Cervical Cancer Screening Rates Among Rural and Urban Females, From 2019 to 2022
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View abstract on PubMed
Summary
This summary is machine-generated.Papanicolaou testing rates declined from 2019 to 2022, with rural women experiencing significantly lower screening rates. Targeted interventions are needed to improve access for rural populations and prevent cervical cancer.
Area Of Science
- Public Health
- Epidemiology
- Cancer Screening
Background
- Papanicolaou (Pap) testing rates have not been extensively studied nationally from pre-pandemic (2019) through the COVID-19 pandemic (2022).
- Rural females historically exhibit lower cervical cancer screening rates compared to urban counterparts, raising concerns about disparities.
Purpose Of The Study
- To analyze the trends in Papanicolaou testing receipt within the past year among US females.
- To compare screening rates between rural and urban female populations in 2019, 2020, and 2022.
Main Methods
- A repeated cross-sectional study utilizing data from the Health Information National Trends Survey (HINTS) from 2019, 2020, and 2022.
- Analysis included females aged 21-65, excluding those not due for screening based on prior test dates.
- Exposure variables included survey year and rural/urban residence.
Main Results
- In 2022, Papanicolaou testing rates were significantly lower in rural areas (48.6%) compared to urban areas (64.0%).
- Adjusted analysis revealed a significant decrease in past-year Papanicolaou testing in 2022 compared to 2019 (OR, 0.70; P=.02).
Conclusions
- Papanicolaou testing rates decreased between 2019 and 2022, highlighting a need to enhance screening access to mitigate potential increases in cervical cancer.
- Observed rural-urban disparities in 2022 necessitate focused screening initiatives targeting rural female populations.
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