Determinants of Potentially Unnecessary Cervical Cancer Screenings in American Women / 예방의학회지
Journal of Preventive Medicine and Public Health
;
: 181-187, 2018.
Article
in English
| WPRIM
| ID: wpr-715818
ABSTRACT
OBJECTIVES:
To identify factors responsible for potentially clinically unnecessary cervical cancer screenings in women with prior hysterectomy.METHODS:
A retrospective cross-sectional study was conducted using the Centers for Disease Control and Prevention’s Behavioral Risk Factor Surveillance System (BRFSS). This study targeted adult women and examined whether they received a both a Papanicolaou (Pap) test and undergone a hysterectomy in the last three years. We conducted multivariate analyses, including weighted proportions and odds ratios (ORs), based on the modified BRFSS weighting method (raking). The inclusion criteria were adult women (>18 years old) who reported having received a Pap test within the last 3 years.RESULTS:
Of all women (n=252 391), 72 366 had received a Pap test, and 32 935 of those women (45%, or 12.5 million, weighted) had a prior hysterectomy. We found that age, race/ethnicity, marital status, family income, health status, time since last routine checkup, and health insurance coverage were all significant predictors. Black, non-Hispanic women were 2.23 times more likely to receive Pap testing after a hysterectomy than white women (OR, 2.23; 95% confidence interval [CI], 1.99 to 2.50). Similarly, the odds for Hispanic women were 2.34 times higher (OR, 2.34; 95% CI, 1.97 to 2.80). The odds were also higher for those who were married (OR, 1.17; 95% CI, 1.08 to 1.27), healthier (OR, 1.24; 95% CI, 1.14 to 1.35), and had health insurance (OR, 1.54; 95% CI, 1.28 to 1.84), after controlling for confounders.CONCLUSIONS:
We conclude that women may potentially receive Pap tests even if they are not at risk for cervical cancer, and may not be adequately informed about the need for screenings. We recommend strategies to disseminate recommendations and information to patients, their families, and care providers.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
United States
/
Hispanic or Latino
/
Odds Ratio
/
Uterine Cervical Neoplasms
/
Mass Screening
/
Cross-Sectional Studies
/
Multivariate Analysis
/
Retrospective Studies
/
Marital Status
/
Unnecessary Procedures
Type of study:
Etiology study
/
Practice guideline
/
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
/
Screening study
Limits:
Adult
/
Female
/
Humans
Country/Region as subject:
North America
Language:
English
Journal:
Journal of Preventive Medicine and Public Health
Year:
2018
Type:
Article
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