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Results From a New National Survey

Rodney A. Hayward, MD; Martin F. Shapiro, MD, PhD; Howard E. Freeman, PhD; Christopher R. Corey, MA

Arch Intern Med. 1988;148(5):1177-1181.

Abstract
• To evaluate the adequacy of cervical and breast cancer screening in the United States, data were analyzed from a 1986 nationwide telephone survey (n=4659). Papanicolaou smears within the recommended three- to five-year interval were reported by 79% of women aged 20 years or older. Within the preceding year, 55% of women aged 40 years or older had breast examinations performed by physicians, and 20% of women aged 50 years or older had mammograms. Women who were uninsured or lower in socioeconomic status were less likely to have each of these three preventive measures, independent of the age, health status, and frequency of physician visits of the respondent. In addition, women aged 50 years or older were less likely to have had Papanicolaou smears (63% vs 89%) and breast examinations (52% vs 68%) than those women aged 20 to 49 years. These findings suggest that women who are older, uninsured, or lower in socioeconomic status are at an increased risk for not receiving preventive care, and that screening mammography, although more common than a decade ago, is still markedly underused.

(Arch Intern Med 1988;148:1177-1181)

Author Affiliations
From the Division of General Internal Medicine and Health Services Research, Department of Medicine (Drs Hayward and Shapiro) and the Department of Sociology (Dr Freeman and Mr Corey), UCLA School of Medicine.

Footnotes
Accepted for publication Dec 28, 1987.

The opinions, conclusions, and proposals herein are those of the authors and do not necessarily represent the views of The Robert Wood Johnson Foundation, Princeton, NJ.

Reprint requests to B-973 Louis Factor Bldg, UCLA School of Medicine, Los Angeles, CA 90024-1685 (Dr Hayward).

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