Racial/Ethnic Differences Affecting Adherence to Cancer Screening Guidelines Among Women
Race/ethnicity has been shown to modify the effects between obesity and cancer screening among women. The purpose of this article is to update the literature with recent data to examine how the association between different characteristics, including body mass index (BMI), and cancer screening compl...
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| Veröffentlicht in: | Journal of women's health (Larchmont, N.Y. 2002) N.Y. 2002), 2016-04, Vol.25 (4), p.371-380 |
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| creator | Hirth, Jacqueline M Laz, Tabassum Haque Rahman, Mahbubur Berenson, Abbey B |
| description | Race/ethnicity has been shown to modify the effects between obesity and cancer screening among women. The purpose of this article is to update the literature with recent data to examine how the association between different characteristics, including body mass index (BMI), and cancer screening compliance varies by race/ethnicity in a national sample of women.
Three cycles of the Health Information National Trends Survey (HINTS) were combined for this cross-sectional study. Weighted descriptive statistics were evaluated using chi-square tests. Multivariable logistic regression evaluated associations between women with underweight or normal (30) BMIs and cancer screening concordant with guidelines (Papanicolaou [Pap] testing ≤3 years, ages 21+ years; mammography ≤2 years, ages 40+ years) in analyses stratified by race/ethnicity. We also assessed variance between racial/ethnic groups in how age, income, and insurance status were associated with cancer screening compliance.
This study included 4992 women who were evaluated for Pap testing and 3773 for mammography. In analyses stratified by race/ethnicity, whites with a higher household income were more likely to report having a Pap test (adjusted prevalence ratio [aPR] 2.16, 95% confidence interval [95% CI] 1.38-3.40) and a mammogram (aPR 1.63, 95% CI 1.04-2.55) compared to lower income white women. Black women with BMIs between 25 and 30 were less likely to receive a Pap test (aPR 0.38, 95% CI 0.19-0.76) than black women with BMIs |
| doi_str_mv | 10.1089/jwh.2015.5270 |
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Three cycles of the Health Information National Trends Survey (HINTS) were combined for this cross-sectional study. Weighted descriptive statistics were evaluated using chi-square tests. Multivariable logistic regression evaluated associations between women with underweight or normal (<25), overweight (25-29.9), and obese (>30) BMIs and cancer screening concordant with guidelines (Papanicolaou [Pap] testing ≤3 years, ages 21+ years; mammography ≤2 years, ages 40+ years) in analyses stratified by race/ethnicity. We also assessed variance between racial/ethnic groups in how age, income, and insurance status were associated with cancer screening compliance.
This study included 4992 women who were evaluated for Pap testing and 3773 for mammography. In analyses stratified by race/ethnicity, whites with a higher household income were more likely to report having a Pap test (adjusted prevalence ratio [aPR] 2.16, 95% confidence interval [95% CI] 1.38-3.40) and a mammogram (aPR 1.63, 95% CI 1.04-2.55) compared to lower income white women. Black women with BMIs between 25 and 30 were less likely to receive a Pap test (aPR 0.38, 95% CI 0.19-0.76) than black women with BMIs <25, while no association was observed among the other groups. Insurance was associated with increased likelihood of Pap testing among white and black women. Insurance coverage was positively associated with mammography only among white and Hispanic women.
We found variations in adherence to cancer screening guidelines by age, insurance coverage, and income between racial/ethnic groups. Little evidence was observed for variations in screening by BMI.</description><identifier>ISSN: 1540-9996</identifier><identifier>EISSN: 1931-843X</identifier><identifier>DOI: 10.1089/jwh.2015.5270</identifier><identifier>PMID: 26579735</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject><![CDATA[Adult ; Aged ; Aged, 80 and over ; Body Mass Index ; Breast Neoplasms - diagnosis ; Breast Neoplasms - ethnology ; Continental Population Groups - statistics & numerical data ; Cross-Sectional Studies ; Early Detection of Cancer ; Ethnic Groups - statistics & numerical data ; Female ; Guidelines as Topic ; Health Services Accessibility - statistics & numerical data ; Healthcare Disparities ; Humans ; Logistic Models ; Mammography - statistics & numerical data ; Mammography - utilization ; Middle Aged ; Original ; Papanicolaou Test - statistics & numerical data ; Papanicolaou Test - utilization ; Patient Acceptance of Health Care - ethnology ; Patient Acceptance of Health Care - statistics & numerical data ; Prevalence ; United States - epidemiology ; Uterine Cervical Neoplasms - diagnosis ; Uterine Cervical Neoplasms - ethnology ; Vaginal Smears - statistics & numerical data ; Vaginal Smears - utilization ; Young Adult]]></subject><ispartof>Journal of women's health (Larchmont, N.Y. 2002), 2016-04, Vol.25 (4), p.371-380</ispartof><rights>Copyright 2016, Mary Ann Liebert, Inc. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-2e268a68bcd6937ca91057e809b845cfc08106b33a60093ac3fd215461c3f2c63</citedby><cites>FETCH-LOGICAL-c387t-2e268a68bcd6937ca91057e809b845cfc08106b33a60093ac3fd215461c3f2c63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26579735$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hirth, Jacqueline M</creatorcontrib><creatorcontrib>Laz, Tabassum Haque</creatorcontrib><creatorcontrib>Rahman, Mahbubur</creatorcontrib><creatorcontrib>Berenson, Abbey B</creatorcontrib><title>Racial/Ethnic Differences Affecting Adherence to Cancer Screening Guidelines Among Women</title><title>Journal of women's health (Larchmont, N.Y. 2002)</title><addtitle>J Womens Health (Larchmt)</addtitle><description>Race/ethnicity has been shown to modify the effects between obesity and cancer screening among women. The purpose of this article is to update the literature with recent data to examine how the association between different characteristics, including body mass index (BMI), and cancer screening compliance varies by race/ethnicity in a national sample of women.
