HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Calle, E E Articles by Martin, L M Search for Related Content PubMed PubMed Citation Articles by Calle, E E Articles by Martin, L M

Demographic predictors of mammography and Pap smear screening in US women.

E E Calle, W D Flanders, M J Thun and L M Martin

American Cancer Society, Atlanta, GA 30329.

OBJECTIVES. Proven screening technologies exist for both breast and cervical cancer, but they are underused by many women. We sought to evaluate the effect of demographic characteristics on the underuse of mammography and Pap smear screening. METHODS. We analyzed responses from 12,252 women who participated in the 1987 National Health Interview Survey Cancer Control Supplement. Demographic profiles were produced to target severely underserved groups of women. RESULTS. Low income was a strong predictor of mammography underuse, as was Hispanic ethnicity and other race, low educational attainment, age greater than 65, and residence in a rural area. A strong predictor of never having had a Pap smear was never having been married; however, the importance of this characteristic is difficult to interpret in the absence of data on sexual activity. Hispanic women and women of other races of all ages and all income levels underused Pap smear screening, as did older women, particularly older Black women. CONCLUSIONS. The tendency of women to underuse screening technologies varies greatly across levels of basic demographic characteristics. The importance of these characteristics differs for mammography screening versus Pap smear screening.

This article has been cited by other articles:

				E. Kobetz, J. Menard, B. Barton, L. Pierre, J. Diem, and P. D. Auguste Patne en Aksyon: Addressing Cancer Disparities in Little Haiti Through Research and Social Action Am J Public Health, July 1, 2009; 99(7): 1163 - 1165. [Abstract] [Full Text] [PDF]

				G. M. Leung, P. P. S. Woo, B. J. Cowling, C. S. H. Tsang, A. N. Y. Cheung, H. Y. S. Ngan, K. Galbraith, and T.-H. Lam Who receives, benefits from and is harmed by cervical and breast cancer screening among Hong Kong Chinese? J. Public Health Med., September 1, 2008; 30(3): 282 - 292. [Abstract] [Full Text] [PDF]

				R. Otero-Sabogal, S. Stewart, S. J. Shema, and R. J. Pasick Ethnic Differences in Decisional Balance and Stages of Mammography Adoption Health Educ Behav, April 1, 2007; 34(2): 278 - 296. [Abstract] [PDF]

				M. S. Wolf, K. A. Fitzner, E. F. Powell, K. R. McCaffrey, A. S. Pickard, J. M. McKoy, J. Lindenberg, G. T. Schumock, K. R. Carson, M. R. Ferreira, et al. Costs and Cost Effectiveness of a Health Care Provider-Directed Intervention to Promote Colorectal Cancer Screening Among Veterans J. Clin. Oncol., December 1, 2005; 23(34): 8877 - 8883. [Abstract] [Full Text] [PDF]

				L. L. Lipscombe, J. E. Hux, and G. L. Booth Reduced Screening Mammography Among Women With Diabetes Arch Intern Med, October 10, 2005; 165(18): 2090 - 2095. [Abstract] [Full Text] [PDF]

				R. C. Palmer, M. E. Fernandez, G. Tortolero-Luna, A. Gonzales, and P. D. Mullen Correlates of Mammography Screening Among Hispanic Women Living in Lower Rio Grande Valley Farmworker Communities Health Educ Behav, August 1, 2005; 32(4): 488 - 503. [Abstract] [PDF]

				M. A. Rodriguez, L. M. Ward, and E. J. Perez-Stable Breast and Cervical Cancer Screening: Impact of Health Insurance Status, Ethnicity, and Nativity of Latinas Ann. Fam. Med, May 1, 2005; 3(3): 235 - 241. [Abstract] [Full Text] [PDF]

				R. G. Roetzheim, L. K. Christman, P. B. Jacobsen, J. Schroeder, R. Abdulla, and S. Hunter Long-term Results From a Randomized Controlled Trial to Increase Cancer Screening Among Attendees of Community Health Centers Ann. Fam. Med, March 1, 2005; 3(2): 109 - 114. [Abstract] [Full Text] [PDF]

				A. F. Abraido-Lanza, M. T. Chao, and M. D. Gammon Breast and Cervical Cancer Screening Among Latinas and Non-Latina Whites Am J Public Health, August 1, 2004; 94(8): 1393 - 1398. [Abstract] [Full Text] [PDF]

