Adherence to Multiple Cancer Screening Tests among Women Living in Appalachia Ohio.
BACKGROUND
There is a lack of information about the correlates of completing all three cancer screening tests among women living in Appalachia.


METHODS
Cross-sectional telephone interviews were conducted (April-September 2013) among women (n = 637) ages 51 to 75 years from 12 Appalachia Ohio counties. Outcomes of within screening guidelines were verified by medical records. Multivariable logistic regression models identified correlates of being within guidelines for all three cancer screening tests.


RESULTS
Screening rates included mammography (32.1%), Pap test (36.1%), and a colorectal cancer test (30.1%). Only 8.6% of women were within guidelines for all tests. Having had a check-up in the past 2 years and having received a screening recommendation were significantly related to being within guidelines for all three tests (P < 0.01). Participants with higher annual household incomes [$60,000+; OR, 3.53; 95% confidence interval (CI), 1.49-8.33] and conditions requiring regular medical visits (OR, 3.16; 95% CI, 1.29-7.74) were more likely to be within guidelines for all three screening tests.


CONCLUSIONS
Less than 10% of women had completed screening within guidelines for all three screening tests. Regular contact with the health care system and higher incomes were significant predictors of being within guidelines.


CONCLUSIONS
Within guidelines rates for the three recommended cancer screening tests are low among women in Appalachia Ohio. This finding illustrates the need for innovative interventions to improve rates of multiple cancer screening tests.
College of Public Health, The Ohio State University, Columbus, Ohio. Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio. College of Medicine, The Ohio State University, Columbus, Ohio. mira.katz@osumc.edu.
Mira L
ML
Katz
College of Public Health, The Ohio State University, Columbus, Ohio. Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio. College of Medicine, The Ohio State University, Columbus, Ohio.
Paul L
PL
Reiter
Center for Biostatistics, The Ohio State University, Columbus, Ohio.
Gregory S
GS
Young
College of Public Health, The Ohio State University, Columbus, Ohio. Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio.
Michael L
ML
Pennell
Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio.
Cathy M
CM
Tatum
College of Public Health, The Ohio State University, Columbus, Ohio. Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio. College of Medicine, The Ohio State University, Columbus, Ohio.
Electra D
ED
Paskett
D000368:Aged; D000369:Aged, 80 and over; D001061:Appalachian Region / Q000453:epidemiology; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000639:trends*; D005260:Female; D019983:Guideline Adherence / Q000639:trends*; D006801:Humans; D015994:Incidence; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D009820:Ohio / Q000453:epidemiology; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010349:Patient Compliance / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires