ArticleAmerican journal of public health1998
Targeting the underserved for breast and cervical cancer screening: the utility of ecological analysis using the National Health Interview Survey.
Article in American journal of public health, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
32 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association of area socioeconomic status and breast, cervical, and colorectal cancer screening: a systematic review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2009Pooled it
- Cervical screening attendance in young women and people with a cervix: An application of the COM-B model.British journal of health psychology · 2025Article
- Observational
- General practitioners who never perform Pap smear: the medical offer and the socio-economic context around their office could limit their involvement in cervical cancer screening.BMC family practice · 2019Article
- Area-level income disparities in colorectal screening in Canada: evidence to inform future surveillance.Current oncology (Toronto, Ont.) · 2019Article
- Neighborhood Predictors of Mammography Barriers Among US-Based Latinas.Journal of racial and ethnic health disparities · 2017Article
- The relationship between neighborhood characteristics and recruitment into adolescent family-based substance use prevention programs.The journal of behavioral health services & research · 2012Article
- Neighborhood perceptions and parent outcomes in family based prevention programs for Thai adolescents: the role of program engagement.Journal of drug education · 2011Article
- Community and individual race/ethnicity and home health care use among elderly persons in the United States.Health services research · 2010Article
- Breast and cervical cancer screening among women in metropolitan areas of the United States by county-level commuting time to work and use of public transportation, 2004 and 2006.BMC public health · 2010Article
- Does place explain racial health disparities? Quantifying the contribution of residential context to the Black/white health gap in the United States.Social science & medicine (1982) · 2008Article
- Staging mammography nonadherent women: a qualitative study.Journal of cancer education : the official journal of the American Association for Cancer Education · 2008Article
- The social epidemiologic concept of fundamental cause.Theoretical medicine and bioethics · 2007Review
- Medicaid status and stage at diagnosis of cervical cancer.American journal of public health · 2006Article
- Participation and program outcomes in a church-based cancer prevention program for Hispanic women.Journal of community health · 2006Article
- Spatial equity in facilities providing low- or no-fee screening mammography in Chicago neighborhoods.Journal of urban health : bulletin of the New York Academy of Medicine · 2006Article
- The effect of two church-based interventions on breast cancer screening rates among Medicaid-insured Latinas.Preventing chronic disease · 2005Article
- Race differentials in obesity: the impact of place.Journal of health and social behavior · 2005Article
- Geographic methods for understanding and responding to disparities in mammography use in Toronto, Canada.Journal of general internal medicine · 2004Article
- Breast and cervical cancer screening among Latinas and non-Latina whites.American journal of public health · 2004Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study tested the utility of ecological variables created from the National Health Interview Survey (NHIS) for strategic targeting of health services for the underserved.
methodsEcological variables were created using the 1989-1991 survey years of the NHIS public use data files. Segments, the NHIS secondary sampling units, permit computation of secondary sampling characteristics by percentage Black, percentage Hispanic, percentage below poverty, percentage unemployed, median education, median income, median age, and percentage residing in the United States for 5 years or less. These variables were analyzed with the NHIS Health Promotion and Disease Prevention 1990 supplement reporting mammogram, clinical breast examination, and Pap test use.
resultsMedian education of areas was inversely related to never having mammograms. Areas with a high proportion (70%-100%) of Hispanic respondents also were more likely not to have mammograms. Women residing in areas with moderate or high proportions of Hispanic respondents were more likely never to have clinical breast examinations and Pap tests, as were those in areas with low income, poverty, and respondents who had resided in the United States 5 years or less.
conclusionsThe new methodology of constructing ecological variables using the NHIS demonstrates an application that may help identify underserved areas or areas with underutilized services. More studies using this methodology are warranted.
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