title: Cancer screening among racial/ethnic and insurance groups in the United States: a comparison of disparities in 2000 and 2008.
abstract: Using the National Health Interview Survey, we examined associations among race/ ethnicity, insurance coverage, and cancer screening, and assessed changes in the magnitude of disparities over the past decade. Outcomes included recent cervical, breast, and colorectal cancer screening. Rates of colorectal screening increased for all racial/ethnic groups and some insurance groups from 2000 to 2008. However, rates of Pap tests and mammograms remained stagnant, and even decreased for certain groups. Some Hispanic-White and Asian-White disparities in cancer screening were reduced or eliminated over this time period. However, in 2008 Asians continued to have lower odds of Pap tests and Hispanics lower odds of colorectal cancer screening, even after accounting for potential confounders. There were no significant changes in Black-White disparities. The uninsured continued to be at a disadvantage for all three types of cancer screening, relative to the privately insured, as were publicly insured individuals with respect to colorectal cancer screening.
authors.affiliation: Johns Hopkins University, Bloomberg School of Public Health, Department of Health Policy and Management, Baltimore, MD 21205, USA. lshi@jhsph.edu
authors.forename: Leiyu
authors.initials: L
authors.lastname: Shi
authors.forename: Lydie A
authors.initials: LA
authors.lastname: Lebrun
authors.forename: Jinsheng
authors.initials: J
authors.lastname: Zhu
authors.forename: Jenna
authors.initials: J
authors.lastname: Tsai
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000368:Aged; D001213:Asian / Q000706:statistics & numerical data*; D055088:Early Detection of Cancer / Q000706:statistics & numerical data* / Q000639:trends; D005260:Female; D054624:Health Status Disparities; D006306:Health Surveys; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data*; D017057:Medically Uninsured / Q000208:ethnology* / Q000706:statistics & numerical data; D008875:Middle Aged; D014481:United States; D044465:White People / Q000706:statistics & numerical data; D055815:Young Adult