Sociodemographic and health-related determinants of breast and cervical cancer screening behavior, 2005

• Published in: Journal of obstetric, gynecologic, and neonatal nursing Vol. 37; no. 1; p. 51
• Main Authors: Welch, Cindy, Miller, Carl W, James, Nadine T
• Format: Journal Article
• Language: English
• Published: United States 01-01-2008
• Subjects: Adult; Aged; Attitude to Health; Behavioral Risk Factor Surveillance System; Breast Neoplasms - diagnosis; Breast Neoplasms - prevention & control; Confidence Intervals; Female; Health Behavior; Humans; Mass Screening - statistics & numerical data; Middle Aged; Odds Ratio; Patient Acceptance of Health Care - statistics & numerical data; Risk Assessment; Socioeconomic Factors; United States - epidemiology; Uterine Cervical Neoplasms - diagnosis; Uterine Cervical Neoplasms - prevention & control; Women's Health; United States
• ISSN: 0884-2175
• DOI: 10.1111/j.1552-6909.2007.00190.x

To identify sociodemographic and health-related determinants of Breast and Cervical Cancer Screening behaviors and evaluate progress toward Healthy People 2010 cancer-related objectives.
The Behavioral Risk Factor Surveillance System 2005 data served as the numerical predicate for identifying or validating sociodemographic and health-related quality of life predictors, or both, and for determining any relative progress.
Eleven U.S. states (n = 27,625 women).
Determinants of Breast and Cervical Cancer Screening and assessment of progress toward Healthy People 2010 objectives 3-11 and 3-13.
Nine significant predictors of annual Breast and Cervical Cancer Screening (reported as odds ratios) were identified through regression analysis: adequate health care coverage, nonsmoking, age between 40 and 64 years, age greater than or equal to 65 years, no activity limitations, Black, non-Hispanic race, income greater than or equal to $35K, current exercise performance, and no risk for high blood cholesterol. Also, Healthy People 2010 objective 3-11 was not met; however, objective 3-13 was exceeded by 2.0%.
The national health initiatives appear to benefit select American women (overall declining mortality rates from breast and cervical cancer); however, there seems to be a negative economy of scale with respect to age-as age increases, Breast and Cervical Cancer Screening declines and morbidity/mortality increases. Given this disparity, as of 2005, related Healthy People 2010 objectives remain unrealized.