Sociodemographic and behavioral determinants of cervical cancer screening among adult women in the United States.

Authors' Affiliations

Emmanuel Angmorteh Mensah, Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, Johnson City, TN. Ibrahim Boateng, Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, Johnson City, TN. Fatmata Bintu Koroma, Department of Community and Behavioral Health, College of Public Health, East Tennessee State University, Johnson City, TN. Rita Chiamaka Nwajiugo, Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, Johnson City, TN. Emeka Stanley Obi, Department of Health Service Management and Policy, College of Public Health, East Tennessee State University, Johnson City, TN. Mercy Oluwaseun Itopa, Department of Health Service Management and Policy, College of Public Health, East Tennessee State University, Johnson City, TN.

Location

D.P. Culp Center Ballroom

Start Date

4-5-2024 9:00 AM

End Date

4-5-2024 11:30 AM

Poster Number

18

Name of Project's Faculty Sponsor

Shimin Zheng

Faculty Sponsor's Department

Biostatistics and Epidemiology

Classification of First Author

Graduate Student-Master’s

Competition Type

Competitive

Type

Poster Presentation

Presentation Category

Health

Abstract or Artist's Statement

Introduction: Cervical cancer poses a significant burden on women worldwide, with particularly devastating impacts in developing nations, despite the availability of established prevention methods. The primary objectives of cervical cancer screening are to prevent and detect the disease at its early stages, thereby enhancing the overall quality and duration of women's lives. Various factors, including socioeconomic status, healthcare accessibility, cultural norms, and health policy initiatives, influence the uptake of cervical cancer screening practices in the United States. Annually, approximately 11,500 new cases of cervical cancer are diagnosed among women in the United States, leading to 4,200 premature deaths. This translates to seven new cases and two fatalities per 100,000 women. In Tennessee alone, around 250 cases of cervical cancer are reported each year. It is, therefore, imperative to look at the possible cervical cancer screening associated factors among women aged 18 years and above in the US. Methods: The 2022 behavioral risk factor surveillance system data was analyzed. Descriptive statistics for all the variables were obtained, and chi-square analysis was performed to establish associations between predictor factors and the outcome variable. The predictor factors that were associated with cervical cancer screening were then modelled in a complex survey bivariate and multivariate logistic regressions at 95% confidence intervals, and the P value was set at 0.05. Results: There were 199,499 respondents in total. Among the respondents, 59.73% had previously undergone cervical cancer screening and 40.27% had never undergone screening. From the final adjusted model, the determinant of cervical cancer screening includes aged of 65 and above, divorced or widowed marital status, education, black race, and income. Alcohol use and smoking were also determinants of screening. The odds of screening among women aged 65 years or more was 30% [aOR = 0.70, C. I (0.61-0.80)] lower compared to 18 -44 years. Compared with married individuals, divorced/widowed individuals were found to have 13% greater odds of screening [aOR =1.13, C. I (1.01-1.26)]. The odds of cervical cancer screening increases with a high school diploma attainment and above and respondents with a college degree [aOR =1.56, C. I (1.24 – 1.97)] had the highest odds. With reference to white, black people had 54% lower odds of screening [aOR =0.46, C. I (0.32 – 0.67)]. In comparison to low income, high income, earners had a lower odd of screening [aOR =0.76 (0.65 – 0.87)]. With reference to bad general health, the respondents with good general health had reduced odds of screening [aOR =0.60 (0.53 – 0.66)]. Smoking increased the odds of screening by 25% [aOR =1.25 (1.14 – 1.37)], while alcohol use decreased the odds of screening by 14% [aOR =0.86 (0.79 – 0.95)]. In conclusion, cervical cancer screening plays a vital role in preventive healthcare, significantly reducing the disease's incidence. Nonetheless, disparities persist in screening utilization, largely influenced by socioeconomic, cultural, and healthcare-related factors. To mitigate these inequities and alleviate the burden of cervical cancer across various communities in the United States, it is imperative to address these variables through targeted interventions, policy initiatives, and community engagement endeavors.

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Apr 5th, 9:00 AM Apr 5th, 11:30 AM

Sociodemographic and behavioral determinants of cervical cancer screening among adult women in the United States.

D.P. Culp Center Ballroom

Introduction: Cervical cancer poses a significant burden on women worldwide, with particularly devastating impacts in developing nations, despite the availability of established prevention methods. The primary objectives of cervical cancer screening are to prevent and detect the disease at its early stages, thereby enhancing the overall quality and duration of women's lives. Various factors, including socioeconomic status, healthcare accessibility, cultural norms, and health policy initiatives, influence the uptake of cervical cancer screening practices in the United States. Annually, approximately 11,500 new cases of cervical cancer are diagnosed among women in the United States, leading to 4,200 premature deaths. This translates to seven new cases and two fatalities per 100,000 women. In Tennessee alone, around 250 cases of cervical cancer are reported each year. It is, therefore, imperative to look at the possible cervical cancer screening associated factors among women aged 18 years and above in the US. Methods: The 2022 behavioral risk factor surveillance system data was analyzed. Descriptive statistics for all the variables were obtained, and chi-square analysis was performed to establish associations between predictor factors and the outcome variable. The predictor factors that were associated with cervical cancer screening were then modelled in a complex survey bivariate and multivariate logistic regressions at 95% confidence intervals, and the P value was set at 0.05. Results: There were 199,499 respondents in total. Among the respondents, 59.73% had previously undergone cervical cancer screening and 40.27% had never undergone screening. From the final adjusted model, the determinant of cervical cancer screening includes aged of 65 and above, divorced or widowed marital status, education, black race, and income. Alcohol use and smoking were also determinants of screening. The odds of screening among women aged 65 years or more was 30% [aOR = 0.70, C. I (0.61-0.80)] lower compared to 18 -44 years. Compared with married individuals, divorced/widowed individuals were found to have 13% greater odds of screening [aOR =1.13, C. I (1.01-1.26)]. The odds of cervical cancer screening increases with a high school diploma attainment and above and respondents with a college degree [aOR =1.56, C. I (1.24 – 1.97)] had the highest odds. With reference to white, black people had 54% lower odds of screening [aOR =0.46, C. I (0.32 – 0.67)]. In comparison to low income, high income, earners had a lower odd of screening [aOR =0.76 (0.65 – 0.87)]. With reference to bad general health, the respondents with good general health had reduced odds of screening [aOR =0.60 (0.53 – 0.66)]. Smoking increased the odds of screening by 25% [aOR =1.25 (1.14 – 1.37)], while alcohol use decreased the odds of screening by 14% [aOR =0.86 (0.79 – 0.95)]. In conclusion, cervical cancer screening plays a vital role in preventive healthcare, significantly reducing the disease's incidence. Nonetheless, disparities persist in screening utilization, largely influenced by socioeconomic, cultural, and healthcare-related factors. To mitigate these inequities and alleviate the burden of cervical cancer across various communities in the United States, it is imperative to address these variables through targeted interventions, policy initiatives, and community engagement endeavors.