Following the latest update of cervical cancer screening guidelines in 2012, the researchers estimated the prevalence of guideline adherent cervical cancer screening and examined its associated factors among a nationally representative sample of U.S. women aged 21–65 years.
The study was based on cross-sectional data from Cycles 3 (2013) and 4 (2014) of the Health Information National Trends Survey. The final analytic sample consisted of 2,822 women. Guideline adherent cervical cancer screening was defined as having a Pap test within the last 3 years. Correlates of guideline adherent cervical cancer screening included socio-demographic and health-related characteristics and HPV/cervical cancer-related beliefs and knowledge items. Multivariable logistic regression analyses were used to estimate prevalence of guideline adherent screening. An estimated 81.3 percent of women aged 21–65 years reported being screened for cervical cancer within the last 3 years. Controlling for sociodemographic and health-related characteristics and survey year, women aged 46–65 years were less likely to be guideline adherent than those aged 21–30 years (aPR = 0.89; 95 percent CI 0.82–0.97). The adjusted prevalence of adherence was significantly higher among married/partnered than among not married women (aPR = 1.13; 95 percent CI 1.05–1.22), and those with one to three medical visits (aPR = 1.30; 95 percent CI 1.14–1.48), and four or more visits in the past year (aPR = 1.26; 95 percent CI 1.09–1.45) compared to those with no medical visits. Differences in unadjusted prevalence of guideline adherent screening depending on women’s beliefs and knowledge about HPV and cervical cancer were not significant in adjusted analyses. Lack of interaction with a healthcare provider, being not married/partnered and increasing age continue to be risk factors of foregoing guideline adherent cervical cancer screening.
“Correlates of Cervical Cancer Screening Adherence Among Women in the U.S.: Findings from HINTS 2013–2014” was recently published in The Journal of Primary Prevention.
Dr. Yelena N. Tarasenko, associate professor, Georgia Southern University Jiann-Ping Hsu Collage of Public Health (JPHCOPH) , co-authored this study with Dr. John S. Luque, former JPHCOPH faculty member who is now at the Institute of Public Health, Florida A&M University; and Dr. Chen Chen, JPHCOPH alumnus, who is now at the College of Nursing and Health Professions, University of Southern Indiana.