The effectiveness of targeting never or rarely screened women in a national cervical cancer screening program for underserved women

Cancer Causes & Control : CCC
V B BenardWilliam Helsel

Abstract

To evaluate the effectiveness of a policy supporting early detection and prevention of cervical cancer among low-income and uninsured women by comparing women who reported never or rarely being screened (last screen >5 years) to those who reported screening in the past ≤5 years. We analyzed data from 1,485,251 women who received their first Pap test in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) from July 2002 through June 2012. Of these, 461,893 women (31 %) reported being never or rarely screened and 1,023,358 (69 %) reported being screened in the past 5 years. Demographic (age, race/ethnicity, residence, and region) and clinic (cytologic and histologic results) characteristics were examined for the two groups. Women who were aged ≥50 years, Asian and Pacific Islander, American Indian or Alaska Native, multiracial, living in non-metro areas, or living in the South or a territory were more likely to report being never or rarely screened. The percentage of abnormal Pap tests and the rate of precancer and cancer (combined) was higher in the never or rarely screened group compared with the screened group (abnormal percentage: 2.9 vs 2.6 %, p value < 0.01; rate of precancer and cancer: 6.9 vs 3.7 per ...Continue Reading

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Citations

Nov 11, 2015·Annals of Epidemiology·Van T NghiemScott B Cantor
Oct 22, 2015·Health Economics Review·Alexander Labeit, Frank Peinemann
May 6, 2017·American Journal of Preventive Medicine·Mary C WhiteVicki B Benard
Jul 18, 2021·Journal of Immigrant and Minority Health·Regina Jillapalli, Kavita Radhakrishnan

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