© 2001 by Oxford University Press
Journal of the National Cancer Institute, Vol. 93, No. 22, 1704-1713,
November 21, 2001
© 2001 Oxford University Press
SPECIAL ARTICLE |
Progress in Cancer Screening Over a Decade: Results of Cancer Screening From the 1987, 1992, and 1998 National Health Interview Surveys
Affiliations of authors: N. Breen, M. L. Brown, R. Ballard-Barbash (Applied Research Program), W. W. Davis (Statistical Research Applications Branch, Surveillance Research Program), Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, MD; D. K. Wagener, Division of Health Promotion Statistics, National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD.
Correspondence to: Nancy Breen, Ph.D., National Institutes of Health, EPN-4005, 6130 Executive Plaza, Bethesda, MD 20892–7344 (e-mail: nb19K{at}nih.gov).
Background: Screening to detect cancer early, an increasingly important cancer control activity, cannot be effective unless it is widely used. Methods: Use of Pap smears, mammography, fecal occult blood tests (FOBTs), sigmoidoscopy, and digital rectal examination (DRE) was evaluated in the 1987, 1992, and 1998 National Health Interview Surveys. Levels and trends in screening use were examined by sex, age, and racial/ethnic group. The effects of income, educational level, and health care coverage were examined within age groups. Logistic regression analyses of 1998 data were used to develop a parsimonious, policy-relevant model. Results: Use of all screening modalities increased over the period examined; for mammography and DRE, the increase was more rapid in the first half of the decade; for the Pap test and sigmoidoscopy, the increase was more rapid in the second half of the decade. Levels of colorectal cancer screening (both sigmoidoscopy and FOBTs) in 1998 were less than the level that prevailed a decade earlier for mammography. Patterns of change for all screening modalities differed between age, sex, and racial/ethnic groups, but prevalence of use during the study, within recommended time intervals, was consistently lower among groups with lower income and less education. Logistic regression analyses indicated that insurance coverage and, to a greater extent, usual source of care had strong independent associations with screening usage when age, sex, racial/ethnic group, and educational level were taken into account. Conclusions: While cancer screening is generally increasing in the United States, usage is relatively low for colorectal cancer screening and among groups that lack health insurance or a usual source of care.
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  E. P. Whitlock, J. S. Lin, E. Liles, T. L. Beil, and R. Fu Screening for Colorectal Cancer: A Targeted, Updated Systematic Review for the U.S. Preventive Services Task Force Ann Intern Med, October 6, 2008; (2008) 0000605-200811040-00245. [Abstract] [Full Text]
|
|
|
|
 |
|
 N. K. Shokar, C. A. Carlson, and S. C. Weller Factors Associated with Racial/Ethnic Differences in Colorectal Cancer Screening J Am Board Fam Med, September 1, 2008; 21(5): 414 - 426. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. D. Badgwell, S. H. Giordano, Z. Z. Duan, S. Fang, I. Bedrosian, H. M. Kuerer, S. E. Singletary, K. K. Hunt, G. N. Hortobagyi, and G. Babiera Mammography Before Diagnosis Among Women Age 80 Years and Older With Breast Cancer J. Clin. Oncol., May 20, 2008; 26(15): 2482 - 2488. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. E. Lamerato, P. M. Marcus, G. Jacobsen, and C. C. Johnson Recruitment in the Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer Screening Trial: the First Phase of Recruitment at Henry Ford Health System Cancer Epidemiol. Biomarkers Prev., April 1, 2008; 17(4): 827 - 833. