ArticlePreventive medicine2020
Three large scale surveys highlight the complexity of cervical cancer under-screening among women 45-65years of age in the United States.
Article in Preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 38 citations in OpenAlex.
- Effect of Patient Characteristics on Uptake of Screening Using a Mailed Human Papillomavirus Self-sampling Kit: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2022Trial
- Native American Women's Willingness to Screen for Both Cervical and Colorectal Cancer at Home.Cancer medicine · 2026Article
- Characterizing Cervical Cancer Screening in the US: Preparing for the Era of Self-Collection.Journal of the American Board of Family Medicine : JABFM · 2026Article
- Barriers to the Equitable Implementation of Risk-Based Cervical Cancer Management Guidelines.Journal of general internal medicine · 2026Article
- Concurrent utilisation of cancer screening tests in the general population aged 50-69: an analysis of the 2017 Swiss Health Survey.International journal of public health · 2026Article
- Identifying gaps in women's preventive health services for women living with HIV in Vermont.Reproductive health · 2025Article
- Rural women choose self-sampling over a pelvic exam for cervical cancer screening: a mixed-method study.Cancer causes & control : CCC · 2025Article
- Cervical Cancer Screening among Older Latina Migrant and Seasonal Farmworkers in a Network of Community Health Centers.Ethnicity & disease · 2025Observational
- The Utilization of Human Papillomavirus Testing for Cervical Cancer Screening in Thailand: A Comparison of Screening with and without Self-sampling Samples.Asian Pacific journal of cancer prevention : APJCP · 2025Article
- A cross-sectional analysis of factors associated with cervical cancer screening in a large midwest primary care setting.BMC women's health · 2025Article
- Utilization and outcomes of serial cervical cancer screening in a National Breast and Cervical Cancer Early Detection Program (NBCCEDP) in a non-Medicaid expansion state.Cancer causes & control : CCC · 2025Article
- Structural Racism in Cervical Cancer Care and Survival Outcomes: A Systematic Review of Inequities and Barriers.Current epidemiology reports · 2025Review
- Tubal Sterilization and Cervical Cancer Underscreening in the United States.Journal of women's health (2002) · 2024Article
- Lives Saved Through Increasing Adherence to Follow-Up After Abnormal Cervical Cancer Screening Results.O&G open · 2024Article
- Do age-based discontinuation recommendations influence cervical cancer screening rates? Evidence from the United States' Behavioral Risk Factor Surveillance System, 2016 and 2018.Preventive medicine · 2023Article
- 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 · 2023Article
- Rural-Urban Disparities in Cancer Outcomes: Opportunities for Future Research.Journal of the National Cancer Institute · 2022Review
- Observational
- Concordant physician-patient characteristics lose importance for Arab American women and their healthcare- cross-sectional study.Lancet regional health. Americas · 2022Article
- Clinicians' perceptions of barriers to cervical cancer screening for women living with behavioral health conditions: a focus group study.BMC cancer · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundLarge scale United States (US) surveys guide efforts to maximize the health of its population. Cervical cancer screening is an effective preventive measure with a consistent question format among surveys. The aim of this study is to describe the predictors of cervical cancer screening in older women as reported by three national surveys.
methodsThe Behavioral Risk Factor Surveillance System (BRFSS 2016), the Health Information National Trends Survey (HINTS 2017), and the Health Center Patient Survey (HCPS 2014) were analyzed with univariate and multivariate analyses. We defined the cohort as women, without hysterectomy, who were 45-65years old. The primary outcome was cytology within the last 3years.
resultsOverall, Pap screening rates were 71% (BRFSS), 79% (HINTS) and 66% (HCPS), among 41,657, 740 and 1571 women, respectively. BRFSS showed that women 60-64years old (aPR=0.88, 95% CI: 0.85, 0.91), and in rural locations (aPR=0.95, 95% CI: 0.92, 0.98) were significantly less likely to report cervical cancer screening than women 45-49-years old or in urban locations. Compared to less than high school, women with more education reported more screening (aPR=1.20, 95% CI: 1.13, 1.28), and those with insurance had higher screening rates than the uninsured (aPR=1.47, 95% CI: 1.33, 1.62). HINTS and HCPS also showed these trends.
conclusionsAll three surveys show that cervical cancer screening rates in women 45-65years are insufficient to reduce cervical cancer incidence. Insurance is the major positive predictor of screening, followed by younger age and more education. Race/ethnicity are variable predictors depending on the survey.
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