Persistent Disparities in Cervical Cancer Screening Uptake: Knowledge and Sociodemographic Determinants of Papanicolaou and Human Papillomavirus Testing Among Women in the United States

Objectives Cervical cancer is the second-most common type of cancer among women aged 15-44, and racial, ethnic, and economic disparities exist in survival rates despite widely available screening tests and early treatment options. The objective of this study was to describe the association among kno...

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Bibliographic Details
Published in:Public health reports (1974) 2020-07, Vol.135 (4), p.483-491
Main Authors: Johnson, Nicole L., Head, Katharine J., Scott, Susanna Foxworthy, Zimet, Gregory D.
Format: Article
Language:English
Subjects:
Age differences
Black people
Black women
Cancer
Cervical cancer
Cervix
Ethnicity
Health care industry
Health insurance
Health risks
Hispanic people
Human papillomavirus
Income
Insurance
Medical screening
Minority & ethnic groups
Pap smear
Regression analysis
Respondents
Sociodemographics
Survival
Variance analysis
Womens health
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Summary:Objectives Cervical cancer is the second-most common type of cancer among women aged 15-44, and racial, ethnic, and economic disparities exist in survival rates despite widely available screening tests and early treatment options. The objective of this study was to describe the association among knowledge, sociodemographic characteristics, and cervical cancer screening, with the goal of developing interventions to prevent cervical cancer in populations at risk of the disease. Methods In 2017, we conducted a nationwide survey of women in the United States aged ≥18 who had ever received a Papanicolaou (Pap) test (N = 630). We conducted t tests and one-way analysis of variance to determine sociodemographic differences (age, education, race, ethnicity, income, type of health insurance) in knowledge about cervical cancer screening (Pap test and human papillomavirus [HPV] test). We used logistic regressions to define significant determinants of cervical cancer screening behaviors in the previous 5 years. Results Of 629 respondents, 407 (64.7%) had an annual household income
ISSN:0033-3549
1468-2877
DOI:10.1177/0033354920925094