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. H. Rauscher, T. P. Johnson, Y. I. Cho, and J. A. Walk Accuracy of Self-Reported Cancer-Screening Histories: A Meta-analysis Cancer Epidemiol. Biomarkers Prev., April 1, 2008; 17(4): 748 - 757. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Gehlert, D. Sohmer, T. Sacks, C. Mininger, M. McClintock, and O. Olopade Targeting Health Disparities: A Model Linking Upstream Determinants To Downstream Interventions Health Aff., March 1, 2008; 27(2): 339 - 349. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Morrogh, P. I. Borgen, and T. A. King The Importance of Local Control in Early-Stage Breast Cancer: A Historical Review and a Discussion of Ongoing Issues Ann. Surg. Oncol., December 1, 2007; 14(12): 3310 - 3320. [Full Text] [PDF]
|
|
|
|
|
|
A. P. Schenck, C. N. Klabunde, J. L. Warren, S. Peacock, W. W. Davis, S. T. Hawley, M. Pignone, and D. F. Ransohoff Data Sources for Measuring Colorectal Endoscopy Use Among Medicare Enrollees Cancer Epidemiol. Biomarkers Prev., October 1, 2007; 16(10): 2118 - 2127. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Otero-Sabogal, S. Stewart, S. J. Shema, and R. J. Pasick Ethnic Differences in Decisional Balance and Stages of Mammography Adoption Health Educ Behav, April 1, 2007; 34(2): 278 - 296. [Abstract] [PDF]
|
|
|
|
|
|
A. B. Knudsen, P. M. McMahon, and G. S. Gazelle Use of Modeling to Evaluate the Cost-Effectiveness of Cancer Screening Programs J. Clin. Oncol., January 10, 2007; 25(2): 203 - 208. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. R. Yabroff, E. Ashbeck, and R. Rosenberg Trends in Time to Completion of Mammographic Screening and Follow-Up Services Am. J. Roentgenol., January 1, 2007; 188(1): 242 - 245. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. S. Coughlin, J. King, T. B. Richards, and D. U. Ekwueme Cervical Cancer Screening among Women in Metropolitan Areas of the United States by Individual-Level and Area-Based Measures of Socioeconomic Status, 2000 to 2002. Cancer Epidemiol. Biomarkers Prev., November 1, 2006; 15(11): 2154 - 2159. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. J. Feuer Chapter 1: Modeling the Impact of Adjuvant Therapy and Screening Mammography on U.S. Breast Cancer Mortality Between 1975 and 2000: Introduction to the Problem J Natl Cancer Inst Monographs, October 1, 2006; 2006(36): 2 - 6. [Full Text] [PDF]
|
|
|
|
|
|
T. R. Holford, K. A. Cronin, A. B. Mariotto, and E. J. Feuer Chapter 4: Changing Patterns in Breast Cancer Incidence Trends J Natl Cancer Inst Monographs, October 1, 2006; 2006(36): 19 - 25. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Paskett, C. Tatum, J. Rushing, R. Michielutte, R. Bell, K. L. Foley, M. Bittoni, S. L. Dickinson, A. S. McAlearney, and K. Reeves Randomized trial of an intervention to improve mammography utilization among a triracial rural population of women. J Natl Cancer Inst, September 6, 2006; 98(17): 1226 - 1237. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Kataoka, R. Warren, R. Luben, J. Camus, E. Denton, E. Sala, N. Day, and K.-T. Khaw How predictive is breast arterial calcification of cardiovascular disease and risk factors when found at screening mammography? Am. J. Roentgenol., July 1, 2006; 187(1): 73 - 80. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y.-C. T. Shih, L. Zhao, and L. S. Elting Does Medicare coverage of colonoscopy reduce racial/ethnic disparities in cancer screening among the elderly? Health Aff., July 1, 2006; 25(4): 1153 - 1162. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. K. Stout, M. A. Rosenberg, A. Trentham-Dietz, M. A. Smith, S. M. Robinson, and D. G. Fryback Retrospective cost-effectiveness analysis of screening mammography. J Natl Cancer Inst, June 7, 2006; 98(11): 774 - 782. