Federal Support for Family Planning Clinics Associated with Dramatic Gains in Cervical Cancer Screening

Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health
Sayeh S Nikpay

Abstract

Since the 1990s, policymakers have successfully increased cervical cancer screening through federal and state public policies. However, the most dramatic gains in Pap smear use occurred in the 1960's and 70's, during the establishment of federal support for family planning clinics through the War on Poverty and Title X. This study estimated the effect of this support on cervical cancer screening, and quantified its role in dramatic increases in Pap smear use. Using a natural experiment in the timing and receipt of federal family planning grants, the screening behavior of women who did and did not have access to a federally funded family planning clinic were analyzed. Cross-sectional probability models of annual and lifetime Pap smear use using the 1970 National Fertility Survey were estimated and linked to administrative data on grant timing and receipt between 1964 and 1973. Federal support for family planning clinics was associated with a 7-percentage point increase in annual use (p < .01), and a 5-percentage point decrease in never use of the Pap smear (p < .001). Scaled by the fraction of women who used funded clinics, federal support for family planning was associated with a roughly 70% increase in Pap smear use. Estimates...Continue Reading

References

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Citations

Jul 1, 2017·Health Services Research·Lindsay M SabikCathy J Bradley
Oct 26, 2018·International Journal of Cancer. Journal International Du Cancer·Aruna KamineniUNKNOWN PROSPR consortium
May 13, 2017·PsyCh Journal·Douglas J NobleRana Flowers

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