Sociodemographic and health-related determinants of breast and cervical cancer screening behavior, 2005.
OBJECTIVE
To identify sociodemographic and health-related determinants of Breast and Cervical Cancer Screening behaviors and evaluate progress toward Healthy People 2010 cancer-related objectives.


METHODS
The Behavioral Risk Factor Surveillance System 2005 data served as the numerical predicate for identifying or validating sociodemographic and health-related quality of life predictors, or both, and for determining any relative progress.


METHODS
Eleven U.S. states (n = 27,625 women).


METHODS
Determinants of Breast and Cervical Cancer Screening and assessment of progress toward Healthy People 2010 objectives 3-11 and 3-13.


RESULTS
Nine significant predictors of annual Breast and Cervical Cancer Screening (reported as odds ratios) were identified through regression analysis: adequate health care coverage, nonsmoking, age between 40 and 64 years, age greater than or equal to 65 years, no activity limitations, Black, non-Hispanic race, income greater than or equal to $35K, current exercise performance, and no risk for high blood cholesterol. Also, Healthy People 2010 objective 3-11 was not met; however, objective 3-13 was exceeded by 2.0%.


CONCLUSIONS
The national health initiatives appear to benefit select American women (overall declining mortality rates from breast and cervical cancer); however, there seems to be a negative economy of scale with respect to age-as age increases, Breast and Cervical Cancer Screening declines and morbidity/mortality increases. Given this disparity, as of 2005, related Healthy People 2010 objectives remain unrealized.
Welch
Cindy
C
School of Nursing, The University of Southern Mississippi, Hattiesburg, MS 39406-0001, USA. cindy.welch@usm.edu
Miller
Carl W
CW
James
Nadine T
NT
D000328:Adult; D000368:Aged; D001294:Attitude to Health; D040343:Behavioral Risk Factor Surveillance System; D001943:Breast Neoplasms / Q000175:diagnosis / Q000517:prevention & control*; D016001:Confidence Intervals; D005260:Female; D015438:Health Behavior; D006801:Humans; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D016017:Odds Ratio; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D018570:Risk Assessment; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000517:prevention & control*; D016387:Women's Health