Three cycles of the Health Information National Trends Survey (HINTS) were combined for this cross-sectional study. Weighted descriptive statistics were evaluated using chi-square tests. Multivariable logistic regression evaluated associations between women with underweight or normal (<25), overweight (25-29.9), and obese (>30) BMIs and cancer screening concordant with guidelines (Papanicolaou [Pap] testing ≤3 years, ages 21+ years; mammography ≤2 years, ages 40+ years) in analyses stratified by race/ethnicity. We also assessed variance between racial/ethnic groups in how age, income, and insurance status were associated with cancer screening compliance.
This study included 4992 women who were evaluated for Pap testing and 3773 for mammography. In analyses stratified by race/ethnicity, whites with a higher household income were more likely to report having a Pap test (adjusted prevalence ratio [aPR] 2.16, 95% confidence interval [95% CI] 1.38-3.40) and a mammogram (aPR 1.63, 95% CI 1.04-2.55) compared to lower income white women. Black women with BMIs between 25 and 30 were less likely to receive a Pap test (aPR 0.38, 95% CI 0.19-0.76) than black women with BMIs <25, while no association was observed among the other groups. Insurance was associated with increased likelihood of Pap testing among white and black women. Insurance coverage was positively associated with mammography only among white and Hispanic women.
We found variations in adherence to cancer screening guidelines by age, insurance coverage, and income between racial/ethnic groups. Little evidence was observed for variations in screening by BMI.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Body Mass Index</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Breast Neoplasms - ethnology</subject><subject>Continental Population Groups - statistics & numerical data</subject><subject>Cross-Sectional Studies</subject><subject>Early Detection of Cancer</subject><subject>Ethnic Groups - statistics & numerical data</subject><subject>Female</subject><subject>Guidelines as Topic</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Healthcare Disparities</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Mammography - statistics & numerical data</subject><subject>Mammography - utilization</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Papanicolaou Test - statistics & numerical data</subject><subject>Papanicolaou Test - utilization</subject><subject>Patient Acceptance of Health Care - ethnology</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Prevalence</subject><subject>United States - epidemiology</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Uterine Cervical Neoplasms - ethnology</subject><subject>Vaginal Smears - statistics & numerical data</subject><subject>Vaginal Smears - utilization</subject><subject>Young Adult</subject><issn>1540-9996</issn><issn>1931-843X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUctOwzAQtBCIlsKRK8qRS1o_Ese-IFWlFKRKSDxEb5bjOK2rxCl2AuLvcdSC4LSj3dnZxwBwieAYQcYn28_NGEOUjlOcwSMwRJygmCVkdRxwmsCYc04H4Mz7LYQYIwhPwQDTNOMZSYdg9SSVkdVk3m6sUdGtKUvttFXaR9MAVWvsOpoWm30yaptoJgNw0bNyWtu-uuhMoStj-5a6CYm3ptb2HJyUsvL64hBH4PVu_jK7j5ePi4fZdBkrwrI2xhpTJinLVUE5yZTkCKaZZpDnLElVqSBDkOaESAohJ1KRssDhLooCwoqSEbjZ6-66vNaF0rZ1shI7Z2rpvkQjjfhfsWYj1s2HSBhJEsaCwPVBwDXvnfatqI1Xuqqk1U3nBcoYSglFKAvUeE9VrvHe6fJ3DIKid0MEN0TvhujdCPyrv7v9sn_eT74B_8-GhA</recordid><startdate>201604</startdate><enddate>201604</enddate><creator>Hirth, Jacqueline M</creator><creator>Laz, Tabassum Haque</creator><creator>Rahman, Mahbubur</creator><creator>Berenson, Abbey B</creator><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201604</creationdate><title>Racial/Ethnic Differences Affecting Adherence to Cancer Screening Guidelines Among Women</title><author>Hirth, Jacqueline M ; Laz, Tabassum Haque ; Rahman, Mahbubur ; Berenson, Abbey B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-2e268a68bcd6937ca91057e809b845cfc08106b33a60093ac3fd215461c3f2c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Body Mass Index</topic><topic>Breast Neoplasms - diagnosis</topic><topic>Breast Neoplasms - ethnology</topic><topic>Continental Population Groups - statistics & numerical data</topic><topic>Cross-Sectional Studies</topic><topic>Early Detection of Cancer</topic><topic>Ethnic Groups - statistics & numerical data</topic><topic>Female</topic><topic>Guidelines as Topic</topic><topic>Health Services Accessibility - statistics & numerical data</topic><topic>Healthcare Disparities</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Mammography - statistics & numerical