing literature does not reveal why this disparity persists.

methodsWe performed a retrospective cohort analysis of 17,828 low-income women aged 21 to 64 years seeking care at Oregon community health centers served by a hosted, linked electronic health record during 2009 through 2013. We assessed the odds of having had Papanicolaou (Pap) tests and receiving human papillomavirus (HPV) vaccine, by race/ethnicity, insurance status, and language.

resultsHispanic women, regardless of pregnancy status or insurance, had greater odds of having had Pap tests than non-Hispanic white women during the study period. English-preferring Hispanic women had higher odds of having had Pap tests than Spanish-preferring Hispanic women (OR, 2.08; 95% confidence interval [CI], 1.63-2.66) but lower odds of having received HPV vaccination (OR, 0.21; 95% CI, 0.12-0.38). Uninsured patients, regardless of race/ethnicity, had lower odds of HPV vaccine initiation than insured patients did. Once a single dose was received, there were no significant racial/ethnic differences in vaccine series completion.

conclusionIn this sample of low-income women seeking care at Oregon community health centers, we found minimal racial/ethnic disparities in the receipt of cervical cancer prevention services. Inequities by insurance status, especially in the receipt of HPV vaccine, persist. Community health center-based care may be a useful model to address racial/ethnic disparities in prevention, but this model would need further population-wide study.

Indexed as

Health Status DisparitiesAdultAgedCommunity Health CentersFemaleHispanic or LatinoHumansLongitudinal StudiesMass ScreeningMedically UninsuredMiddle AgedOdds RatioOregonPapanicolaou TestPapillomavirus VaccinesPovertyPapillomavirus Vaccines

Identifiers

PMID29470167
PMCPMC5833315
OpenAlexW2789218641

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.