Table 5.
Individual Chronic Disease's Effects on Being Up-to-Date for Cervical Cancer Screening According to USPSTF Guidelines
| Up-to-date Cervical Cancer Screening Status | ||||||
|---|---|---|---|---|---|---|
| Unadjusted Bivariate Odds Ratios (OR) |
OR Adjusted for Demographics and Chronic Diseases1 |
Final Model2 | ||||
| Chronic Diseases | OR (95% CI) | p value | OR (95% CI) | p value | OR (95% CI) | p value |
| None | 1.00 (Referent) | 1.00 (Referent) | 1.00 (Referent) | |||
| Arthritis | 0.84 (0.60–1.18) | 0.32 | 0.69 (0.46–1.03) | 0.07 | 0.66 (0.45–0.97) | 0.04 |
| Asthma | 1.06 (0.65–1.70) | 0.82 | 0.90 (0.50–1.59) | 0.71 | dropped | |
| Cardiovascular Disease | 0.71 (0.43–1.19) | 0.19 | 0.59 (0.32–1.08) | 0.09 | dropped | |
| Digestive Disorders | 1.04 (0.73–1.49) | 0.81 | 0.70 (0.45–1.07) | 0.10 | dropped | |
| Diabetes Mellitus 1 or 2 | 0.70 (0.47–1.07) | 0.10 | 0.69 (0.39–1.20) | 0.19 | 0.60 (0.36–0.98) | 0.04 |
| Depression/Anxiety | 1.24 (0.90–1.70) | 0.18 | 1.07 (0.72–1.58) | 0.74 | dropped | |
| Hypertension | 0.65 (0.48–0.88) | 0.006 | 0.57 (0.39–0.84) | 0.004 | 0.53 (0.37–0.76) | 0.001 |
| Low Back Pain | 1.05 (0.73–1.50) | 0.80 | 0.72 (0.47–1.12) | 0.15 | dropped | |
Analysis limited to women less than 65 years old with no history of hysterectomy, n=740. All models included clinic as a random effect.
1
Adjusted for age, marital status, ethnicity, BMI class, occupation, alcohol history, smoking history, insurance status, length of contact with clinic, total visit counts in last 5 years and the other chronic diseases.
2
Adjusted for marital status, BMI class, total visit counts in last 5 years, asthma, cardiovascular disease and digestive disorders.