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. S. Ross, E. H. Bradley, and S. H. Busch Use of health care services by lower-income and higher-income uninsured adults. JAMA, May 3, 2006; 295(17): 2027 - 2036. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Smith-Bindman, D. L. Miglioretti, N. Lurie, L. Abraham, R. B. Barbash, J. Strzelczyk, M. Dignan, W. E. Barlow, C. M. Beasley, and K. Kerlikowske Does utilization of screening mammography explain racial and ethnic differences in breast cancer? Ann Intern Med, April 18, 2006; 144(8): 541 - 553. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. McQueen, S. W. Vernon, H. I. Meissner, C. N. Klabunde, and W. Rakowski Are there gender differences in colorectal cancer test use prevalence and correlates? Cancer Epidemiol. Biomarkers Prev., April 1, 2006; 15(4): 782 - 791. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Schootman, D. B Jeffe, E. A Baker, and M. S Walker Effect of area poverty rate on cancer screening across US communities. J. Epidemiol. Community Health, March 1, 2006; 60(3): 202 - 207. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. S. Consedine, A. H. Morgenstern, E. Kudadjie-Gyamfi, C. Magai, and A. I. Neugut Prostate cancer screening behavior in men from seven ethnic groups: the fear factor. Cancer Epidemiol. Biomarkers Prev., February 1, 2006; 15(2): 228 - 237. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. I. Meissner, N. Breen, C. N. Klabunde, and S. W. Vernon Patterns of Colorectal Cancer Screening Uptake among Men and Women in the United States. Cancer Epidemiol. Biomarkers Prev., February 1, 2006; 15(2): 389 - 394. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. A. Borrayo, L. P. Buki, and B. M. Feigal Breast Cancer Detection Among Older Latinas: Is It Worth the Risk? Qual Health Res, November 1, 2005; 15(9): 1244 - 1263. [Abstract] [PDF]
|
|
|
|
|
|
R. Haque, V. Chiu, K. R. Mehta, and A. M. Geiger An Automated Data Algorithm To Distinguish Screening and Diagnostic Colorectal Cancer Endoscopy Exams J Natl Cancer Inst Monographs, November 1, 2005; 2005(35): 116 - 118. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. A. Berry, K. A. Cronin, S. K. Plevritis, D. G. Fryback, L. Clarke, M. Zelen, J. S. Mandelblatt, A. Y. Yakovlev, J. D. F. Habbema, E. J. Feuer, et al. Effect of screening and adjuvant therapy on mortality from breast cancer. N. Engl. J. Med., October 27, 2005; 353(17): 1784 - 1792. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. S. O'Malley, C. B. Forrest, S. Feng, and J. Mandelblatt Disparities Despite Coverage: Gaps in Colorectal Cancer Screening Among Medicare Beneficiaries Arch Intern Med, October 10, 2005; 165(18): 2129 - 2135. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. W. Hance, W. F. Anderson, S. S. Devesa, H. A. Young, and P. H. Levine Trends in Inflammatory Breast Carcinoma Incidence and Survival: The Surveillance, Epidemiology, and End Results Program at the National Cancer Institute J Natl Cancer Inst, July 6, 2005; 97(13): 966 - 975. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. A. Rodriguez, L. M. Ward, and E. J. Perez-Stable Breast and Cervical Cancer Screening: Impact of Health Insurance Status, Ethnicity, and Nativity of Latinas Ann. Fam. Med, May 1, 2005; 3(3): 235 - 241. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Michielutte, P. C. Sharp, K. L. Foley, L. E. Cunningham, J. G. Spangler, E. D. Paskett, and L. D. Case Intervention to increase screening mammography among women 65 and older Health Educ. Res., April 1, 2005; 20(2): 149 - 162. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. M. Zhang, J. E. Buring, I-M. Lee, N. R. Cook, and P. M. Ridker C-Reactive Protein Levels Are Not Associated with Increased Risk for Colorectal Cancer in Women Ann Intern Med, March 15, 2005; 142(6): 425 - 432. