Factors Associated With Cervical Cancer Screening in Puerto Rico - Preventing Chronic Disease: May 2010: 09_0123

ORIGINAL RESEARCH
Factors Associated With Cervical Cancer Screening in Puerto Rico

TABLE OF CONTENTS
• Abstract
• Introduction
• Methods
• Results
• Discussion
• Acknowledgments
• Author Information
• References
• Tables

Ana P. Ortiz, PhD, MPH; Sarah Hebl; Ruby Serrano, MS, DrPH; María E. Fernandez, PhD; Erick Suárez, PhD; Guillermo Tortolero-Luna, MD, PhD
Suggested citation for this article: Ortiz AP, Hebl S, Serrano R, Fernandez ME, Suárez E, Tortolero-Luna G. Factors associated with cervical cancer screening in Puerto Rico. Prev Chronic Dis 2010;7(3). http://www.cdc.gov/pcd/issues/2010/may/09_0123.htm. Accessed [date].

Abstract
Introduction
Racial/ethnic disparities in cervical cancer screening exist in the United States; rates are lowest among women who live in Puerto Rico. We identified factors associated with cervical cancer screening among women aged 18 years or older living in Puerto Rico.

Methods
We included women who participated in the Puerto Rico Behavioral Risk Factor Surveillance System in 2006 who had not had a hysterectomy (n = 2,206). We calculated the weighted population prevalence estimates of Papanicolaou (Pap) test screening in the past 3 years and used logistic regression models to assess factors associated with screening.

Results
Most participants (71.9% [95% confidence interval (CI) = 69.4%-74.4%]) reported having had a Pap test in the preceding 3 years. Factors associated with screening in multivariate analysis included routine checkup in the past year and leisure-time physical activity. Compared with women with a household income less than $15,000, those with higher incomes were more likely to have had a Pap test. Similarly, divorced or separated women were more likely to have been screened (odds ratio [OR] = 1.13; 95% CI = 1.12-1.15) than those who were married/living together. We did not find associations between screening behavior and education, health care coverage, body mass index, or smoking status.

Conclusion
The prevalence of cervical cancer screening in Puerto Rico is below the 90% recommendation established by Healthy People 2010. Our findings regarding factors associated with Pap screening behavior identified population subgroups who are underscreened and who may benefit from targeted interventions and screening programs.

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Preventing Chronic Disease: May 2010: 09_0123