Correlates of Cervical Cancer Screening Among U.S. Women: Findings from the National Health Interview Survey




Thompson, Erika
Garg, Ashvita
Galvin, Annalyn


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Purpose: While cervical cancer rates have declined dramatically, the Healthy People 2020 goal for cervical cancer screening has not been reached. This study examined factors associated with up-to-date cervical cancer screening among women in the US. Methods: This study utilized data from the 2018 National Health Interview Survey (N=10,714 women, aged 21-70), with the main outcome as cervical cancer screening in the last 5 years (yes/no). Weighted logistic regression modeling estimated the association between cervical cancer screening and predictor variables. Results: Prevalence of up-to-date cervical cancer screening was 78.4%. Compared to White women, women from other races were less likely to receive a screening (aOR=0.71; 95%CI: 0.57, 0.88), and Black women were more likely (aOR=1.49; 95%CI: 1.19, 1.88). Hispanic women had higher odds of cervical cancer screening compared to non-Hispanics (aOR=1.58; 95% CI: 1.26, 1.99). Women between the ages of 20-29, who are divorced/widowed/separated or are not married, who have not talked to their healthcare providers recently, or who have not received HPV vaccination had lower odds of cervical cancer screening. Additionally, women who did not use the internet to search for health information (aOR=0.55; 95%CI: 0.48, 0.63) had lower odds of cervical cancer screening. Conclusion: Findings can inform targeted interventions to improve cervical cancer screening uptake and reduce cervical cancer mortality. Further studies should explore the barriers to cervical cancer screening among women who did not receive cervical cancer screening.