Disparities in Meeting USPSTF Breast, Cervical, and Colorectal Cancer Screening Guidelines Among Women in the United States.
Disparities in Meeting USPSTF Breast, Cervical, and Colorectal Cancer Screening Guidelines Among Women in the United States.
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DOI：
10.5888/pcd18.200315
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发表时间：
2021-04-15
影响因子：
5.5
通讯作者：
Eberth JM
中科院分区：
文献类型：
--
作者：
Benavidez GA;Zgodic A;Zahnd WE;Eberth JM
许多社会人口因素影响妇女满足癌症筛查指南的能力。我们的目的是研究哪些社会人口学特征与符合美国预防服务工作组（USPSTF）乳腺癌、宫颈癌和结直肠癌筛查指南的女性相关。我们使用2018年行为风险因素监测系统数据来研究社会人口统计学变量（如种族/民族，农村，教育和保险状况）与自我报告的乳腺癌，宫颈癌和结直肠癌癌症筛查之间的关联。我们使用多变量对数二项回归模型来估计调整后的患病率和95% CI。总体而言，符合USPSTF乳腺癌、宫颈癌和结直肠癌筛查指南的女性比例超过70%。在所有3种癌症筛查中，非西班牙裔黑人女性符合筛查指南的患病率比非西班牙裔白色女性高6%至10%。没有健康保险的妇女在各种筛查类型中的筛查患病率比有健康保险的妇女低26%至39%。与家庭年收入在50，000美元或以上的妇女相比，家庭年收入低于50，000美元的妇女在所有3种筛查类型中的筛查患病率低3%至8%。对于结直肠癌，居住在农村县的妇女的筛查患病率比大都市县的妇女低7%。许多妇女仍然不符合目前USPSTF的乳腺癌、宫颈癌和结直肠癌筛查指南。在社会经济弱势群体中，特别是低收入和没有健康保险的妇女中，筛查差距持续存在。为了提高癌症筛查的普及率并减少差距，干预措施必须侧重于减少经济障碍和改善获得护理的机会。
Many sociodemographic factors affect women’s ability to meet cancer screening guidelines. Our objective was to examine which sociodemographic characteristics were associated with women meeting US Preventive Services Task Force (USPSTF) guidelines for breast, cervical, and colorectal cancer screening. We used 2018 Behavioral Risk Factor Surveillance System data to examine the association between sociodemographic variables, such as race/ethnicity, rurality, education, and insurance status, and self-reported cancer screening for breast, cervical, and colorectal cancer. We used multivariable log-binomial regression models to estimate adjusted prevalence ratios and 95% CIs. Overall, the proportion of women meeting USPSTF guidelines for breast, cervical, and colorectal cancer screening was more than 70%. The prevalence of meeting screening guidelines was 6% to 10% greater among non-Hispanic Black women than among non-Hispanic White women across all 3 types of cancer screening. Women who lacked health insurance had a 26% to 39% lower screening prevalence across screening types than women with health insurance. Compared with women with $50,000 or more in annual household income, women with less than $50,000 in annual household income had a 3% to 8% lower screening prevalence across all 3 screening types. For colorectal cancer, the prevalence of screening was 7% less among women who lived in rural counties than among women in metropolitan counties. Many women still do not meet current USPSTF guidelines for breast, cervical, and colorectal cancer screening. Screening disparities are persistent among socioeconomically disadvantaged groups, especially women with low incomes and without health insurance. To increase the prevalence of cancer screening and reduce disparities, interventions must focus on reducing economic barriers and improving access to care.
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DOI：
10.1111/j.1467-985x.2006.00426.x
发表时间：
2006-01-01
影响因子：
2
作者：
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DOI：
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期刊：
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影响因子：
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影响因子：
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10.1016/s0140-6736(19)33019-3
发表时间：
2020-02-15
期刊：
Lancet (London, England)
影响因子：
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作者：
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DOI：
10.1111/jrh.12202
发表时间：
2017-09
期刊：
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子：
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作者：
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