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Cervical Cancer Screening Among Women by Birthplace and Percent of Lifetime Living in the United States

. 2018 Oct;22(4):280-287. doi: 10.1097/LGT.0000000000000422. Cervical Cancer Screening Among Women by Birthplace and Percent of Lifetime Living in the United States

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Cervical Cancer Screening Among Women by Birthplace and Percent of Lifetime Living in the United States

Meheret Endeshaw et al. J Low Genit Tract Dis. 2018 Oct.

. 2018 Oct;22(4):280-287. doi: 10.1097/LGT.0000000000000422. Affiliations

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Abstract

Objective: The aim of the study was to provide national estimates of Pap test receipt, by birthplace, and percent of lifetime in the United States (US).

Materials and methods: Pooled nationally representative data (2005, 2008, 2013, 2015) from the National Health Interview Survey were used to examine differences in Pap test receipt among adult US women by birthplace and percent of lifetime in the US. Descriptive estimates were age-adjusted. Regression models were adjusted for selected sociodemographic and healthcare access and utilization factors and presented as predicted margins.

Results: Foreign-born women 18 years and older were more than twice as likely to have never received a Pap test compared with US-born women (18.6% vs 6.8%). Regression models showed that foreign-born women from Mexico (9.8%), South America (12.6%), Caribbean (14.6%), Southeast Asia (13.7%), Central Asia (20.4%), South Asia (22.9%), Middle East (25.0%), Africa (27.8%), Europe (16.4%), and Former Soviet Union (28.2%) were more likely to be unscreened compared with US-born women (7.6%). Foreign-born women who spent less than 25% of their life in the US had higher prevalence of never having a Pap test (20%) compared with foreign-born who spent more than 25% of their life in the US (12.7%).

Conclusions: Using national survey, we found that where a woman is born and the percent of her lifetime spent residing in the US do impact whether she gets screened at least once in her lifetime.

Impact: These findings may inform cervical cancer screening efforts targeting foreign-born women.

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Conflict of interest statement

The authors have declared they have no conflicts of interest.

Figures

FIGURE 1.

Age-adjusted estimates of never having…

FIGURE 1.

Age-adjusted estimates of never having a Pap test by birthplace and percent of…

FIGURE 1.

Age-adjusted estimates of never having a Pap test by birthplace and percent of lifetime in the United States, women 18 years or older: National Health Interview Survey 2005, 2008, 2010, 2013, and 2015. Note: The denominator used for analysis is US women 18 years or older, who never had a hysterectomy. Percents shown are age adjusted using the projected 2000 US population as the standard population and using the following age groups: 18–20, 21–29, 30–39, 40–49, 50–59, 60–64, and ≥65 years. Percents were weighted using the sample adult weight adjusted for 5 years of data. Birthplace is mutually exclusive. aSignificantly different from US-born (p < .05). bSignificantly different from ≥25% of lifetime in the United States (p < .05).

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