Racial/ethnic differences affecting adherence to cancer screening guidelines among women

Jacqueline M. Hirth, Tabassum Haque Laz, Mahbubur Rahman, Abbey B. Berenson

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: Race/ethnicity has been shown to modify the effects between obesity and cancer screening among women. The purpose of this article is to update the literature with recent data to examine how the association between different characteristics, including body mass index (BMI), and cancer screening compliance varies by race/ethnicity in a national sample of women. Materials and Methods: Three cycles of the Health Information National Trends Survey (HINTS) were combined for this cross-sectional study. Weighted descriptive statistics were evaluated using chi-square tests. Multivariable logistic regression evaluated associations between women with underweight or normal (30) BMIs and cancer screening concordant with guidelines (Papanicolaou [Pap] testing ≤3 years, ages 21+ years; mammography ≤2 years, ages 40+ years) in analyses stratified by race/ethnicity. We also assessed variance between racial/ethnic groups in how age, income, and insurance status were associated with cancer screening compliance. Results: This study included 4992 women who were evaluated for Pap testing and 3773 for mammography. In analyses stratified by race/ethnicity, whites with a higher household income were more likely to report having a Pap test (adjusted prevalence ratio [aPR] 2.16, 95% confidence interval [95% CI] 1.38-3.40) and a mammogram (aPR 1.63, 95% CI 1.04-2.55) compared to lower income white women. Black women with BMIs between 25 and 30 were less likely to receive a Pap test (aPR 0.38, 95% CI 0.19-0.76) than black women with BMIs

Original languageEnglish (US)
Pages (from-to)371-380
Number of pages10
JournalJournal of Women's Health
Volume25
Issue number4
DOIs
StatePublished - Apr 1 2016

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Early Detection of Cancer
Guidelines
Papanicolaou Test
Confidence Intervals
Mammography
Compliance
Mass Screening
Insurance Coverage
Thinness
Chi-Square Distribution
Ethnic Groups
Body Mass Index
Obesity
Cross-Sectional Studies
Logistic Models
Health

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Racial/ethnic differences affecting adherence to cancer screening guidelines among women. / Hirth, Jacqueline M.; Laz, Tabassum Haque; Rahman, Mahbubur; Berenson, Abbey B.

In: Journal of Women's Health, Vol. 25, No. 4, 01.04.2016, p. 371-380.

Research output: Contribution to journalArticle

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