title: Having a personal healthcare provider and receipt of adequate cervical and breast cancer screening.
abstract: BACKGROUND
  The purpose of this study was to assess the relationship between having a personal health care provider and adequate cervical and breast cancer screening behavior.
  
  
  METHODS
  Cross-sectional data were obtained from the 2004 Behavior Risk Factor Surveillance System. For cervical cancer, female respondents 18 years of age and older who did not have hysterectomy were included (n = 130,359); for breast cancer, female respondents 40 years of age or older were included (n = 129,929). Multiple logistic regression analyses were performed to determine the association between having a personal health care provider, specific demographics, and health insurance status with adequate cervical and breast cancer screening behavior.
  
  
  RESULTS
  Approximately 9% and 14% of the study population for the breast cancer and cervical cancer analyses, respectively, did not have a personal health care provider. Having at least one personal health care provider was significantly associated with adequate cervical cancer screening behavior (odds ratio, 2.37; 95% CI, 2.08-2.70) and breast cancer screening behavior (odds ratio, 2.86; 95% CI, 2.54-3.24) in multivariate analyses. Both multivariate analyses were adjusted for age, race/ethnicity, education, income, and health insurance.
  
  
  CONCLUSIONS
  Having at least one personal health care provider was associated with adequate cervical and breast cancer screening behavior. Efforts to increase primary care access are a necessary part of the plan to increase preventive health services utilization.
authors.affiliation: Primary Care Research Institute, University of North Texas Health Science Center at Fort Worth and the Department of Family Medicine, Texas College of Osteopathic Medicine, TX, USA. rcardare@hsc.unt.edu
authors.forename: Roberto
authors.initials: R
authors.lastname: Cardarelli
authors.forename: Anita K
authors.initials: AK
authors.lastname: Kurian
authors.forename: Vishwam
authors.initials: V
authors.lastname: Pandya
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis*; D003430:Cross-Sectional Studies; D005194:Family Practice; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D019458:Insurance Coverage; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D015999:Multivariate Analysis; D010548:Personal Health Services / Q000600:supply & distribution*; D011159:Population Surveillance; D011785:Quality Assurance, Health Care / Q000592:standards; D012959:Socioeconomic Factors; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*; D000078329:Workforce; D055815:Young Adult