				R. G. Roetzheim, L. K. Christman, P. B. Jacobsen, A. B. Cantor, J. Schroeder, R. Abdulla, S. Hunter, T. N. Chirikos, and J. P. Krischer A Randomized Controlled Trial to Increase Cancer Screening Among Attendees of Community Health Centers Ann. Fam. Med, July 1, 2004; 2(4): 294 - 300. [Abstract] [Full Text] [PDF]

				P. Fox, P. Arnsberger, D. Owens, B. Nussey, X. Zhang, J. M. Golding, F. Tabnak, and R. Otero-Sabogal Patient and Clinical Site Factors Associated With Rescreening Behavior Among Older Multiethnic, Low-Income Women Gerontologist, February 1, 2004; 44(1): 76 - 84. [Abstract] [Full Text] [PDF]

				K. R. Yabroff, P. Mangan, and J. Mandelblatt Effectiveness of Interventions to Increase Papanicolaou Smear Use J Am Board Fam Med, May 1, 2003; 16(3): 188 - 203. [Abstract] [Full Text] [PDF]

				R. A. Hiatt, C. Klabunde, N. Breen, J. Swan, and R. Ballard-Barbash Cancer Screening Practices From National Health Interview Surveys: Past, Present, and Future J Natl Cancer Inst, December 18, 2002; 94(24): 1837 - 1846. [Abstract] [Full Text] [PDF]

				J. A. Earp, E. Eng, M. S. O'Malley, M. Altpeter, G. Rauscher, L. Mayne, H. F. Mathews, K. S. Lynch, and B. Qaqish Increasing Use of Mammography Among Older, Rural African American Women: Results From a Community Trial Am J Public Health, April 1, 2002; 92(4): 646 - 654. [Abstract] [Full Text] [PDF]

				J. Legler, H. I. Meissner, C. Coyne, N. Breen, V. Chollette, and B. K. Rimer The Effectiveness of Interventions To Promote Mammography among Women with Historically Lower Rates of Screening Cancer Epidemiol. Biomarkers Prev., January 1, 2002; 11(1): 59 - 71. [Abstract] [Full Text]

				N. Breen, D. K. Wagener, M. L. Brown, W. W. Davis, and R. Ballard-Barbash Progress in Cancer Screening Over a Decade: Results of Cancer Screening From the 1987, 1992, and 1998 National Health Interview Surveys J Natl Cancer Inst, November 21, 2001; 93(22): 1704 - 1713. [Abstract] [Full Text] [PDF]

				J. M. Murabito, J. C. Evans, M. G. Larson, B. E. Kreger, G. L. Splansky, K. M. Freund, M. A. Moskowitz, and P. W. F. Wilson Family Breast Cancer History and Mammography: Framingham Offspring Study Am. J. Epidemiol., November 15, 2001; 154(10): 916 - 923. [Abstract] [Full Text] [PDF]

				K. Puschel, B. Thompson, G. D. Coronado, L. C. Lopez, and A. M. Kimball Factors Related to Cancer Screening in Hispanics: A Comparison of the Perceptions of Hispanic Community Members, Health Care Providers, and Representatives of Organizations that Serve Hispanics Health Educ Behav, October 1, 2001; 28(5): 573 - 590. [Abstract] [PDF]

				S. Fraser, C. Bunce, R. Wormald, and E. Brunner Deprivation and late presentation of glaucoma: case-control study BMJ, March 17, 2001; 322(7287): 639 - 643. [Abstract] [Full Text]

				C. J. Maxwell, C. M. Bancej, and J. Snider Predictors of mammography use among Canadian women aged 50-69: findings from the 1996/97 National Population Health Survey Can. Med. Assoc. J., February 1, 2001; 164(3): 329 - 334. [Abstract] [Full Text] [PDF]

				J. M. Ferrante, E. C. Gonzalez, R. G. Roetzheim, N. Pal, and L. Woodard Clinical and Demographic Predictors of Late-Stage Cervical Cancer Arch Fam Med, May 1, 2000; 9(5): 439 - 445. [Abstract] [Full Text] [PDF]

				S. H. Taplin, W. E. Barlow, E. Ludman, R. MacLehos, D. M. Meyer, D. Seger, D. Herta, C. Chin, and S. Curry Testing Reminder and Motivational Telephone Calls to Increase Screening Mammography: a Randomized Study J Natl Cancer Inst, February 2, 2000; 92(3): 233 - 242. [Abstract] [Full Text] [PDF]

