Up-to-Date Breast, Cervical, and Colorectal Cancer Screening Test Use in the United States, 2021

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Sabatino, Susan A. ; Thompson, Trevor D. ; White, Mary C. ; Villarroel, Maria A. ; Shapiro, Jean A. ; Croswell, Jennifer M. ; Richardson, Lisa C.
• Description:
  Introduction
  
  We examined national estimates of breast, cervical, and colorectal cancer (CRC) screening test use and compared them with Healthy People 2030 national targets. Test use in 2021 was compared with prepandemic estimates.
  
  Methods
  
  In 2022, we used 2021 National Health Interview Survey (NHIS) data to estimate proportions of adults up to date with US Preventive Services Task Force recommendations for breast (women aged 50–74 y), cervical (women aged 21–65 y), and CRC screening (adults aged 50–75 y) across sociodemographic and health care access variables. We compared age-standardized estimates from the 2021 and 2019 NHIS.
  
  Results
  
  Percentages of adults up to date in 2021 were 75.7% (95% CI, 74.4%–76.9%), 75.2% (95% CI, 73.9%–76.4%), and 72.2% (95% CI, 71.2%–73.2%) for breast, cervical, and CRC screening, respectively. Estimates were below 50% among those without a wellness check in 3 years (all screening types), among those without a usual source of care or insurance (aged <65 y) (breast and CRC screening), and among those residing in the US for less than 10 years (CRC screening). Percentages of adults who were up to date with breast and cervical cancer screening and colonoscopy were similar in 2019 and 2021. Fecal occult blood/fecal immunochemical test (FOBT/FIT) use was modestly higher in 2021 (P < .001).
  
  Conclusions
  
  In 2021, approximately 1 in 4 adults of screening age were not up to date with breast, cervical, and CRC screening recommendations, and Healthy People 2030 national targets were not met. Disparities existed across several characteristics, particularly those related to health care access. Breast, cervical, and colonoscopy test use within recommended screening intervals approximated prepandemic levels. FOBT/FIT estimates were modestly higher in 2021.
  
  
• Subjects:
  Adult Colonoscopy Colorectal Neoplasms Early Detection Of Cancer Female Health Services Accessibility Humans Mass Screening Occult Blood Uterine Cervical Neoplasms
• Source:
  Prev Chronic Dis. 2023; 20
• DOI:
  http://dx.doi.org/10.5888/pcd20.230071
• ISSN:
  1545-1151
• Pubmed ID:
  37884318
• Pubmed Central ID:
  PMC10625435
• Document Type:
  Journal Article
• Place as Subject:
  United States
• Volume:
  20
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:a23b233463938ca0995ba6021e25ea6edcc01d8694dfcab15d51e21244e6d296b1866264f64eb52413fec5021dde0def37dbdd465d0309e140b07351227c683f
• Download URL:
  https://stacks.cdc.gov/view/cdc/151123/cdc_151123_DS1.pdf
• File Type:
  [PDF - 468.76 KB ]