Steven S. Coughlin|Jessica King|Thomas B. Richards|Donatus U. Ekwueme
Cervical Cancer Screening among Women in Metropolitan Areas of the United States by Individual-Level and Area-Based Measures of Socioeconomic Status, 2000 to 2002
National Center for Chronic Disease Prevention and Health Promotion|Centers for Disease Control and Prevention|National Center for Chronic Disease Prevention and Health Promotion|Centers for Disease Control and Prevention|National Center for Chronic Disease Prevention and Health Promotion|Centers for Disease Control and Prevention|National Center for Chronic Disease Prevention and Health Promotion|Centers for Disease Control and Prevention
studies examined cancer screening among women residing metropolitan areas relation individuallevel areabased measures socioeconomic status ses learn examined selfreported rates papanicolaou pap testing among women living metropolitan areas relation individuallevel measures ses household income education areabased measures ses percentage residents living poverty percentage low education percentage working classdata obtained women interviewed telephone 2000 2002 part behavioral risk factor surveillance system brfss selfreported county residence used classify respondents residents metropolitan statistical areas brfss respondents resided 35 metropolitan statistical areas population or15 million 2000 included analysis analyses limited women ages or18 years history hysterectomy n 49231 areabased measures ses obtained using countylevel information 2000 us censusonly 754 95 confidence interval 95 ci 738771 3947 women ages or18 years reported household income 15000 dollars per year received pap test previous 3 years compared 922 95 ci 912931 18698 women household income or50000 dollars overall 775 95 ci 757793 women without high school education received pap test compared 917 910923 college graduates multivariate analysis also found education level positively associated pap testing rates especially among women residing areas relatively low percentage residents low education level p 00001individuallevel measures ses may modified countylevel measures ses analyses cancer screening rates measures income educational attainment factors may help health officials better direct finite resources areas greatest need