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Understanding Barriers to Cervical Cancer Screening in Women With Access to Care, Behavioral Risk Factor Surveillance System, 2014


Figure. Percentage of women aged 40 to 65 years with health insurance and a regular health care provider screened for cervical cancer by Papanicolaou (Pap) test, by number of chronic diseases, BRFSS, 2014. Chronic diseases analyzed were heart attack, heart disease, stroke, asthma, chronic obstructive pulmonary disease, arthritis, depression, kidney disease, diabetes, skin cancer, and cancer other than skin. Women who had had a hysterectomy or were pregnant at the time of the survey were excluded. Data were age-adjusted to the 2014 BRFSS population. Screening (once every 3 years) is based on the US Preventive Services Task Force recommendations for cervical cancer screening. Since HPV testing could not be assessed for all 50 states and the District of Columbia, “on time” is based on having had a Pap test within the past 3 years. Never or rarely screened refers to women who ever had a Pap test in more than 5 years to account for the possibility that a woman may have had an HPV test (women aged 30 to 65 years who want to lengthen the screening interval can be screened with a combination of Pap test and HPV test every 5 years). Data for women screened more than 3 years ago but less than 5 years ago are not shown. Abbreviation: BRFSS, Behavioral Risk Factor Surveillance System; HPV, human papilloma virus. 

No. of Chronic Diseases %
Screened on time
None 48.0
1 or 2 42.8
3 or 4 7.9
≥5 1.4
Never/rarely screened
None 36.3
1 or 2 43.4
3 or 4 16.6
≥5 3.8

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Page last reviewed: November 10, 2016