				K. Fiscella and P. Franks Influence of Patient Education on Profiles of Physician Practices Ann Intern Med, November 16, 1999; 131(10): 745 - 751. [Abstract] [Full Text] [PDF]

				S. Fraser, C. Bunce, and R. Wormald Risk Factors for Late Presentation in Chronic Glaucoma Invest. Ophthalmol. Vis. Sci., September 1, 1999; 40(10): 2251 - 2257. [Abstract] [Full Text] [PDF]

				M. L. Burman, S. H. Taplin, D. F. Herta, and J. G. Elmore Effect of False-Positive Mammograms on Interval Breast Cancer Screening in a Health Maintenance Organization Ann Intern Med, July 6, 1999; 131(1): 1 - 6. [Abstract] [Full Text] [PDF]

				B. I. Graubard and E. L. Korn Analyzing Health Surveys for Cancer-Related Objectives J Natl Cancer Inst, June 16, 1999; 91(12): 1005 - 1016. [Abstract] [Full Text] [PDF]

				J. Melnikow and J. Nuovo Reducing Mortality Due to Cervical Cancer: PAPNET Fails the Test Arch Fam Med, January 1, 1999; 8(1): 56 - 57. [Full Text] [PDF]

				J. D. Allen, G. Sorensen, A. M. Stoddard, G. Colditz, and K. Peterson Intention to Have a Mammogram in the Future Among Women Who Have Underused Mammography in the Past Health Educ Behav, August 1, 1998; 25(4): 474 - 488. [Abstract] [PDF]

				A. M Pollock and N. Vickers Deprivation and emergency admissions for cancers of colorectum, lung, and breast in south east England: ecological study BMJ, July 25, 1998; 317(7153): 245 - 252. [Abstract] [Full Text]

				L. J. Cardozo, J. Steinberg, M. B. Lepczyk, L. Binns-Emerick, Y. Cardozo, and A. N. F. Aranha Improving Preventive Health Care in a Medical Resident Practice Arch Intern Med, February 9, 1998; 158(3): 261 - 264. [Abstract] [Full Text] [PDF]

				B. E. Weber and B. M. Reilly Enhancing Mammography Use in the Inner City: A Randomized Trial of Intensive Case Management Arch Intern Med, November 10, 1997; 157(20): 2345 - 2349. [Abstract] [PDF]

				N. W. Persky and R. Burack Predictors of Mammography Use in the Past Year among Elderly Women J Aging Health, August 1, 1997; 9(3): 334 - 354. [Abstract] [PDF]

				A. S. O'Malley, J. Mandelblatt, K. Gold, K. A. Cagney, and J. Kerner Continuity of Care and the Use of Breast and Cervical Cancer Screening Services in a Multiethnic Community Arch Intern Med, July 14, 1997; 157(13): 1462 - 1470. [Abstract] [PDF]

				The National Cancer Institute Cancer Screening Con Breast and Cervical Cancer Screening Among Underserved Women: Baseline Survey Results From Six States Arch Fam Med, July 1, 1995; 4(7): 617 - 624. [Abstract] [PDF]

				W. J. Hueston, E. Spencer, and R. Kuehn Differences in the Frequency of Cholesterol Screening in Patients With Medicaid Compared With Private Insurance Arch Fam Med, April 1, 1995; 4(4): 331 - 334. [Abstract] [PDF]

				L. R. Chavez, F. A. Hubbell, J. M. McMullin, R. G. Martinez, and S. I. Mishra Understanding Knowledge and Attitudes About Breast Cancer: A Cultural Analysis Arch Fam Med, February 1, 1995; 4(2): 145 - 152. [Abstract] [PDF]

				A. G. Mainous III, R. A. Neill, and S. C. Matheny Frequency of Human Immunodeficiency Virus Testing Among Rural US Residents and Why It Is Done Arch Fam Med, January 1, 1995; 4(1): 41 - 45. [Abstract] [PDF]

				S. J. Katz and T. P. Hofer Socioeconomic Disparities in Preventive Care Persist Despite Universal Coverage: Breast and Cervical Cancer Screening in Ontario and the United States JAMA, August 17, 1994; 272(7): 530 - 534. [Abstract] [PDF]

				W. J. Hueston and M. A. Stiles The Papanicolaou Smear as a Sentinel Screening Test for Health Screening in Women Arch Intern Med, July 11, 1994; 154(13): 1473 - 1477. [Abstract] [PDF]