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Cancer Screening Test Use – U.S., 2019
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9 2022
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Source: Am J Prev Med. 63(3):431-439
[PDF-360.51 KB]
Details:
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Alternative Title:Am J Prev Med
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Personal Author:
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Description:Introduction:
The U.S. Preventive Services Task Force recommends breast, cervical and colorectal cancer (CRC) screening to reduce mortality from these cancers, but screening use has been below national targets. The purpose of this study is to examine the proportion of screening-eligible adults up-to-date with these screenings, and how screening use compares to Healthy People 2020 (HP2020) targets.
Methods:
Data from the 2019 National Health Interview Survey (NHIS) were used to examine percentages up-to-date with breast cancer screening among women aged 50‒74 years without prior breast cancer; cervical cancer screening among women aged 21‒65 years without prior cervical cancer or hysterectomy; and CRC screening among adults aged 50‒75 years without prior CRC. Estimates are presented by sociodemographic characteristics and healthcare access factors. Analyses were conducted in 2021.
Results:
Percentages of adults up-to-date were 76.2% (95%CI 75.0–77.5) for breast cancer screening, 76.4% (95%CI 75.2%−77.6%) for cervical cancer screening, and 68.3% (95%CI 67.3%−69.3%) for CRC screening. Although some population subgroups met breast and CRC screening targets (81.1% and 70.5%, respectively), many did not, and cervical cancer screening was below the target for all examined subgroups. Lower education and income, non-metropolitan county of residence (which included rural counties), no usual source of care or health insurance coverage, and Medicaid coverage were associated with lower screening test use.
Conclusions:
Estimated use of breast, cervical and CRC screening tests based on the 2019 NHIS were below national targets. Continued monitoring may allow examination of screening trends, inform interventions, and track progress in eliminating disparities.
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Source:
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Pubmed ID:35469700
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Pubmed Central ID:PMC9875833
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Funding:
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Volume:63
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Issue:3
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