Breast and cervical cancers diagnosed and stage at diagnosis among women served through the National Breast and Cervical Cancer Early Detection Program.
OBJECTIVE
To assess cancers diagnosed and the stage of cancer at the time of diagnosis among low-income, under-insured, or uninsured women who received services through the National Breast and Cervical Cancer Early Detection Program (NBCCEDP).


METHODS
Using the NBCCEDP database, we examined the number and percent of women diagnosed during 2009-2011 with in situ breast cancer, invasive breast cancer, and invasive cervical cancer by demographic and clinical characteristics, including age, race and ethnicity, test indication (screening or diagnostic), symptoms (for breast cancer), and screening history (for cervical cancer). We examined these characteristics by stage at diagnosis, a new variable included in the database obtained by linking with state-based central cancer registries.


RESULTS
There were 11,569 women diagnosed with invasive breast cancer, 1,988 with in situ breast cancer, and 583 with invasive cervical cancer through the NBCCEDP. Women who reported breast symptoms or who had diagnostic mammography were more likely to be diagnosed with breast cancer, and at a later stage, than those who did not have symptoms or who had screening mammography. Women who had been rarely or never screened for cervical cancer were more likely to be diagnosed with cervical cancer, and at a later stage, than women who received regular screenings.


CONCLUSIONS
Women served through the NBCCEDP who have not had prior screening or who have symptoms were more often diagnosed with late-stage disease.
Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, Mailstop F-76, Atlanta, GA, 30341, USA, JMiller5@cdc.gov.
Jacqueline W
JW
Miller
Janet
J
Royalty
Jane
J
Henley
Arica
A
White
Lisa C
LC
Richardson
D000328:Adult; D001940:Breast / Q000473:pathology*; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000473:pathology; D002584:Cervix Uteri / Q000473:pathology*; D055088:Early Detection of Cancer; D005006:Ethnicity; D005260:Female; D006801:Humans; D008327:Mammography; D017057:Medically Uninsured; D008875:Middle Aged; D009367:Neoplasm Staging; D011203:Poverty; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000473:pathology