data</topic><topic>Mammography - utilization</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Papanicolaou Test - statistics & numerical data</topic><topic>Papanicolaou Test - utilization</topic><topic>Patient Acceptance of Health Care - ethnology</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Prevalence</topic><topic>United States - epidemiology</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><topic>Uterine Cervical Neoplasms - ethnology</topic><topic>Vaginal Smears - statistics & numerical data</topic><topic>Vaginal Smears - utilization</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hirth, Jacqueline M</creatorcontrib><creatorcontrib>Laz, Tabassum Haque</creatorcontrib><creatorcontrib>Rahman, Mahbubur</creatorcontrib><creatorcontrib>Berenson, Abbey B</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of women's health (Larchmont, N.Y. 2002)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hirth, Jacqueline M</au><au>Laz, Tabassum Haque</au><au>Rahman, Mahbubur</au><au>Berenson, Abbey B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Racial/Ethnic Differences Affecting Adherence to Cancer Screening Guidelines Among Women</atitle><jtitle>Journal of women's health (Larchmont, N.Y. 2002)</jtitle><addtitle>J Womens Health (Larchmt)</addtitle><date>2016-04</date><risdate>2016</risdate><volume>25</volume><issue>4</issue><spage>371</spage><epage>380</epage><pages>371-380</pages><issn>1540-9996</issn><eissn>1931-843X</eissn><abstract>Race/ethnicity has been shown to modify the effects between obesity and cancer screening among women. The purpose of this article is to update the literature with recent data to examine how the association between different characteristics, including body mass index (BMI), and cancer screening compliance varies by race/ethnicity in a national sample of women.
Three cycles of the Health Information National Trends Survey (HINTS) were combined for this cross-sectional study. Weighted descriptive statistics were evaluated using chi-square tests. Multivariable logistic regression evaluated associations between women with underweight or normal (<25), overweight (25-29.9), and obese (>30) BMIs and cancer screening concordant with guidelines (Papanicolaou [Pap] testing ≤3 years, ages 21+ years; mammography ≤2 years, ages 40+ years) in analyses stratified by race/ethnicity. We also assessed variance between racial/ethnic groups in how age, income, and insurance status were associated with cancer screening compliance.
This study included 4992 women who were evaluated for Pap testing and 3773 for mammography. In analyses stratified by race/ethnicity, whites with a higher household income were more likely to report having a Pap test (adjusted prevalence ratio [aPR] 2.16, 95% confidence interval [95% CI] 1.38-3.40) and a mammogram (aPR 1.63, 95% CI 1.04-2.55) compared to lower income white women. Black women with BMIs between 25 and 30 were less likely to receive a Pap test (aPR 0.38, 95% CI 0.19-0.76) than black women with BMIs <25, while no association was observed among the other groups. Insurance was associated with increased likelihood of Pap testing among white and black women. Insurance coverage was positively associated with mammography only among white and Hispanic women.
We found variations in adherence to cancer screening guidelines by age, insurance coverage, and income between racial/ethnic groups. Little evidence was observed for variations in screening by BMI.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>26579735</pmid><doi>10.1089/jwh.2015.5270</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Body Mass Index Breast Neoplasms - diagnosis Breast Neoplasms - ethnology Continental Population Groups - statistics & numerical data Cross-Sectional Studies Early Detection of Cancer Ethnic Groups - statistics & numerical data Female Guidelines as Topic Health Services Accessibility - statistics & numerical data Healthcare Disparities Humans Logistic Models Mammography - statistics & numerical data Mammography - utilization Middle Aged Original Papanicolaou Test - statistics & numerical data Papanicolaou Test - utilization Patient Acceptance of Health Care - ethnology Patient Acceptance of Health Care - statistics & numerical data Prevalence United States - epidemiology Uterine Cervical Neoplasms - diagnosis Uterine Cervical Neoplasms - ethnology Vaginal Smears - statistics & numerical data Vaginal Smears - utilization Young Adult |
| title | Racial/Ethnic Differences Affecting Adherence to Cancer Screening Guidelines Among Women |
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