Table 4.
Pap Smear in the Past Year Among Young Women Who Had Received and Had Not Received Provider's Recommendation for Pap Smear, National Health Interview Survey 2013–2015 (N = 5355)
| Among recommendeda | Among unrecommendedc | |||||
|---|---|---|---|---|---|---|
| % (95% CI) | % (95% CI) | |||||
| Characteristics | Vaccinated (n = 968) | Unvaccinated (n = 1903) | Adjusted PRb(95% CI) | Vaccinated (n = 635) | Unvaccinated (n = 1849) | Adjusted PRb(95% CI) |
| Total | 75.1 (71.4–78.9) | 67.9 (65.4–70.5) | 1.1 (1.03–1.17) | 57.7 (52.0–63.4) | 38.2 (35.2–41.1) | 1.51 (1.33–1.72) |
| Age | ||||||
| 21–25 | 73.5 (68.3–78.8) | 64.9 (60.3–69.4) | 1.12 (1.01–1.23) | 52.4 (45.2–59.6) | 29.1 (25.2–32.9) | 1.7 (1.38–2.1) |
| 26–30 | 77.6 (72.3–82.9) | 70.2 (66.9–73.5) | 1.09 (1–1.19) | 68.3 (60.6–76.1) | 47.1 (43.0–51.1) | 1.35 (1.16–1.57) |
| Race/ethnicity | ||||||
| NH-white | 73.1 (68.2–78.1) | 67.4 (63.7–71.1) | 1.07 (0.98–1.17) | 59.8 (52.2–67.5) | 40.3 (35.9–44.7) | 1.48 (1.25–1.74) |
| NH-black | 80.4 (71.1–89.6) | 79.3 (73.6–84.9) | 1.01 (0.89–1.14) | 70.8 (61.0–80.7) | 47.4 (40.5–54.2) | 1.48 (1.21–1.82) |
| Hispanic | 80.2 (72.8–87.6) | 66.1 (60.4–71.8) | 1.22 (1.07–1.39) | 43.6 (32.1–55.0) | 34.2 (30.0–38.4) | 1.26 (0.94–1.69) |
| Other | 75.7 (65.3–86.0) | 55.1 (45.0–65.2) | 1.35 (1.08–1.69) | 45.7 (29.1–62.3) | 24.5 (17.1–31.8) | 2.11 (1.32–3.38) |
| Immigration status | ||||||
| Born in the United States | 75.3 (71.4–79.2) | 69.0 (66.2–71.8) | 1.09 (1.02–1.16) | 60.0 (54.2–65.9) | 41.1 (37.7–44.6) | 1.47 (1.29–1.68) |
| Not born in the United States | 73.3 (61.1–85.5) | 63.0 (56.5–69.5) | 1.18 (0.97–1.42) | 37.1 (20.6–53.7) | 27.5 (22.7–32.4) | 1.33 (0.84–2.11) |
| Region of residence | ||||||
| Northeast | 83.8 (77.7–90.0) | 70.7 (64.0–77.4) | 1.2 (1.06–1.36) | 64.8 (53.4–76.2) | 41.6 (33.8–49.3) | 1.56 (1.2–2.04) |
| Midwest | 76.0 (69.3–82.6) | 69.8 (64.3–75.3) | 1.11 (1–1.23) | 57.4 (45.6–69.3) | 37.0 (30.5–43.6) | 1.68 (1.27–2.23) |
| South | 75.8 (68.1–83.4) | 70.2 (66.8–73.6) | 1.08 (0.97–1.21) | 63.8 (54.9–72.6) | 40.5 (35.6–45.4) | 1.51 (1.24–1.83) |
| West | 65.0 (55.9–74.0) | 59.6 (53.2–66.0) | 1.07 (0.89–1.28) | 45.5 (33.8–57.2) | 33.7 (28.7–38.7) | 1.34 (1.02–1.77) |
| Education level | ||||||
| <High school | 75.0 (58.6–91.3) | 59.9 (50.7–69.2) | 1.28 (0.97–1.69) | 35.8 (13.0–58.6) | 33.4 (25.3–41.4) | 0.98 (0.48–1.99) |
| High school | 83.4 (73.7–93.1) | 67.0 (61.7–72.2) | 1.22 (1.04–1.42) | 53.1 (38.7–67.6) | 33.5 (28.0–38.9) | 1.59 (1.18–2.15) |
| >High school | 74.0 (69.9–78.0) | 69.6 (66.3–72.8) | 1.08 (1–1.16) | 59.7 (53.6–65.7) | 40.8 (37.1–44.6) | 1.52 (1.32–1.75) |
| Health insurance coverage | ||||||
| None | 64.5 (52.2–76.8) | 59.0 (52.6–65.4) | 1.09 (0.89–1.34) | 37.4 (25.2–49.7) | 25.6 (21.3–29.9) | 1.47 (1.02–2.11) |
| Private | 75.6 (71.1–80.2) | 70.5 (66.9–74.1) | 1.09 (1–1.18) | 60.4 (53.3–67.4) | 42.5 (38.2–46.7) | 1.51 (1.29–1.76) |
| Public | 78.1 (70.1–86.0) | 68.7 (63.6–73.7) | 1.14 (0.99–1.3) | 62.2 (50.0–74.5) | 45.5 (40.0–51.1) | 1.47 (1.15–1.88) |
| Having a usual source of care | ||||||
| No | 64.3 (53.9–74.7) | 58.0 (51.3–64.7) | 1.05 (0.86–1.27) | 44.3 (33.7–54.9) | 28.0 (23.4–32.5) | 1.45 (1.06–1.99) |
| Yes | 76.7 (72.6–80.8) | 70.1 (67.3–72.8) | 1.1 (1.03–1.18) | 62.7 (56.3–69.1) | 42.8 (39.2–46.4) | 1.53 (1.33–1.76) |
| Visiting a care provider in the past year | ||||||
| An OB/GYN | 87.8 (84.6–91.0) | 85.2 (83.0–87.5) | 1.03 (0.98–1.07) | 78.2 (71.7–84.6) | 74.2 (69.5–78.9) | 1.07 (0.96–1.19) |
| A NP/PA/midwife | 52.2 (38.5–65.8) | 43.4 (33.1–53.7) | 1.15 (0.83–1.6) | 45.2 (29.5–60.9) | 24.9 (16.0–33.7) | 2.07 (1.35–3.16) |
| Other care provider | 45.8 (36.6–55.0) | 38.0 (33.2–42.9) | 1.28 (1.14–1.60) | 34.8 (24.7–44.9) | 22.2 (18.3–26.0) | 1.67 (1.20–2.33) |
Bold indicates statistical significance (p < 0.05).
Young adult women with missing data on the status of provider's recommendation for Pap testing (n = 61) were excluded from analysis.
Proportion of women who had a Pap smear in the past 12 months among those who received provider's recommendations for Pap testing.
Adjusted prevalence ratio (vaccinated women vs. unvaccinated women) was adjusted for age, race/ethnicity, region of residence, insurance type, and education level.
Proportion of women who had a Pap smear in the past 12 months among those who had not received provider's recommendations for Pap testing.