Martin
LM, Calle EE, Wingo PA, Heath CW Jr.
Comparison of mammography and Pap test use from the 1987 and 1992 National
Health Interview Surveys: are we closing the gaps?
Am J Prev Med 1996;12(2):82-90.
“Race was not significantly associated with underutilization of
mammograms…African-American women were more likely than Caucasian
women to have had a Pap smear test, and women of other races were the
least likely of any race/ethnic group to have ever had one (OR=0.2, 95%
CI= 0.1,0.4).”
“The greatest gains have been realized in the African-American
and Hispanic populations, while women of other races (which include American
Indians, Asians, Pacific Islanders, and Alaskan natives) are still more
likely to be screened than Caucasian women and represent a target population
for screening outreach.”
“Underuse of Pap smear testing was significantly associated with
five characteristics in 1987: age, race/ethnicity, income, education,
and marital status. In 1992, these characteristics, along with having
no source of usual medical care, were still significant predictors of
Pap smear testing.”
“Clearly, culturally targeted screening outreach has been effective
in reducing some of the race and ethnic disparities in the use of mammograms
and Pap smear test screening.”