TY - JOUR
T1 - Cervical cancer screening among English- and Spanish-speaking Hispanic women in an urban safety net health system, 2015–2020
AU - Amboree, Trisha L.
AU - Parker, Susan Lackey
AU - Bulsara, Shaun
AU - Anderson, Matthew L.
AU - Schmeler, Kathleen M.
AU - Chiao, Elizabeth Y.
AU - Montealegre, Jane R.
N1 - Publisher Copyright:
© 2023, The Author(s).
PY - 2023/12
Y1 - 2023/12
N2 - Background: The Hispanic population is heterogeneous with differences in health behaviors across subgroups by nativity and preferred language. We evaluated cervical cancer screening adherence among English- and Spanish-speaking Hispanic patients receiving care at a safety net health system. Methods: Electronic health records were used to identify 46,094 women aged 30–65. Up to date (UTD) screening was defined based on date of last Pap test, human papillomavirus (HPV) test, or Pap/HPV co-test. Results: Overall, 81.5% of 31,297 Hispanic women were UTD. English-speaking Hispanic women had a lower prevalence of being UTD when compared to Spanish-speaking Hispanic women (aPR: 0.94, 95% CI: 0.93 – 0.96). Further, those with indigent healthcare plans had a higher prevalence of being UTD when compared to those with private insurance (aPR: 1.10, 95% CI: 1.09 – 1.12), while all other health insurance plans were associated with lower UTD screening when compared to private insurance. Conclusions: These findings suggest screening differences within the Hispanic population, highlighting the need for disaggregated research assessing heterogeneity within racial/ethnic groups, specifically among Hispanic populations.
AB - Background: The Hispanic population is heterogeneous with differences in health behaviors across subgroups by nativity and preferred language. We evaluated cervical cancer screening adherence among English- and Spanish-speaking Hispanic patients receiving care at a safety net health system. Methods: Electronic health records were used to identify 46,094 women aged 30–65. Up to date (UTD) screening was defined based on date of last Pap test, human papillomavirus (HPV) test, or Pap/HPV co-test. Results: Overall, 81.5% of 31,297 Hispanic women were UTD. English-speaking Hispanic women had a lower prevalence of being UTD when compared to Spanish-speaking Hispanic women (aPR: 0.94, 95% CI: 0.93 – 0.96). Further, those with indigent healthcare plans had a higher prevalence of being UTD when compared to those with private insurance (aPR: 1.10, 95% CI: 1.09 – 1.12), while all other health insurance plans were associated with lower UTD screening when compared to private insurance. Conclusions: These findings suggest screening differences within the Hispanic population, highlighting the need for disaggregated research assessing heterogeneity within racial/ethnic groups, specifically among Hispanic populations.
KW - Cervical cancer prevention
KW - Disaggregation
KW - Hispanic populations
KW - Nativity
UR - http://www.scopus.com/inward/record.url?scp=85162049371&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85162049371&partnerID=8YFLogxK
U2 - 10.1186/s12905-023-02448-3
DO - 10.1186/s12905-023-02448-3
M3 - Article
C2 - 37316815
AN - SCOPUS:85162049371
SN - 1472-6874
VL - 23
JO - BMC Women's Health
JF - BMC Women's Health
IS - 1
M1 - 309
ER -