Department of Family Medicine, University of Michigan, Ann Arbor, United States.
Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, United States.
Elife. 2022 Jun 28;11:e76070. doi: 10.7554/eLife.76070.
Using screen counts, women 50-64 years old have lower cancer screening rates for cervical and colorectal cancers (CRC) than all other age ranges. This paper aims to present woman-centric cervical cancer and CRC screenings to determine the predictor of being up-to-date for both.
We used the Behavioral Risk Factor Surveillance System (BRFSS), an annual survey to guide health policy in the United States, to explore the up-to-date status of dual cervical cancer and CRC screening for women 50-64 years old. We categorized women into four mutually exclusive categories: up-to-date for dual-screening, each single screen, or neither screen. We used multinomial multivariate regression modeling to evaluate the predictors of each category.
Among women ages 50-64 years old, dual-screening was reported for 58.2% (57.1-59.4), cervical cancer screening alone (27.1% (26.0-28.2)), CRC screening alone (5.4% (4.9-5.9)), and neither screen (9.3% (8.7-9.9)). Age, race, education, income, and chronic health conditions were significantly associated with dual-screening compared to neither screen. Hispanic women compared to non-Hispanic White women were more likely to be up-to-date with cervical cancer screening than dual-screening (adjusted odds ratio [aOR] = ). Compared to younger women, those 60-64 years are significantly more likely to be up-to-date with CRC screening than dual-screening (aOR = ).
Screening received by each woman shows a much lower rate of dual-screening than prior single cancer screening rates. Addressing dual-screening strategies rather than single cancer screening programs for women 50-64 years may increase both cancer screening rates.
This work was supported by NIH through the Michigan Institute for Clinical and61 Health Research UL1TR002240 and by NCI through The University of Michigan Rogel Cancer62 Center P30CA046592 grants.
50-64 岁的女性进行宫颈癌和结直肠癌（CRC）筛查的比例低于所有其他年龄段。本文旨在针对女性进行宫颈癌和 CRC 筛查，以确定两者均接受筛查的预测因素。
我们使用行为风险因素监测系统（BRFSS），这是一项指导美国健康政策的年度调查，来探索 50-64 岁女性接受双重宫颈癌和 CRC 筛查的最新情况。我们将女性分为四个互斥类别：双重筛查、单独的宫颈癌筛查、单独的 CRC 筛查或两者均未筛查。我们使用多项多元回归模型来评估每个类别的预测因素。
在 50-64 岁的女性中，报告双重筛查的比例为 58.2%（57.1-59.4），单独进行宫颈癌筛查的比例为 27.1%（26.0-28.2），单独进行 CRC 筛查的比例为 5.4%（4.9-5.9），两者均未筛查的比例为 9.3%（8.7-9.9）。与两者均未筛查相比，年龄、种族、教育程度、收入和慢性健康状况与双重筛查显著相关。与非西班牙裔白人女性相比，西班牙裔女性更有可能接受宫颈癌筛查，而不是双重筛查（调整后的优势比[aOR]为 ）。与年轻女性相比，60-64 岁的女性更有可能接受 CRC 筛查，而不是双重筛查（aOR= ）。
每位女性接受的筛查显示，双重筛查的比例远低于之前的单一癌症筛查率。为 50-64 岁的女性制定双重筛查策略而不是单一癌症筛查计划，可能会提高两种癌症的筛查率。
这项工作得到了 NIH 通过密歇根临床和健康研究转化研究所 UL1TR002240 以及 NCI 通过密歇根大学罗格尔癌症中心 P30CA046592 拨款的支持。
