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Elizabeth Selvin, MPH and Kate M. Brett, PhD

This analysis was conducted while Elizabeth Selvin was an intern with the Association of Schools of Public Health/Centers for Disease Control and Prevention at the National Center for Health Statistics. Kate M. Brett is with the Office of Analysis, Epidemiology, and Health Promotion, National Center for Health Statistics, Hyattsville, Md.

Correspondence: Requests for reprints should be sent to Elizabeth Selvin, MPH, Johns Hopkins University Bloomberg School of Public Health, 615 N Wolfe St, Box 362, Baltimore, MD, 21205 (e-mail: lselvin{at}jhsph.edu).

Objectives. We evaluated the relationship between breast and cervical cancer screening and a variety of variables across race/ethnicity groups.

Methods. Using logistic regression models, we analyzed data from the 1998 National Health Interview Survey to assess the relative importance of the independent variables in predicting use of cancer screening services.

Results. Having a usual source of care was the most important predictor of cancer screening use for all race/ethnicity groups. Health insurance was associated with an increased likelihood of cancer screening. Smoking was associated with a decreased likelihood of cancer screening.

Conclusions. Regardless of race/ethnicity, most women follow mammography and cervical cancer screening guidelines. The identification of specific factors associated with adherence to cancer screening guidelines may help inform screening campaigns.

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