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Cancer Screening Test Use-U.S., 2019

. 2022 Sep;63(3):431-439. doi: 10.1016/j.amepre.2022.02.018. Epub 2022 Apr 22. Cancer Screening Test Use-U.S., 2019

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Cancer Screening Test Use-U.S., 2019

Susan A Sabatino et al. Am J Prev Med. 2022 Sep.

. 2022 Sep;63(3):431-439. doi: 10.1016/j.amepre.2022.02.018. Epub 2022 Apr 22. Affiliations

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Abstract

Introduction: The U.S. Preventive Services Task Force recommends breast, cervical, and colorectal cancer screening to reduce mortality from these cancers, but screening use has been below national targets. The purpose of this study is to examine the proportion of screening-eligible adults who are up to date with these screenings and how screening use compares with Healthy People 2020 targets.

Methods: Data from the 2019 National Health Interview Survey were used to examine the percentages of adults up to date with breast cancer screening among women aged 50‒74 years without previous breast cancer, cervical cancer screening among women aged 21‒65 years without previous cervical cancer or hysterectomy, and colorectal cancer screening among adults aged 50‒75 years without previous colorectal cancer. Estimates are presented by sociodemographic characteristics and healthcare access factors. Analyses were conducted in 2021.

Results: Percentages of adults up to date were 76.2% (95% CI= 75.0, 77.5) for breast cancer screening, 76.4% (95% CI= 75.2, 77.6) for cervical cancer screening, and 68.3% (95% CI= 67.3, 69.3) for colorectal cancer screening. Although some population subgroups met breast and colorectal cancer screening targets (81.1% and 70.5%, respectively), many did not, and cervical cancer screening was below the target for all examined subgroups. Lower education and income, nonmetropolitan county of residence (which included rural counties), no usual source of care or health insurance coverage, and Medicaid coverage were associated with lower screening test use.

Conclusions: Estimated use of breast, cervical, and colorectal cancer screening tests based on the 2019 National Health Interview Survey were below national targets. Continued monitoring may allow for examination of screening trends, inform interventions, and track progress in eliminating disparities.

Published by Elsevier Inc.

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Similar articles Cited by References
    1. U.S. Preventive Services Task Force. Recommendation Topics. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics. Accessed September 1, 2021.
    1. Sabatino SA, Thompson TD, White MC, et al. Cancer screening test receipt - United States, 2018. MMWR Morb Mortal Wkly Rep. 2021;70(2):29–35. 10.15585/mmwr.mm7002a1. - DOI - PMC - PubMed
    1. White A, Thompson TD, White MC, et al. Cancer screening test use - United States, 2015. MMWR Morb Mortal Wkly Rep. 2017;66(8):201–206. 10.15585/mmwr.mm6608a1. - DOI - PMC - PubMed
    1. Office of Disease Prevention and Health Promotion. HealthyPeople.gov. https://www.healthypeople.gov/2020. Accessed January 20, 2022.
    1. National Center for Health Statistics. National Health Interview Survey, 2019. Public-use data file and documentation. https://www.cdc.gov/nchs/nhis/data-questionnaires-documentation.htm. Accessed March 25, 2021.

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