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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.”

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