Evidence map›Paper›PMID 39798854›Full record

ArticlePreventive medicine2025

U.S. national trends in cervical cancer screening by sexual orientation and race/ethnicity in cisgender women.

Kelley Baumann, Caryn E Peterson, Stacie Geller, Saria Awadalla, Hunter K Holt

Abstract read
In one paragraph

Article in Preventive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

5 authors.

Kelley BaumannUniversity of Illinois College of Medicine Peoria, Peoria, IL, USA. Electronic address: kbauma22@uic.edu.
Caryn E PetersonDepartment of Epidemiology and Biostatistics, University of Illinois Chicago, USA.
Stacie GellerCenter for Research on Women and Gender, University of Illinois Chicago, USA; Department of Obstetrics & Gynecology, University of Illinois Chicago, USA.
Saria AwadallaDepartment of Epidemiology and Biostatistics, University of Illinois Chicago, USA.
Hunter K HoltDepartment of Family and Community Medicine, University of Illinois Chicago, USA.

Funding

UIC Building Interdisciplinary Research Careers in Women's Health ProgramK12HD101373 · NICHD · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BUHIMSCHI, IRINA A, MAKI, PAULINE M · 2020 to 2023
$2.9M
NICHD NIH HHS K12 HD101373
6 · The paper itself

Abstract

introductionChanges in up-to-date cervical cancer screening (CCS) over time by sexual orientation and race/ethnicity were estimated to identify trends in screening disparities.

methodsThis 2024 retrospective, cross-sectional analysis of National Health Interview Survey data (years 2013, 2015, 2019 and 2021) included 40,818 cisgender women aged 21-65 without hysterectomy. Joinpoint analysis was performed to calculate the annual percent change (APC) of up-to-date CCS from 2013 to 2021. Logistic regression (years 2019 and 2021) was used to describe the relationship between up-to-date screening and sexual orientation, race/ethnicity, and the interaction thereof.

resultsThe adjusted odds of up-to-date CCS were 22 % lower for lesbian, gay, and/or bisexual (LGB) compared to heterosexual women (OR = 0.78, p = 0.01). Up-to-date CCS fell significantly from 80.50 % in 2013 to 75.00 % in 2021 for heterosexual respondents (APC = -0.97 %, p < 0.01), but was stable across years for LGB respondents. Up-to-date CCS decreased for Hispanic (APC = -1.52, p < 01) and non-Hispanic White only heterosexual women (APC = -0.63, p = 0.02). It also decreased for non-Hispanic Black/African American only LGB women (APC = -2.67, p < 0.01) falling from 85.22 % in 2013 to 67.91 % in 2021. By multiplicative interaction, LGB Hispanic women were more up-to-date than their heterosexual counterparts (p = 0.05).

conclusionsIn 2021 there were approximately 19.72 million women aged 21-65 who were not up-to-date with CCS. 1.76 million LGB women were not up-to-date for CCS, and a greater proportion of these women identified as non-Hispanic Black/African American. CCS must be improved for all cisgender women, and specific attention should be given to those who identify as LGB and/or Black/African American.

Indexed as

Early Detection of CancerEthnicityMass ScreeningRacial GroupsSexual and Gender MinoritiesSexual BehaviorUterine Cervical NeoplasmsAdultAgedCross-Sectional StudiesFemaleHealthcare DisparitiesHumansMiddle AgedRetrospective StudiesUnited StatesCervical cancerLesbianLGBTQPreventive medicineRaceScreeningTrendsWomen's Health

Identifiers

PMID39798854
PMCPMC12933654

What OpenQuestion holds

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Registered trials

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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.