ArticleCancer causes & control : CCC2018
Chronic comorbidities and cervical cancer screening and adherence among US-born and foreign-born women.
Article in Cancer causes & control : CCC, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Barriers to cancer screening uptake and approaches to overcome them: a systematic literature review.Frontiers in oncology · 2025Pooled it
- Cancer Screening and Citizenship Status in the US.JAMA network open · 2026Article
- Personal Networks and Cervical Cancer Screening among Black Immigrant Women.Journal of racial and ethnic health disparities · 2026Article
- Review
- A cross-sectional analysis of factors associated with cervical cancer screening in a large midwest primary care setting.BMC women's health · 2025Article
- Cervical Cancer Screening Utilization among Kidney Transplant Recipients, 2001 to 2018.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024Article
- Assessing Disparities in Cervical Cancer Screening with Pap Test by Disability Types.Journal of cancer education : the official journal of the American Association for Cancer Education · 2024Article
- The Effectiveness of Metabolic Bariatric Surgery in Preventing Gynecologic Cancer - from Pathophysiology to Clinical Outcomes.Journal of Cancer · 2024Review
- Article
- Cervical Cancer Screening Among Patients with Physical Disability.Journal of women's health (2002) · 2022Article
- Acculturation Strategies and Pap Screening Uptake among Sub-Saharan African Immigrants (SAIs).International journal of environmental research and public health · 2021Article
- The impact of medical tourism on cervical cancer screening among immigrant women in the U.S.BMC women's health · 2021Article
- Article
- Finding Dr. Kim: Information Sources of Korean Immigrants' Search for a Doctor in the U.S.Healthcare (Basel, Switzerland) · 2020Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
purposeWhereas chronic conditions and foreign-birth have an inverse relationship with cervical cancer screening, the combined effect of these factors on screening is unknown. This study examined the associations between chronic comorbidities and Pap screening recommendations and adherence, and whether these associations vary between foreign- and US-born women.
methodsIn 2017, data from 2013 and 2015 National Health Interview Survey on women aged 21-65 years (N = 20,080) were analyzed. Bivariate associations between chronic comorbidities (hypertension, diabetes, and obesity) and cervical cancer screening recommendation and adherence (screened in the last 3 years) were examined using Chi-square analysis. Multivariate binary logistic regression was used to examine the association between foreign-born status and participant Pap test adherence, adjusting for physician Pap test recommendation and chronic comorbidities.
resultsObesity, hypertension, and diabetes were positively associated with Pap screening recommendation. Hypertension and diabetes were negatively associated with screening adherence. Pap screening recommendation (60% vs. 57%, p < 0.05) and adherence (85% vs. 78%, p < 0.001) were higher among foreign-born than US-born women. After adjusting for chronic conditions, foreign-born women had significantly lower odds of receiving Pap tests compared with US-born women (OR 0.8, 95% CI 0.6-0.9). In stratified analysis, only obesity was associated with Pap testing among US-born and foreign-born women. Among foreign-born women, the association between obesity and Pap testing was attenuated after controlling for years lived in the US and citizenship.
conclusionPublic health intervention efforts must improve regular access to preventive care and encourage Pap screening among women diagnosed with chronic conditions. Future research should further identify additional factors driving the cervical cancer screening practices of both US- and foreign-born women with and without chronic conditions.
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