Preventive services use among female survivors of adolescent and young adult cancer

Jaqueline C. Avila, Yong Fang Kuo, Ana M. Rodriguez, Rebeca Wong, Sapna Kaul

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Purpose Examine preventive services utilization among female survivors of adolescent and young adult (AYA) cancer compared with women without cancer in the USA. Methods A total of 1017 women diagnosed with cancer at AYA ages (15–39 years) who were at least 5 years since diagnosis were identified from 2008 to 2012 Medical Expenditure Panel Surveys. A comparison group without cancer was matched on age and other characteristics. General preventive services included dental, medical, blood pressure, and cholesterol checkups, and flu shots in the previous year. Cancer-related services included pap smear and mammography. Preventive services and covariates (demographics, socioeconomics, and health status) were compared between groups using χ2 tests. Ordinal logistic regression identified covariates associated with general preventive services use. Results Female survivors reported dental checkups less often (57.8 vs. 72.4 %, p < 0.001) than the comparison group and checked their blood pressure (90 vs. 86.7 %, p = 0.045) and cholesterol (67.5 vs. 61.7 %, p = 0.045) more often. No differences were found in flu shots, medical checkups, and cancer-related services. Survivors without insurance were less likely to use general preventive services (odds ratio [OR] = 0.2, 95 % confidence interval [CI] 0.12–0.35, p < 0.001). Older survivors (OR = 3.09, 95 % CI 1.69–5.62, p < 0.001)
Original languageEnglish (US)
Pages (from-to)167-174
Number of pages8
JournalJournal of Cancer Survivorship
StatePublished - 2017


  • cancer survivors
  • preventive health services
  • women's health
  • MEPS


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