Persistent Disparities in Pap Test Use: Assessments and Predictions for Asian Women in the U.S., 1982-2010

Overview

Journal J Immigr Minor Health

Publisher Springer

Specialties Public Health
Social Sciences

Date 2009 May 6

PMID 19415491

Citations 12

Authors

Tzy-Chyi Yu

Chiu-Fang Chou

Pamela Jo Johnson

Andrew Ward

Affiliations

Soon will be listed here.

Abstract

Disparities in cancer screening among U.S. women are well documented. However, little is known about Pap test use by Asian women living in the U.S. Data for women, ages 18 and older, living in the U.S. were obtained from National Health Interview Survey (NHIS) files from 1982 to 2005. Outcomes were ever having a Pap test and having a Pap test within the preceding 3 years. Pap test prevalence trends were estimated by race and ethnicity and for Asian subgroups. Fractional logit models were used to predict Pap test use in 2010. Although the rate of having a Pap test within the preceding 3 years increased slightly from 1982 to 2005 for all U.S. women, Asian women continue to have the lowest rate. Pap test use also varied within Asian subpopulations living in the U.S. None of the races and ethnicities are predicted to reach the Pap test targets of Healthy People 2010. To reduce or eliminate continuing disparities in Pap test use requires targeted policy interventions.

Citing Articles

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References

Saraiya M, Ahmed F, Krishnan S, Richards T, Unger E, Lawson H . Cervical cancer incidence in a prevaccine era in the United States, 1998-2002. Obstet Gynecol. 2007; 109(2 Pt 1):360-70. DOI: 10.1097/01.AOG.0000254165.92653.e8. View

Ponce N, Chawla N, Babey S, Gatchell M, Etzioni D, Spencer B . Is there a language divide in pap test use?. Med Care. 2006; 44(11):998-1004. DOI: 10.1097/01.mlr.0000233676.61237.ef. View

Blake D, Weber B, Fletcher K . Adolescent and young adult women's misunderstanding of the term Pap smear. Arch Pediatr Adolesc Med. 2004; 158(10):966-70. DOI: 10.1001/archpedi.158.10.966. View

Pizarro J, Schneider T, Salovey P . A source of error in self-reports of pap test utilization. J Community Health. 2002; 27(5):351-6. DOI: 10.1023/a:1019888627113. View

Keppel K . Ten largest racial and ethnic health disparities in the United States based on Healthy People 2010 Objectives. Am J Epidemiol. 2007; 166(1):97-103. DOI: 10.1093/aje/kwm044. View

Johnson P, Blewett L, Ruggles S, Davern M, King M . Four decades of population health data: the integrated health interview series as an epidemiologic resource. Epidemiology. 2008; 19(6):872-5. PMC: 2605579. DOI: 10.1097/EDE.0b013e318187a7c5. View

Kagawa-Singer M, Pourat N, Breen N, Coughlin S, Abend McLean T, McNeel T . Breast and cervical cancer screening rates of subgroups of Asian American women in California. Med Care Res Rev. 2007; 64(6):706-30. DOI: 10.1177/1077558707304638. View

Fiscella K, Holt K, Meldrum S, Franks P . Disparities in preventive procedures: comparisons of self-report and Medicare claims data. BMC Health Serv Res. 2006; 6:122. PMC: 1592485. DOI: 10.1186/1472-6963-6-122. View

McCracken M, Olsen M, Chen Jr M, Jemal A, Thun M, Cokkinides V . Cancer incidence, mortality, and associated risk factors among Asian Americans of Chinese, Filipino, Vietnamese, Korean, and Japanese ethnicities. CA Cancer J Clin. 2007; 57(4):190-205. DOI: 10.3322/canjclin.57.4.190. View

10.

Newell S, Girgis A, Sanson-Fisher R, Ireland M . Accuracy of patients' recall of Pap and cholesterol screening. Am J Public Health. 2000; 90(9):1431-5. PMC: 1447635. DOI: 10.2105/ajph.90.9.1431. View

11.

Mills P, Yang R, Riordan D . Cancer incidence in the Hmong in California, 1988-2000. Cancer. 2005; 104(12 Suppl):2969-74. DOI: 10.1002/cncr.21525. View

12.

Smith R, Cokkinides V, Eyre H . Cancer screening in the United States, 2007: a review of current guidelines, practices, and prospects. CA Cancer J Clin. 2007; 57(2):90-104. DOI: 10.3322/canjclin.57.2.90. View

13.

Hiatt R, Pasick R, Stewart S, Bloom J, Davis P, Gardiner P . Community-based cancer screening for underserved women: design and baseline findings from the Breast and Cervical Cancer Intervention Study. Prev Med. 2001; 33(3):190-203. DOI: 10.1006/pmed.2001.0871. View

14.

Parkin D, Bray F . Chapter 2: The burden of HPV-related cancers. Vaccine. 2006; 24 Suppl 3:S3/11-25. DOI: 10.1016/j.vaccine.2006.05.111. View

15.

Yang R, Mills P, Riordan D . Cervical cancer among Hmong women in California, 1988 to 2000. Am J Prev Med. 2004; 27(2):132-8. DOI: 10.1016/j.amepre.2004.04.003. View

16.

Solomon D, Breen N, McNeel T . Cervical cancer screening rates in the United States and the potential impact of implementation of screening guidelines. CA Cancer J Clin. 2007; 57(2):105-11. DOI: 10.3322/canjclin.57.2.105. View

17.

Chen Jr M . Cancer health disparities among Asian Americans: what we do and what we need to do. Cancer. 2005; 104(12 Suppl):2895-902. DOI: 10.1002/cncr.21501. View

18.

Chaudhry S, Fink A, Gelberg L, Brook R . Utilization of papanicolaou smears by South Asian women living in the United States. J Gen Intern Med. 2003; 18(5):377-84. PMC: 1494856. DOI: 10.1046/j.1525-1497.2003.20427.x. View

19.

Jemal A, Murray T, Ward E, Samuels A, Tiwari R, Ghafoor A . Cancer statistics, 2005. CA Cancer J Clin. 2005; 55(1):10-30. DOI: 10.3322/canjclin.55.1.10. View

20.

Yu E, Kim K, Chen E, Brintnall R . Breast and cervical cancer screening among Chinese American women. Cancer Pract. 2002; 9(2):81-91. DOI: 10.1046/j.1523-5394.2001.009002081.x. View