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Bhargavan and J. H. Sunshine Utilization of Radiology Services in the United States: Levels and Trends in Modalities, Regions, and Populations Radiology, March 1, 2005; 234(3): 824 - 832. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Subramanian, M. M. Amonkar, and T. L. Hunt Use of Colonoscopy for Colorectal Cancer Screening: Evidence from the 2000 National Health Interview Survey Cancer Epidemiol. Biomarkers Prev., February 1, 2005; 14(2): 409 - 416. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. C. Yankaskas, S. H. Taplin, L. Ichikawa, B. M. Geller, R. D. Rosenberg, P. A. Carney, K. Kerlikowske, R. Ballard-Barbash, G. R. Cutter, and W. E. Barlow Association between Mammography Timing and Measures of Screening Performance in the United States Radiology, February 1, 2005; 234(2): 363 - 373. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Hiatt, J. Wardle, S. Vernon, J. Austoker, L. Bistanti, S. Fox, R. Gnauck, D. Iverson, M. Mandelson, D. Reading, et al. Workgroup IV: public education. UICC International Workshop on Facilitating Screening for Colorectal Cancer, Oslo, Norway (29 and 30 June 2002) Ann. Onc., January 1, 2005; 16(1): 38 - 41. [Full Text] [PDF]
|
|
|
|
 |
|
 E. J Feuer, R. Etzioni, K. A Cronin, and A. Mariotto The use of modeling to understand the impact of screening on US mortality: examples from mammography and PSA testing Statistical Methods in Medical Research, December 1, 2004; 13(6): 421 - 442. [Abstract] [PDF]
|
|
|
|
 |
|
 P. A. Shaw, R. Etzioni, S. B. Zeliadt, A. Mariotto, K. Karnofski, D. F. Penson, N. S. Weiss, and E. J. Feuer An Ecologic Study of Prostate-specific Antigen Screening and Prostate Cancer Mortality in Nine Geographic Areas of the United States Am. J. Epidemiol., December 1, 2004; 160(11): 1059 - 1069. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. G. Zapka, S. C. Lemon, E. Puleo, B. Estabrook, R. Luckmann, and S. Erban Patient Education for Colon Cancer Screening: A Randomized Trial of a Video Mailed before a Physical Examination Ann Intern Med, November 2, 2004; 141(9): 683 - 692. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. C. Battat, R. V. Rouse, L. Dempsey, B. Y. Safadi, and S. M. Wren Institutional Commitment to Rectal Cancer Screening Results in Earlier-Stage Cancers on Diagnosis Ann. Surg. Oncol., November 1, 2004; 11(11): 970 - 976. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Chao, C. J. Connell, V. Cokkinides, E. J. Jacobs, E. E. Calle, and M. J. Thun Underuse of Screening Sigmoidoscopy and Colonoscopy in a Large Cohort of US Adults Am J Public Health, October 1, 2004; 94(10): 1775 - 1781. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. F. Jerant, P. Franks, J. E. Jackson, and M. P. Doescher Age-Related Disparities in Cancer Screening: Analysis of 2001 Behavioral Risk Factor Surveillance System Data Ann. Fam. Med, September 1, 2004; 2(5): 481 - 487. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. S. Mandelblatt, C. B. Schechter, K. R. Yabroff, W. Lawrence, J. Dignam, P. Muennig, Y. Chavez, J. Cullen, and M. Fahs Benefits and Costs of Interventions to Improve Breast Cancer Outcomes in African American Women J. Clin. Oncol., July 1, 2004; 22(13): 2554 - 2566. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. R. Church, M. W. Yeazel, R. M. Jones, L. K. Kochevar, G. D. Watt, S. J. Mongin, J. E. Cordes, and D. Engelhard A Randomized Trial of Direct Mailing of Fecal Occult Blood Tests To Increase Colorectal Cancer Screening J Natl Cancer Inst, May 19, 2004; 96(10): 770 - 780. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. C. Walter, K. Lindquist, and K. E. Covinsky Relationship between Health Status and Use of Screening Mammography and Papanicolaou Smears among Women Older Than 70 Years of Age Ann Intern Med, May 4, 2004; 140(9): 681 - 688. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. S. Morales, J. Rogowski, V. A. Freedman, S. L. Wickstrom, J. L. Adams, and J. J. Escarce Use of Preventive Services by Men Enrolled in Medicare+Choice Plans Am J Public Health, May 1, 2004; 94(5): 796 - 802. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. R. Yabroff, N. Breen, S. W. Vernon, H. I. Meissner, A. N. Freedman, and R. Ballard-Barbash What Factors Are Associated with Diagnostic Follow-Up after Abnormal Mammograms? Findings from a U.S. National Survey Cancer Epidemiol. Biomarkers Prev., May 1, 2004; 13(5): 723 - 732. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. J. Turner, M. Weiner, C. Yang, and T. TenHave Predicting Adherence to Colonoscopy or Flexible Sigmoidoscopy on the Basis of Physician Appointment-Keeping Behavior Ann Intern Med, April 6, 2004; 140(7): 528 - 532. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. W. Yeazel, T. R. Church, R. M. Jones, L. K. Kochevar, G. D. Watt, J. E. Cordes, D. Engelhard, and S. J. Mongin Colorectal Cancer Screening Adherence in a General Population Cancer Epidemiol. Biomarkers Prev., April 1, 2004; 13(4): 654 - 657. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. P. Insinga, A. G. Glass, and B. B. Rush Pap Screening in a U.S. Health Plan Cancer Epidemiol. Biomarkers Prev., March 1, 2004; 13(3): 355 - 360. [Abstract] [Full Text]
|
|
|
|
|
|
J. Cullen, M. D. Schwartz, W. F. Lawrence, J. V. Selby, and J. S. Mandelblatt Short-Term Impact of Cancer Prevention and Screening Activities on Quality of Life J. Clin. Oncol., March 1, 2004; 22(5): 943 - 952. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. H. Taplin, L. Ichikawa, D. S. M. Buist, D. Seger, and E. White Evaluating Organized Breast Cancer Screening Implementation: The Prevention of Late-Stage Disease? Cancer Epidemiol. Biomarkers Prev., February 1, 2004; 13(2): 225 - 234. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Lu-Yao, T. A. Stukel, and S.-L. Yao Prostate-Specific Antigen Screening in Elderly Men J Natl Cancer Inst, December 3, 2003; 95(23): 1792 - 1797. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Etzioni, J. H. Liu, M. A. Maggard, J. B. O'Connell, and C. Y. Ko Workload Projections for Surgical Oncology: Will We Need More Surgeons? Ann. Surg. Oncol., November 1, 2003; 10(9): 1112 - 1117. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. K. Weir, M. J. Thun, B. F. Hankey, L. A. G. Ries, H. L. Howe, P. A. Wingo, A. Jemal, E. Ward, R. N. Anderson, and B. K. Edwards Annual Report to the Nation on the Status of Cancer, 1975-2000, Featuring the Uses of Surveillance Data for Cancer Prevention and Control J Natl Cancer Inst, September 3, 2003; 95(17): 1276 - 1299. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. A. Ganz, M. M. Farmer, M. Belman, J. L. Malin, R. Bastani, K. L. Kahn, A. Dietrich, and J. Fielding Improving Colorectal Cancer Screening Rates in a Managed Care Health Plan: Recruitment of Provider Organizations for a Randomized Effectiveness Trial Cancer Epidemiol. Biomarkers Prev., September 1, 2003; 12(9): 824 - 829. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. R. Yabroff, K. S. Washington, A. Leader, E. Neilson, and J. Mandelblatt Is the Promise of Cancer-Screening Programs Being Compromised? Quality of Follow-Up Care after Abnormal Screening Results Med Care Res Rev, September 1, 2003; 60(3): 294 - 331. [Abstract] [PDF]
|
|
|
|
|
|
S. N. Lukwago, M. W. Kreuter, C. L. Holt, K. Steger-May, D. C. Bucholtz, and C. S. Skinner Sociocultural Correlates of Breast Cancer Knowledge and Screening in Urban African American Women Am J Public Health, August 1, 2003; 93(8): 1271 - 1274. [Full Text] [PDF]
|