The role of family history of cancer on cervical cancer screening behavior in a population-based survey of women in the Southeastern United States

Womens Health Issues. 2013 Jul-Aug;23(4):e197-204. doi: 10.1016/j.whi.2013.03.003. Epub 2013 May 27.

Abstract

Background: Our objective was to determine the association of self-reported family history of cancer (FHC) on cervical cancer screening to inform a potential link with cancer preventive behaviors in a region with persistent cancer disparities.

Methods: Self-reported FHC, Pap test behavior, and access to care were measured in a statewide population-based survey of human papillomavirus and cervical cancer (n = 918). Random-digit dial, computer-assisted telephone interviews were used to contact eligible respondents (adult [ages 18-70] women in South Carolina with landline telephones]. Logistic regression models were estimated using STATA 12.

Findings: Although FHC+ was not predictive (odds ratio [OR], 1.17; 95% confidence interval [CI], 0.55-2.51), private health insurance (OR, 2.35; 95% confidence interval [CI], 1.15-4.81) and younger age (18-30 years: OR, 7.76; 95% CI, 1.91, 3.16) were associated with recent Pap test behavior. FHC and cervical cancer screening associations were not detected in the sample.

Conclusions: Findings suggest targeting older women with screening recommendations and providing available screening resources for underserved women.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Aged
  • Early Detection of Cancer / statistics & numerical data
  • Female
  • Genetic Predisposition to Disease
  • Health Behavior*
  • Health Knowledge, Attitudes, Practice*
  • Health Services Accessibility
  • Health Surveys
  • Humans
  • Logistic Models
  • Middle Aged
  • Odds Ratio
  • Population Surveillance
  • Self Report
  • Socioeconomic Factors
  • South Carolina
  • Uterine Cervical Neoplasms / genetics
  • Uterine Cervical Neoplasms / prevention & control*
  • Vaginal Smears / statistics & numerical data*