Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Benavidez, Gabriel A. ; Zgodic, Anja ; Zahnd, Whitney E. ; Eberth, Jan M.
Benavidez, Gabriel A. ; Zgodic, Anja ; Zahnd, Whitney E. ; Eberth, Jan M. Less -
Description:
Introduction

Many sociodemographic factors affect women’s ability to meet cancer screening guidelines. Our objective was to examine which sociodemographic characteristics were associated with women meeting US Preventive Services Task Force (USPSTF) guidelines for breast, cervical, and colorectal cancer screening.

Methods

We used 2018 Behavioral Risk Factor Surveillance System data to examine the association between sociodemographic variables, such as race/ethnicity, rurality, education, and insurance status, and self-reported cancer screening for breast, cervical, and colorectal cancer. We used multivariable log-binomial regression models to estimate adjusted prevalence ratios and 95% CIs.

Results

Overall, the proportion of women meeting USPSTF guidelines for breast, cervical, and colorectal cancer screening was more than 70%. The prevalence of meeting screening guidelines was 6% to 10% greater among non-Hispanic Black women than among non-Hispanic White women across all 3 types of cancer screening. Women who lacked health insurance had a 26% to 39% lower screening prevalence across screening types than women with health insurance. Compared with women with $50,000 or more in annual household income, women with less than $50,000 in annual household income had a 3% to 8% lower screening prevalence across all 3 screening types. For colorectal cancer, the prevalence of screening was 7% less among women who lived in rural counties than among women in metropolitan counties.

Conclusion

Many women still do not meet current USPSTF guidelines for breast, cervical, and colorectal cancer screening. Screening disparities are persistent among socioeconomically disadvantaged groups, especially women with low incomes and without health insurance. To increase the prevalence of cancer screening and reduce disparities, interventions must focus on reducing economic barriers and improving access to care.


Subjects:
[+]
Original Research
Source:
Prev Chronic Dis. 2021; 18
Pubmed ID:
33856975
Pubmed Central ID:
PMC8051853
Document Type:
Journal Article
Place as Subject:
United States
Location:
North America
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:a5ce3a0c3d992b2050c865cca908e3a85aaed390c230e060a6e7f75b3d8d78a9
Download URL:
https://stacks.cdc.gov/view/cdc/105799/cdc_105799_DS1.pdf
File Type:

Supporting Files

• PCD-18-E37.nxml

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