Persistent racial disparities in cervical cancer screening with Pap test
Given the racial disparities in cervical cancer screening, incidence, and mortality, the purpose of this study was to estimate cervical cancer screening behaviors through self-reported Pap testing among racial groups in the U.S. This cross-sectional study utilized the Behavioral Risk Factor Surveill...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-12-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335521003430 |
| _version_ | 1818701452429754368 |
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| author | Cassidi C. McDaniel Hayleigh H. Hallam Tiffany Cadwallader Hee Yun Lee Chiahung Chou |
| author_facet | Cassidi C. McDaniel Hayleigh H. Hallam Tiffany Cadwallader Hee Yun Lee Chiahung Chou |
| author_sort | Cassidi C. McDaniel |
| collection | DOAJ |
| description | Given the racial disparities in cervical cancer screening, incidence, and mortality, the purpose of this study was to estimate cervical cancer screening behaviors through self-reported Pap testing among racial groups in the U.S. This cross-sectional study utilized the Behavioral Risk Factor Surveillance System (BRFSS) data to compare Pap testing behaviors among women of different racial groups. The BRFSS data from 2014, 2016, and 2018 were chosen because these were the most recent years of data capturing cervical cancer screening information. The primary outcome was self-reported Pap testing behavior (yes/no). Racial groups were analyzed with the original categorical responses for the race/ethnicity variable to investigate Pap testing behaviors across all racial groups. Statistical analyses included descriptive statistics and a multivariable binomial logistic regression model to assess differences of Pap testing by race after adjusting for covariates. Among the 538,218 females included, 88.81% (95% CI: 88.60–89.03) reported receiving a Pap test. Pap testing behaviors differed significantly between racial groups in 2014, 2016, and 2018 (p < 0.001 for all years). Compared to White women, Asians (OR: 0.169, 95% CI: 0.149–0.191), Native Hawaiians/other Pacific Islanders (OR: 0.339, 95% CI: 0.249–0.462), American Indians or Alaskan Natives (OR: 0.664, 95% CI: 0.532–0.829), Hispanics (OR: 0.726, 95% CI: 0.670–0.786), and other non-Hispanic races (OR: 0.439, 95% CI: 0.323–0.598) were significantly less likely to receive Pap test. Racial disparities in cervical cancer screening with Pap tests exist for Asians, Native Hawaiians/other Pacific Islanders, American Indians or Alaskan Natives, Hispanics, and other non-Hispanics. |
| first_indexed | 2024-12-17T15:21:04Z |
| format | Article |
| id | doaj.art-c3ba9f24088f4eeebc3b1f83d91eb407 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-12-17T15:21:04Z |
| publishDate | 2021-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-c3ba9f24088f4eeebc3b1f83d91eb4072022-12-21T21:43:25ZengElsevierPreventive Medicine Reports2211-33552021-12-0124101652Persistent racial disparities in cervical cancer screening with Pap testCassidi C. McDaniel0Hayleigh H. Hallam1Tiffany Cadwallader2Hee Yun Lee3Chiahung Chou4Auburn University, Harrison School of Pharmacy, Department of Health Outcomes Research and Policy, 4306 Walker Building, Auburn, AL 36849, USAAuburn University, Harrison School of Pharmacy, Department of Health Outcomes Research and Policy, 4306 Walker Building, Auburn, AL 36849, USAAuburn University, Harrison School of Pharmacy, Department of Health Outcomes Research and Policy, 4306 Walker Building, Auburn, AL 36849, USASchool of Social Work, The University of Alabama, 1022 Little Hall Box 870314, Tuscaloosa, AL 35487, USAAuburn University, Harrison School of Pharmacy, Department of Health Outcomes Research and Policy, 4306 Walker Building, Auburn, AL 36849, USA; Department of Medical Research, China Medical University Hospital, No.2 Yude Road, North District, Taichung City 40447, Taiwan; Corresponding author at: 4306 Walker Building, Auburn University, AL 36849, USA.Given the racial disparities in cervical cancer screening, incidence, and mortality, the purpose of this study was to estimate cervical cancer screening behaviors through self-reported Pap testing among racial groups in the U.S. This cross-sectional study utilized the Behavioral Risk Factor Surveillance System (BRFSS) data to compare Pap testing behaviors among women of different racial groups. The BRFSS data from 2014, 2016, and 2018 were chosen because these were the most recent years of data capturing cervical cancer screening information. The primary outcome was self-reported Pap testing behavior (yes/no). Racial groups were analyzed with the original categorical responses for the race/ethnicity variable to investigate Pap testing behaviors across all racial groups. Statistical analyses included descriptive statistics and a multivariable binomial logistic regression model to assess differences of Pap testing by race after adjusting for covariates. Among the 538,218 females included, 88.81% (95% CI: 88.60–89.03) reported receiving a Pap test. Pap testing behaviors differed significantly between racial groups in 2014, 2016, and 2018 (p < 0.001 for all years). Compared to White women, Asians (OR: 0.169, 95% CI: 0.149–0.191), Native Hawaiians/other Pacific Islanders (OR: 0.339, 95% CI: 0.249–0.462), American Indians or Alaskan Natives (OR: 0.664, 95% CI: 0.532–0.829), Hispanics (OR: 0.726, 95% CI: 0.670–0.786), and other non-Hispanic races (OR: 0.439, 95% CI: 0.323–0.598) were significantly less likely to receive Pap test. Racial disparities in cervical cancer screening with Pap tests exist for Asians, Native Hawaiians/other Pacific Islanders, American Indians or Alaskan Natives, Hispanics, and other non-Hispanics.http://www.sciencedirect.com/science/article/pii/S2211335521003430Cervical cancer screeningPap testRacial disparitiesHealth disparitiesWomen’s health |
| spellingShingle | Cassidi C. McDaniel Hayleigh H. Hallam Tiffany Cadwallader Hee Yun Lee Chiahung Chou Persistent racial disparities in cervical cancer screening with Pap test Preventive Medicine Reports Cervical cancer screening Pap test Racial disparities Health disparities Women’s health |
| title | Persistent racial disparities in cervical cancer screening with Pap test |
| title_full | Persistent racial disparities in cervical cancer screening with Pap test |
| title_fullStr | Persistent racial disparities in cervical cancer screening with Pap test |
| title_full_unstemmed | Persistent racial disparities in cervical cancer screening with Pap test |
| title_short | Persistent racial disparities in cervical cancer screening with Pap test |
| title_sort | persistent racial disparities in cervical cancer screening with pap test |
| topic | Cervical cancer screening Pap test Racial disparities Health disparities Women’s health |
| url | http://www.sciencedirect.com/science/article/pii/S2211335521003430 |
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