Table 4.
Rates of cervical precancer and cancer among women receiving their first Pap test in the National Breast and Cervical Cancer Early Detection Program, by screening history, 2002–2012
Totala | Screening history | Difference (NR–P5Y %) |
|
---|---|---|---|
NR | P5Y | ||
Rate of CIN3 or worseb per 1,000 women |
|||
6.9 | 3.7 | 3.2* | |
Age group (years) | |||
18–20 | 3.7 | 12.9 | −9.2* |
21–29 | 8.7 | 13.5 | −4.8* |
30–39 | 10.7 | 8.3 | 2.4* |
40–49 | 7.4 | 3.7 | 3.6* |
50–59 | 5.9 | 2.4 | 3.5* |
60–64 | 6.0 | 2.3 | 3.7* |
≥65 | 7.4 | 4.7 | 2.6* |
Race/ethnicitya | |||
White | 8.6 | 4.8 | 3.9* |
African-American | 5.3 | 3.3 | 2.0* |
Asian/Pacific Islander | 5.5 | 2.4 | 3.1* |
American Indian/Alaska Native | 4.4 | 2.7 | 1.7 |
Multiracial/unknown | 4.7 | 3.8 | 0.9 |
Hispanic | 5.4 | 2.9 | 2.5* |
Rural–urbana | |||
Metro | 6.4 | 3.4 | 3.0* |
Urban | 8.2 | 4.6 | 3.6* |
Rural | 7.9 | 4.2 | 3.6* |
Unknown | 6.3 | 2.9 | 3.3* |
Regiona | |||
Territory | 6.2 | 2.7 | 3.5 |
Northeast | 5.8 | 3.0 | 2.9* |
Midwest | 8.7 | 5.0 | 3.7* |
South | 7.3 | 4.0 | 3.3* |
West | 6.4 | 3.3 | 3.1* |
CIN cervical intraepithelial neoplasia, NR never or rarely (not screened within 5 years) screened, P5Y screened within last 5 years
p values significantly different at <0.05 from separate nested logistic models of CIN3 or worse, with age, race/ethnicity, residence, or region associated with screening history
Percentages age-adjusted to the 2000 National Breast and Cervical Cancer Early Detection Program
CIN3 or worse includes CIN3, carcinoma in situ, adenocarcinoma in situ, and invasive cervical cancer