Breast and cervical cancer screening among low-income women in Nebraska: findings from the Every Woman Matters program, 1993-2004.
OBJECTIVE
To examine the likelihood of enrollees in the Nebraska Every Woman Matters program being screened for breast and cervical cancer.


METHODS
We explored the relationship between sociodemographic characteristics and receiving cancer screening services.


RESULTS
Older and Native American women were more likely than younger and White women to have mammograms ordered [adjusted odds ratio (OR)=1.41, 95% confidence interval (CI) 1.08, 1.85]. African American [OR=0.54, 95% CI 0.46, 0.64] and Native American women [OR=0.47, 95% CI 0.39, 0.55] were less likely than White women to have clinical breast exams performed. Native American [OR=0.19, 95% CI 0.16, 0.23] and African American women [OR=0.56, 95% CI 0.46, 0.68] were less likely than White women to have a Pap test performed.


CONCLUSIONS
Receiving cancer screening services was related to race; thus, understanding barriers for screening for minority women is warranted.
Feresu
Shingairai A
SA
University of Nebraska Medical Center College of Public Health, Department of Epidemiology, Omaha, NE 68198-4395, USA. sferesu@unmc.edu
Zhang
Wanqing
W
Puumala
Susan E
SE
Ullrich
Fred
F
Anderson
James R
JR
D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000208:ethnology / Q000517:prevention & control*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D016015:Logistic Models; D008327:Mammography / Q000706:statistics & numerical data; D008403:Mass Screening / Q000191:economics / Q000379:methods / Q000706:statistics & numerical data*; D008875:Middle Aged; D009329:Nebraska; D016017:Odds Ratio; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D011203:Poverty / Q000208:ethnology*; D015397:Program Evaluation; D019035:Rural Health Services; D013221:State Health Plans / Q000458:organization & administration*; D019037:Urban Health Services; D002583:Uterine Cervical Neoplasms / Q000208:ethnology / Q000517:prevention & control*; D014626:Vaginal Smears / Q000706:statistics & numerical data; D014932:Women's Health Services / Q000458:organization & administration* / Q000706:statistics & numerical data