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...

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Autores principales:	Cassidi C. McDaniel, Hayleigh H. Hallam, Tiffany Cadwallader, Hee Yun Lee, Chiahung Chou
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Cervical cancer screening Pap test Racial disparities Health disparities Women’s health Medicine R
Acceso en línea:	https://doaj.org/article/c3ba9f24088f4eeebc3b1f83d91eb407
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spelling	oai:doaj.org-article:c3ba9f24088f4eeebc3b1f83d91eb4072021-11-30T04:15:49ZPersistent racial disparities in cervical cancer screening with Pap test2211-335510.1016/j.pmedr.2021.101652https://doaj.org/article/c3ba9f24088f4eeebc3b1f83d91eb4072021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2211335521003430https://doaj.org/toc/2211-3355Given 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.Cassidi C. McDanielHayleigh H. HallamTiffany CadwalladerHee Yun LeeChiahung ChouElsevierarticleCervical cancer screeningPap testRacial disparitiesHealth disparitiesWomen’s healthMedicineRENPreventive Medicine Reports, Vol 24, Iss , Pp 101652- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Cervical cancer screening Pap test Racial disparities Health disparities Women’s health Medicine R
spellingShingle	Cervical cancer screening Pap test Racial disparities Health disparities Women’s health Medicine R Cassidi C. McDaniel Hayleigh H. Hallam Tiffany Cadwallader Hee Yun Lee Chiahung Chou Persistent racial disparities in cervical cancer screening with Pap test
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.
format	article
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
title	Persistent racial disparities in cervical cancer screening with Pap test
title_short	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_sort	persistent racial disparities in cervical cancer screening with pap test
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/c3ba9f24088f4eeebc3b1f83d91eb407
work_keys_str_mv	AT cassidicmcdaniel persistentracialdisparitiesincervicalcancerscreeningwithpaptest AT hayleighhhallam persistentracialdisparitiesincervicalcancerscreeningwithpaptest AT tiffanycadwallader persistentracialdisparitiesincervicalcancerscreeningwithpaptest AT heeyunlee persistentracialdisparitiesincervicalcancerscreeningwithpaptest AT chiahungchou persistentracialdisparitiesincervicalcancerscreeningwithpaptest
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Persistent racial disparities in cervical cancer screening with Pap test

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