Cancer Screening Test Receipt - United States, 2018
MMWR. Morbidity and Mortality Weekly Report
|January 14, 2021
Summary
Cancer screening saves lives, but many adults are not up to date with recommended screenings. Disparities exist, particularly for uninsured individuals, highlighting the need for improved access to breast, cervical, and colorectal cancer (CRC) screening.
Area of Science:
- Public Health
- Preventive Medicine
- Health Disparities
Background:
- Screening for breast, cervical, and colorectal cancer (CRC) significantly reduces cancer mortality.
- Despite proven benefits, screening test receipt often falls below national targets.
- Existing disparities in screening access affect specific populations.
Purpose of the Study:
- To analyze 2018 National Health Interview Survey (NHIS) data.
- To estimate the percentage of adults meeting U.S. Preventive Services Task Force (USPSTF) screening recommendations.
- To identify disparities in screening test receipt.
Main Methods:
- Analysis of National Health Interview Survey (NHIS) data from 2018.
- Estimation of adherence to USPSTF screening guidelines.
- Examination of screening rates across different demographic and socioeconomic groups.
Main Results:
- Screening test receipt remained below Healthy People 2020 (HP2020) targets for most cancers.
- Colorectal cancer (CRC) screening receipt approached the HP2020 target.
- Significant disparities were observed, with lower screening rates among uninsured individuals and those lacking a usual source of care.
Conclusions:
- Continued monitoring of cancer screening rates is essential.
- Efforts are needed to promote screening and address barriers for underserved populations.
- Reducing disparities can improve overall cancer screening uptake and reduce mortality.
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