Race-specific results of Papanicolaou testing and the rate of cervical neoplasia in the National Breast and Cervical Cancer Early Detection Program, 1991–1998 (United States)
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Objective: To describe differences in cervical screening and biopsy results by race or ethnicity from women in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP).
Methods: We examined the percentage of abnormalities detected by Papanicolaou (Pap) tests and the rate of biopsy-diagnosed high-grade precancerous or cancerous lesions by racial or ethnic group.
Results: Almost half the 628,085 women screened were members of racial or ethnic minority groups. American Indian or Alaska Native women were more likely than others to report never having had a prior Pap test. American Indian or Alaska Native women had the highest proportion of abnormal Pap tests for first program screens (4.4%), followed by blacks (3.2%), whites (3.0%), Hispanics (2.7%), and Asians or Pacific Islanders (1.9%). Whites had the highest biopsy detection rate of high-grade lesions for first program screens (9.9 per 1000 Pap tests), followed by Hispanics (7.6), blacks (7.1), American Indians or Alaska Natives (6.7), and Asians or Pacific Islanders (5.4).
Conclusions: This program provides important data on the prevalence of cervical neoplasia among diverse populations. Our findings that black women with a high-grade Pap test were less likely to get a work-up are disconcerting and merit further study and ultimate correction.
- American Cancer Society (2000) Cancer Facts and Figures. Atlanta: American Cancer Society.
- Kurman RJ, Henson DE, Herbst AL, Noller KL, Schiffman MH (1994) Interim guidelines for management of abnormal cervical cytology. JAMA 271: 1866-1869.
- Beral V, Hermon C, Munoz N, Devesa SS (1994) Cervical cancer. Cancer Surv: Trends in Cancer Incidence and Mortality 19-20: 265-285.
- Guidozzi F (1996) Screening for cervical cancer. Obstet Gynecol Surv 51: 247-252.
- Hakama M, Miller AB, Day NE (1986) In: Screening for Cancer of the Uterine Cervix. Scientific Publications No. 76. Lyon: International Agency for Research on Cancer (IARC).
- SEER Monograph. Racial/Ethnic Patterns of Cancer in the United States, 1988-1992. US Department of Health and Human Services. Bethesda: National Institutes of Health, pp. 36-37.
- Yoder L, Rubin M (1992) The epidemiology of cervical cancer and its precursors. Oncol Nurs Forum 19: 485-493.
- Skaer TL, Robison LM, Sclar DA, Harding GH (1996) Cancer-screening determinants among Hispanic women using migrant health clinics. J Health Care Poor Underserved 7: 338-354.
- Funch D (1986) Socioeconomic status and survival for breast and cervical cancer. Women Health 11: 37-54.
- Henson RM, Wyatt SW, Lee NC (1996) The National Breast and Cervical Cancer Early Detection Program: a comprehensive public health response to two major health issues for women. J Public Health Mgmt 2: 36-47.
- May DS, Lee NC, Nadel MR, Henson RM, Miller DS (1998) The National Breast and Cervical Cancer Early Detection Program: report on the first four years of mammography provided to medically underserved women. Am J Roentgenol 170: 97-104.
- Lawson H, Lee NC, Thames SF, Henson R, Miller DS (1998) Cervical cancer screening among low-income women: results from a national screening program, 1991-1995. Obstet Gynecol 92: 745-752.
- Office of Management and Budget (1978) Directive No. 15: Race and ethnic standards for federal statistics and administrative reporting Statistical Policy Handbook. US Department of Commerce, Office of Federal Statistical Policy and Standards.
- Kurman RJ, Solomon D (1993) The Bethesda System for Reporting Cervical/Vaginal Cytologic Diagnoses. New York: Springer-Verlag.
- Breslow NE, Day NE (1987) The design and analysis of cohort studies. In: Statistical Methods in Cancer Research, Vol. II. Lyon: International Agency for Research on Cancer (IARC Scientific Publications no. 82), pp. 58-59.
- American Association of Central Cancer Registries (1993). Working Group on Pre-Invasive Cervical Neoplasia and Population-Based Cancer Registries. Final Subcommittee Report. Conference held 5-6 April,1993, Rockville, Maryland.
- Williams D (1998) The quality of racial data. Closing the Gap-Special Issue. A Newsletter of the Office of Minority Health, US Department of Health and Human Services. March1998.
- Michielutte R, Dignan MB, Wells HB, et al. (1991) Errors in reporting cervical screening among public health clinic patients. J Clin Epidemiol 44: 403-408.
- Race-specific results of Papanicolaou testing and the rate of cervical neoplasia in the National Breast and Cervical Cancer Early Detection Program, 1991–1998 (United States)
Cancer Causes & Control
Volume 12, Issue 1 , pp 61-68
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers
- Additional Links
- cervical intraepithelial neoplasia
- cervical neoplasia
- ethnic groups
- mass screening
- racial groups
- Industry Sectors
- Author Affiliations
- 1. Council of State and Territorial Epidemiologists; Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion Division of Cancer Prevention and Control, USA