Gabriela Bustamante1,2, Paul L Reiter3,4, Annie-Laurie McRee5. 1. Program in Health Disparities Research, University of Minnesota, 717 Delaware St SE, Minneapolis, MN, USA. busta027@umn.edu. 2. School of Medicine, Universidad San Francisco de Quito, Quito, Ecuador. busta027@umn.edu. 3. College of Public Health, The Ohio State University, Columbus, OH, USA. 4. Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA. 5. Division of General Pediatrics and Adolescent Health, University of Minnesota Medical School, 717 Delaware St SE, Minneapolis, MN, USA. almcree@umn.edu.
Abstract
PURPOSE: Sexual minority women (SMW; lesbian, bisexual, and other women who have sex with women) are at risk for cervical cancer but less likely than non-SMW to receive regular cervical cancer screening (Pap- and/or HPV-testing). We examined factors contributing to receipt of guideline-based cervical cancer screening among SMW. METHODS: During October 2019, we conducted an online survey of self-identified SMW aged 21-45 years living in the United States (n = 435). We estimated risk differences (RD) in women's likelihood of being within current cervical cancer screening guidelines by sociodemographic and health-related characteristics. RESULTS: Overall, 75% of respondents were within current screening guidelines. Adjusting for other factors, SMW were more likely to be within guidelines if they were insured (aRD 0.26, 95% CI 0.13, 0.39), had a partner (aRD 0.18, 95% CI 0.09, 0.28), and were older (aRD 0.12, 95% CI 0.04, 0.20). Overall, the most common reasons for not being screened recently were lack of insurance/cost (42%) and perceiving it was unnecessary (28%). CONCLUSION: Many SMW are not being screened for cervical cancer according to guidelines. Findings can inform efforts to improve screening among this population.
PURPOSE: Sexual minority women (SMW; lesbian, bisexual, and other women who have sex with women) are at risk for cervical cancer but less likely than non-SMW to receive regular cervical cancer screening (Pap- and/or HPV-testing). We examined factors contributing to receipt of guideline-based cervical cancer screening among SMW. METHODS: During October 2019, we conducted an online survey of self-identified SMW aged 21-45 years living in the United States (n = 435). We estimated risk differences (RD) in women's likelihood of being within current cervical cancer screening guidelines by sociodemographic and health-related characteristics. RESULTS: Overall, 75% of respondents were within current screening guidelines. Adjusting for other factors, SMW were more likely to be within guidelines if they were insured (aRD 0.26, 95% CI 0.13, 0.39), had a partner (aRD 0.18, 95% CI 0.09, 0.28), and were older (aRD 0.12, 95% CI 0.04, 0.20). Overall, the most common reasons for not being screened recently were lack of insurance/cost (42%) and perceiving it was unnecessary (28%). CONCLUSION: Many SMW are not being screened for cervical cancer according to guidelines. Findings can inform efforts to improve screening among this population.
Entities:
Keywords:
Cervical cancer; Screening; Sexual minority women; United States
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