title: The role of family history of cancer on cervical cancer screening behavior in a population-based survey of women in the Southeastern United States.
abstract: BACKGROUND
  Our objective was to determine the association of self-reported family history of cancer (FHC) on cervical cancer screening to inform a potential link with cancer preventive behaviors in a region with persistent cancer disparities.
  
  
  METHODS
  Self-reported FHC, Pap test behavior, and access to care were measured in a statewide population-based survey of human papillomavirus and cervical cancer (n = 918). Random-digit dial, computer-assisted telephone interviews were used to contact eligible respondents (adult [ages 18-70] women in South Carolina with landline telephones]. Logistic regression models were estimated using STATA 12.
  
  
  RESULTS
  Although FHC+ was not predictive (odds ratio [OR], 1.17; 95% confidence interval [CI], 0.55-2.51), private health insurance (OR, 2.35; 95% confidence interval [CI], 1.15-4.81) and younger age (18-30 years: OR, 7.76; 95% CI, 1.91, 3.16) were associated with recent Pap test behavior. FHC and cervical cancer screening associations were not detected in the sample.
  
  
  CONCLUSIONS
  Findings suggest targeting older women with screening recommendations and providing available screening resources for underserved women.
authors.affiliation: Department of Health Services Policy and Management, South Carolina Rural Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina 29210, USA. jbellinger@sc.edu
authors.forename: Jessica D
authors.initials: JD
authors.lastname: Bellinger
authors.forename: Heather M
authors.initials: HM
authors.lastname: Brandt
authors.forename: James W
authors.initials: JW
authors.lastname: Hardin
authors.forename: Shalanda A
authors.initials: SA
authors.lastname: Bynum
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Sharpe
authors.forename: Dawnyéa
authors.initials: D
authors.lastname: Jackson
mesh_terms: D000328:Adult; D000368:Aged; D055088:Early Detection of Cancer / Q000706:statistics & numerical data; D005260:Female; D020022:Genetic Predisposition to Disease; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D016017:Odds Ratio; D011159:Population Surveillance; D057566:Self Report; D012959:Socioeconomic Factors; D013022:South Carolina; D002583:Uterine Cervical Neoplasms / Q000235:genetics / Q000517:prevention & control*; D014626:Vaginal Smears / Q000706:statistics & numerical data*