Cervical cancer screening of underserved women in the United States: results from the National Breast and Cervical Cancer Early Detection Program, 1997-2012.
Cervical cancer screening of underserved women in the United States: results from the National Breast and Cervical Cancer Early Detection Program, 1997-2012.
复制标题
宫颈癌筛查美国服务不足的妇女：国家乳腺癌和宫颈癌早期检测计划的结果，1997- 2012年。
DOI：
10.1007/s10552-015-0524-5
复制
发表时间：
2015-05
影响因子：
2.3
通讯作者：
Hall, Ingrid J.
中科院分区：
文献类型：
--
作者：
Tangka, Florence K. L.;Howard, David H.;Royalty, Janet;Dalzell, Lucinda P.;Miller, Jacqueline;O'Hara, Brett J.;Sabatino, Susan A.;Joseph, Kristy;Kenney, Kristy;Guy, Gery P., Jr.;Hall, Ingrid J.
关键词：
国家乳腺癌和宫颈癌早期检测计划（NBCCEDP）为低收入、无保险和保险不足的妇女提供乳腺癌和宫颈癌筛查。我们描述了1997-2012年期间有资格接受宫颈癌筛查服务的妇女人数和比例，以及有资格接受筛查的妇女比例。低收入、无保险和保险不足的18-64岁没有子宫切除术的妇女有资格通过NBCCEDP进行宫颈癌筛查。我们使用美国人口普查局的数据估计了低收入、无保险女性的数量。我们使用全国健康访谈调查和行为风险因素监测系统调整了我们对子宫切除状况的估计。我们使用来自NBCCEDP的数据来描述接受NBCCEDP资助的筛查的妇女人数，并计算通过NBCCEDP在国家一级（按年龄组、种族/民族）和州一级按年龄组接受筛查的合格妇女的比例。我们使用医疗支出小组调查来估计在NBCCEDP之外接受筛查的符合NBCCEDP条件的妇女的比例和未接受筛查的比例。我们估计，在2010-2012年，有705,970名18-64岁的妇女，6.5%（980万人中的705,970人）接受了国家妇幼保健和发展计划资助的巴氏试验。我们估计60.2%的18-64岁符合条件的女性在NBCCEDP之外接受了筛查，33.3%的女性没有接受筛查。NBCCEDP为40-64岁的妇女提供了623,603个银幕，估计占合格人口的16.5%，为18-39岁的妇女提供了83,660个银幕，估计占合格人口的1.2%。在18-64岁和40-64岁年龄组中，每个州接受筛查的合格妇女的估计比例分别为1.5%至32.7%和5%至73.2%。在研究期间，合格女性筛查比例的变化不显著。尽管该项目在2010年至2012年期间为70多万名女性提供了子宫颈检查，但它只服务了一小部分符合条件的女性。接受筛查的妇女比例在不同年龄组、种族/民族群体和州之间有很大差异。许多低收入、无保险的妇女没有接受筛查。
The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides breast and cervical cancer screens to low-income, uninsured, and underinsured women. We describe the number and proportion of women eligible for cervical cancer screening services and the proportion of eligible women screened over the period 1997–2012. Low-income, uninsured, and underinsured women aged 18–64 years who have not had a hysterectomy are eligible for cervical cancer screening through the NBCCEDP. We estimated the number of low-income, uninsured women using data from the US Census Bureau. We adjusted our estimates for hysterectomy status using the National Health Interview Survey and the Behavioral Risk Factor Surveillance System. We used data from the NBCCEDP to describe the number of women receiving NBCCEDP-funded screening and calculated the proportion of eligible women who received screening through the NBCCEDP at the national level (by age group, race/ethnicity) and at the state level by age group. We used the Medical Expenditure Panel Survey to estimate the proportion of NBCCEDP-eligible women who were screened outside the NBCCEDP and the proportion that are not screened. We estimate that in 2010–2012, 705,970 women aged 18–64 years, 6.5 % (705,970 of 9.8 million) of the eligible population, received NBCCEDP-funded Pap tests. We estimate that 60.2 % of eligible women aged 18–64 years were screened outside the NBCCEDP and 33.3 % were not screened. The NBCCEDP provided 623,603 screens to women aged 40–64 years, an estimated 16.5 % of the eligible population, and 83,660 screens to women aged 18–39 years, representing an estimated 1.2 % of the eligible population. The estimated proportions of eligible women screened in each state ranged from 1.5 to 32.7 % and 5 % to 73.2 % among the 18–64 and 40–64 years age groups, respectively. Changes in the proportion of eligible women screened over the study period were nonsignificant. Although the program provided cervical screening to over 700,000 women between 2010 and 2012, it served a small percent of those eligible. The proportion of women screened varied substantially across age groups, racial/ethnic groups, and states. Many low-income, uninsured women are not being screened.
登录
查看更多内容
影响因子：
5.5
作者：
Song, L;Fletcher, R
通讯作者：
Fletcher, R
DOI：
10.1177/0046958013513679
发表时间：
2013-05-01
影响因子：
1.7
作者：
Pascale, Joanne;Rodean, Jonathan;Schoua-Glusberg, Alisu
通讯作者：
Schoua-Glusberg, Alisu
影响因子：
3.5
作者：
Henry, Kevin A.;McDonald, Kaila;Stroup, Antoinette M.
通讯作者：
Stroup, Antoinette M.
影响因子：
5.5
作者：
Brown ML;Klabunde CN;Cronin KA;White MC;Richardson LC;McNeel TS
通讯作者：
McNeel TS
影响因子：
6.2
作者：
Miller, Jacqueline W.;Plescia, Marcus;Ekwueme, Donatus U.
通讯作者：
Ekwueme, Donatus U.