This study characterized racial and ethnic disparities in cervical cancer screening and follow-up across three U.S. healthcare settings. Among 188,415 patients, 62.8% received screening. Screening was lower among non-Hispanic Black patients (53.2%) and higher among Hispanic (65.4%) and Asian/Pacific Islander (66.5%) patients than non-Hispanic White patients (63.5%). Most differences were explained by site and insurance. Hispanic patients remained more likely to screen after adjusting for various factors. Follow-up for abnormal results was low (72.5%), highest among Hispanic participants (78.8%). Lower screening for Black patients was attenuated by controlling for insurance and site, highlighting systemic inequity. Improving follow-up is crucial for all populations.
Publisher
American Journal of Preventive Medicine
Published On
May 29, 2024
Authors
Jennifer C Spencer, Jane J Kim, Jasmin A Tiro, Sarah J Feldman, Sarah C Kobrin, Sugg Celette Skinner, Lei Wang, Anne Marie Mccarthy, Steve J Atlas, Sandi L Pruitt, Michelle I Silver, Jennifer S Haas
Tags
cervical cancer
screening disparities
racial equity
healthcare access
Hispanic patients
follow-up care
systemic inequity
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