Assessment of US preventive services task force guideline–concordant cervical cancer screening rates and reasons for underscreening by age, race and ethnicity, sexual orientation, rurality, and insurance, 2005 to 2019
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Authors
Suk, Ryan
Hong, Young-Rock
Rajan, Suja S.
Xie, Zhigang
Zhu, Yenan
Spencer, Jennifer C.
Issue Date
2022-01-18
Type
Article
Language
en_US
Keywords
Assessment , Cervical Cancer , Sexual Orientation , Rurality
Alternative Title
Abstract
Importance:
Cervical cancer screening rates are suboptimal in the US. Population-based assessment of reasons for not receiving screening is needed, particularly among women from historically underserved demographic groups.
Objective:
To estimate changes in US Preventive Service Task Force guideline–concordant cervical cancer screening over time and assess the reasons women do not receive up-to-date screening by sociodemographic factors.
Design, Setting, and Participants:
This pooled population-based cross-sectional study used data from the US National Health Interview Survey from 2005 and 2019. A total of 20 557 women (weighted, 113.1 million women) aged 21 to 65 years without previous hysterectomy were included. Analyses were conducted from March 30 to August 19, 2021.
Exposures:
Sociodemographic factors, including age, race and ethnicity, sexual orientation, rurality of residence, and health insurance type.
Main Outcomes and Measures:
Primary outcomes were US Preventive Services Task Force guideline–concordant cervical cancer screening rates and self-reported primary reasons for not receiving up-to-date screening. For 2005, up-to-date screening was defined as screening every 3 years for women aged 21 to 65 years. For 2019, up-to-date screening was defined as screening every 3 years with a Papanicolaou test alone for women aged 21 to 29 years and screening every 3 years with a Papanicolaou test alone or every 5 years with high-risk human papillomavirus testing or cotesting for women aged 30 to 65 years. Population estimation included sampling weights.
Description
Citation
Suk, R., Hong, Y. R., Rajan, S. S., Xie, Z., Zhu, Y., & Spencer, J. C. (2022). Assessment of US Preventive Services Task Force Guideline-Concordant Cervical Cancer Screening Rates and Reasons for Underscreening by Age, Race and Ethnicity, Sexual Orientation, Rurality, and Insurance, 2005 to 2019. JAMA network open, 5(1), e2143582. https://doi.org/10.1001/jamanetworkopen.2021.43582
Publisher
JAMA Network Open