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Demographic predictors of mammography and Pap smear screening in US women

Author

Listed:
  • Calle, E.E.
  • Flanders, W.D.
  • Thun, M.J.
  • Martin, L.M.

Abstract

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.

Suggested Citation

  • Calle, E.E. & Flanders, W.D. & Thun, M.J. & Martin, L.M., 1993. "Demographic predictors of mammography and Pap smear screening in US women," American Journal of Public Health, American Public Health Association, vol. 83(1), pages 53-60.
    • Handle: RePEc:aph:ajpbhl:1993:83:1:53-60_5
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    Cited by:

    1. Dean, Lorraine & Subramanian, S.V. & Williams, David R. & Armstrong, Katrina & Charles, Camille Zubrinsky & Kawachi, Ichiro, 2014. "The role of social capital in African–American women's use of mammography," Social Science & Medicine, Elsevier, vol. 104(C), pages 148-156.
    2. David JT Campbell & Paul E Ronksley & Braden J Manns & Marcello Tonelli & Claudia Sanmartin & Robert G Weaver & Deirdre Hennessy & Kathryn King-Shier & Tavis Campbell & Brenda R Hemmelgarn & for the I, 2014. "The Association of Income with Health Behavior Change and Disease Monitoring among Patients with Chronic Disease," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-8, April.
    3. Sovinsky, Michelle & Stern, Steven & Michel, Chloé, 2019. "Value of Risky Lifestyle Choices," CEPR Discussion Papers 13537, C.E.P.R. Discussion Papers.
    4. Malin Kjellén & My Euler-Chelpin, 2010. "Socioeconomic status as determinant for participation in mammography screening: assessing the difference between using women’s own versus their partner’s," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 55(3), pages 209-215, June.
    5. Phyllis Dako-Gyeke & Adolphina Addoley Addo-Lartey & Deda Ogum Alangea & Yandisa Sikweyiya & Esnat Dorothy Chirwa & Dorcas Coker-Appiah & Rachel Jewkes & Richard Mawuena Kofi Adanu, 2019. "'Small small quarrels bring about happiness or love in the relationships’: Exploring community perceptions and gendered norms contributing to male perpetrated intimate partner violence in the Central ," PLOS ONE, Public Library of Science, vol. 14(11), pages 1-22, November.

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