The Role of Family History of Cancer on Cervical Cancer Screening Behavior in a Population-based Survey of Women in the Southeastern United States

Abstract Background Our objective was to determine the association of self-reported family history of cancer (FHC) on cervical cancer screening to inform a potential link with cancer preventive behaviors in a region with persistent cancer disparities. Methods Self-reported FHC, Pap test behavior, an...

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Bibliographic Details
Published in:Women's health issues 2013-07, Vol.23 (4), p.e197-e204
Main Authors: Bellinger, Jessica D., PhD, Brandt, Heather M., PhD, Hardin, James W., PhD, Bynum, Shalanda A., PhD, Sharpe, Patricia A., PhD, Jackson, Dawnyéa, MS
Format: Article
Language:English
Subjects:
Adult
Aged
Cancer
Cervical cancer
Confidence intervals
Early Detection of Cancer - statistics & numerical data
Female
Genetic family histories
Genetic Predisposition to Disease
Health Behavior
Health Knowledge, Attitudes, Practice
Health Services Accessibility
Health Surveys
Humans
Logistic Models
Middle Aged
Obstetrics and Gynecology
Odds Ratio
Population Surveillance
Screening
Self Report
Socioeconomic Factors
South Carolina
Uterine Cervical Neoplasms - genetics
Uterine Cervical Neoplasms - prevention & control
Vaginal Smears - statistics & numerical data
Women
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Summary:Abstract Background Our objective was to determine the association of self-reported family history of cancer (FHC) on cervical cancer screening to inform a potential link with cancer preventive behaviors in a region with persistent cancer disparities. Methods Self-reported FHC, Pap test behavior, and access to care were measured in a statewide population-based survey of human papillomavirus and cervical cancer ( n  = 918). Random-digit dial, computer-assisted telephone interviews were used to contact eligible respondents (adult [ages 18–70] women in South Carolina with landline telephones]. Logistic regression models were estimated using STATA 12. Findings Although FHC+ was not predictive (odds ratio [OR], 1.17; 95% confidence interval [CI], 0.55–2.51), private health insurance (OR, 2.35; 95% confidence interval [CI], 1.15–4.81) and younger age (18–30 years: OR, 7.76; 95% CI, 1.91, 3.16) were associated with recent Pap test behavior. FHC and cervical cancer screening associations were not detected in the sample. Conclusions Findings suggest targeting older women with screening recommendations and providing available screening resources for underserved women.
ISSN:1049-3867
1878-4321
DOI:10.1016/j.whi.2013.03.003