Role of Race/Ethnicity, Language, and Insurance in Use of Cervical Cancer Prevention Services Among Low-Income Hispanic Women, 2009–2013

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Heintzman, John ; Hatch, Brigit ; Coronado, Gloria ; Ezekiel, David ; Cowburn, Stuart ; Escamilla-Sanchez, Octavio ; Marino, Miguel
• Description:
  Introduction ; Hispanic women in the United States have an elevated risk of cervical cancer, but the existing literature does not reveal why this disparity persists. ; Methods ; We performed a retrospective cohort analysis of 17,828 low-income women aged 21 to 64 years seeking care at Oregon community health centers served by a hosted, linked electronic health record during 2009 through 2013. We assessed the odds of having had Papanicolaou (Pap) tests and receiving human papillomavirus (HPV) vaccine, by race/ethnicity, insurance status, and language. ; Results ; Hispanic women, regardless of pregnancy status or insurance, had greater odds of having had Pap tests than non-Hispanic white women during the study period. English-preferring Hispanic women had higher odds of having had Pap tests than Spanish-preferring Hispanic women (OR, 2.08; 95% confidence interval CI, 1.63–2.66) but lower odds of having received HPV vaccination (OR, 0.21; 95% CI, 0.12–0.38). Uninsured patients, regardless of race/ethnicity, had lower odds of HPV vaccine initiation than insured patients did. Once a single dose was received, there were no significant racial/ethnic differences in vaccine series completion. ; Conclusion ; In this sample of low-income women seeking care at Oregon community health centers, we found minimal racial/ethnic disparities in the receipt of cervical cancer prevention services. Inequities by insurance status, especially in the receipt of HPV vaccine, persist. Community health center–based care may be a useful model to address racial/ethnic disparities in prevention, but this model would need further population-wide study.
• Subjects:
  • Adult
  • Aged
  • Community Health Centers
  • Female
  • Health Status Disparities
  • Hispanic or Latino
  • Humans
  • Longitudinal Studies
  • Mass Screening
  • Medically Uninsured
  More +
• Source:
  Prev Chronic Dis. 15.
• DOI:
  http://dx.doi.org/10.5888/pcd15.170267
• ISSN:
  1545-1151
• Pubmed ID:
  29470167
• Pubmed Central ID:
  PMC5833315
• Document Type:
  Journal Article
• Place as Subject:
  Oregon
• Location:
  North America
• Volume:
  15
• Download URL:
  https://stacks.cdc.gov/view/cdc/52784/cdc_52784_DS1.pdf
• File Type:
  [PDF - 301.40 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:6c751e6b45b6b606828eba9e8170744b372f79e4b016f9b16d0b69f235b9e6b0d357498cffc1d965f9f73bafba59505c5fcc64764c78ff0b0360c26585a1d1b4