Breast and cervical cancer screening: sociodemographic predictors among White, Black, and Hispanic women

Am J Public Health. 2003 Apr;93(4):618-23. doi: 10.2105/ajph.93.4.618.


Objectives: We evaluated the relationship between breast and cervical cancer screening and a variety of variables across race/ethnicity groups.

Methods: Using logistic regression models, we analyzed data from the 1998 National Health Interview Survey to assess the relative importance of the independent variables in predicting use of cancer screening services.

Results: Having a usual source of care was the most important predictor of cancer screening use for all race/ethnicity groups. Health insurance was associated with an increased likelihood of cancer screening. Smoking was associated with a decreased likelihood of cancer screening.

Conclusions: Regardless of race/ethnicity, most women follow mammography and cervical cancer screening guidelines. The identification of specific factors associated with adherence to cancer screening guidelines may help inform screening campaigns.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • African Americans / statistics & numerical data*
  • Breast Neoplasms / diagnosis*
  • Breast Neoplasms / ethnology
  • Female
  • Health Care Surveys
  • Hispanic or Latino / statistics & numerical data*
  • Humans
  • Mammography / statistics & numerical data
  • Mass Screening / statistics & numerical data*
  • Middle Aged
  • Patient Acceptance of Health Care / ethnology*
  • United States
  • Uterine Cervical Neoplasms / diagnosis*
  • Uterine Cervical Neoplasms / ethnology
  • Vaginal Smears / statistics & numerical data
  • Whites / statistics & numerical data*
  • Women's Health