Factors Associated with Cervical Cancer Screening for Women in New York State: Analyzing the 2022 NYS BRFSS

Introduction: Cervical cancer remains a significant public health challenge despite being largely preventable through early screening and treatment and is one of the largest causes of cancer-related deaths among women aged 20-39. New York State, with its diverse population, may have unique differences and disparities that can impact cervical cancer screening rates. Methods: Using the 2022 NYS Behavioral Risk Factor Surveillance System, we analyzed data from 3,968 participants. Bivariate analysis and logistic regression assessed the associations between demographic, general health, economic, and health behavior with cervical cancer screening. Results: Among the predictors of screening, we found that younger women were significantly less likely to screen compared with older women (aOR: 2.03; confidence interval [CI]: 1.67-2.46). Disparities were also observed by race (aOR: 1.55; CI: 1.27-1.89), income (aOR: 1.81; CI: 1.33-2.47), as well as type of insurance (aOR: 0.71; CI: 0.56-0.89). Health behaviors, such as having a prior checkup (aOR: 1.42; CI: 1.13-1.79) or flu vaccination (aOR: 1.32; CI: 1.10-1.57), were strongly associated with adherence, whereas personal economic barriers and general health challenges were largely not significant. Discussion: This study highlights health behaviors and engagement with the medical system as a significant predictor, suggesting that promoting trust in health care may enhance screening rates. The study also identified systemic barriers, such as insurance type and provider access, as determinants of cervical cancer screening. Conclusion: Addressing cervical cancer screening disparities in NYS requires interventions that consider behavioral and systemic factors. In particular, emphasizing trust in health care systems. These findings highlight areas of improvement in screening.