Abstract
Background: Pap testing has decreased cervical cancer incidence in the United States. However, persons of African descent are disproportionately burdened and experience worse health outcomes due to underutilization of screening services.
Purpose: Identify and compare the prevalence of Pap smear testing among African-American (AA), African immigrant (AI) and Afro-Caribbean (AC) women living in the United States.
Methods: A retrospective study was conducted using the 2010-2014 National Health Interview Survey data. Females of African descent, aged of 21-65, categorized into the 3 subgroups were included. We analyzed the prevalence of ever receiving Pap test and performed multivariate logistic regression to compare the likelihood of Pap testing among the 3 groups.
Results: Total of 3,740 respondents comprising 3,373 (90%) AA, 163 (4%) AI and 204 (6%) AC. 92% of AA reported Pap testing in the past, compared to 86% AC and 68% AI. After adjusting for age, marital status, insurance, education and income, the odds of Pap testing were 86% lower among AI [OR: 0.14,] and 56% lower among AC women [OR: 0.44] than AA.
Conclusion: This study highlights importance of addressing cancer screening needs of each subgroup separately. Studies on the impact of culture on the subgroups' screening behaviors are needed.
Note: This abstract was not presented at the conference.
Citation Format: Joycelyn Cudjoe. Cervical cancer screening among Blacks: A comparative analysis from the 2010-2014 National Health Interview Surveys [abstract]. In: Proceedings of the Eleventh AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2018 Nov 2-5; New Orleans, LA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl):Abstract nr B093.
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