Journal article
Disparities in Meeting USPSTF Breast, Cervical, and Colorectal Cancer Screening Guidelines Among Women in the United States
Preventing chronic disease, Vol.18, pp.E37-E37
04/15/2021
DOI: 10.5888/pcd18.200315
PMCID: PMC8051853
PMID: 33856975
Abstract
Many sociodemographic factors affect women's ability to meet cancer screening guidelines. Our objective was to examine which sociodemographic characteristics were associated with women meeting US Preventive Services Task Force (USPSTF) guidelines for breast, cervical, and colorectal cancer screening.
We used 2018 Behavioral Risk Factor Surveillance System data to examine the association between sociodemographic variables, such as race/ethnicity, rurality, education, and insurance status, and self-reported cancer screening for breast, cervical, and colorectal cancer. We used multivariable log-binomial regression models to estimate adjusted prevalence ratios and 95% CIs.
Overall, the proportion of women meeting USPSTF guidelines for breast, cervical, and colorectal cancer screening was more than 70%. The prevalence of meeting screening guidelines was 6% to 10% greater among non-Hispanic Black women than among non-Hispanic White women across all 3 types of cancer screening. Women who lacked health insurance had a 26% to 39% lower screening prevalence across screening types than women with health insurance. Compared with women with $50,000 or more in annual household income, women with less than $50,000 in annual household income had a 3% to 8% lower screening prevalence across all 3 screening types. For colorectal cancer, the prevalence of screening was 7% less among women who lived in rural counties than among women in metropolitan counties.
Many women still do not meet current USPSTF guidelines for breast, cervical, and colorectal cancer screening. Screening disparities are persistent among socioeconomically disadvantaged groups, especially women with low incomes and without health insurance. To increase the prevalence of cancer screening and reduce disparities, interventions must focus on reducing economic barriers and improving access to care.
Details
- Title: Subtitle
- Disparities in Meeting USPSTF Breast, Cervical, and Colorectal Cancer Screening Guidelines Among Women in the United States
- Creators
- Gabriel A Benavidez - Arnold School of Public Health, The University of South Carolina, 921 Assembly St, Columbia, SC 29208. Email: benavidg@email.sc.eduAnja Zgodic - Rural and Minority Health Research Center, Arnold School of Public Health, The University of South Carolina, Columbia, South CarolinaWhitney E Zahnd - Rural and Minority Health Research Center, Arnold School of Public Health, The University of South Carolina, Columbia, South CarolinaJan M Eberth - Rural and Minority Health Research Center, Arnold School of Public Health, The University of South Carolina, Columbia, South Carolina
- Resource Type
- Journal article
- Publication Details
- Preventing chronic disease, Vol.18, pp.E37-E37
- DOI
- 10.5888/pcd18.200315
- PMID
- 33856975
- PMCID
- PMC8051853
- ISSN
- 1545-1151
- eISSN
- 1545-1151
- Language
- English
- Date published
- 04/15/2021
- Academic Unit
- Health Management and Policy
- Record Identifier
- 9984214948902771
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