التفاصيل البيبلوغرافية
| العنوان: |
Tubal Sterilization and Cervical Cancer Underscreening in the United States. |
| المؤلفون: |
Holt, Hunter K., Martinez, Gladys, Reyes, Maria F., Saraiya, Mona, Qin, Jin, Sawaya, George F. |
| المصدر: |
Journal of Women's Health (15409996); Jun2024, Vol. 33 Issue 6, p729-733, 5p |
| مصطلحات موضوعية: |
RISK assessment, CERVIX uteri tumors, INSURANCE, RESEARCH funding, EARLY detection of cancer, FISHER exact test, LOGISTIC regression analysis, PRIMARY health care, CHI-squared test, DISEASE prevalence, DESCRIPTIVE statistics, MULTIVARIATE analysis, AGE distribution, TUBAL sterilization, ODDS ratio, RACE, STATISTICS, COMPARATIVE studies, CONFIDENCE intervals, POVERTY |
| مصطلحات جغرافية: |
UNITED States |
| مستخلص: |
Background: Tubal sterilization is more commonly utilized by racial/ethnic minority groups and has been implicated in underscreening for cervical cancer. The objective is to determine if prior tubal sterilization is a risk factor for cervical cancer underscreening. Methods: National Survey of Family Growth dataset from 2015 to 2019 used for analysis; data were weighted to represent the 72 million women in the U.S. population aged 22–49. Chi-square tests, Fisher exact tests, and logistic regression were used for analysis. The primary predictor variable was tubal sterilization which was categorized into no previous sterilization, sterilization completed <5 years ago, and sterilization completed ≥5 years ago. The outcome variable was underscreened versus not underscreened. Other predictor variables included age, household income as a percent of federal poverty level, previous live birth, primary care provider, and insurance status. Results: Prevalence of tubal sterilization completed 5 or more years ago was 12.5% and varied by most measured characteristics in univariate analyses. Approximately 8% of women were underscreened for cervical cancer. In multivariable analyses, women with a tubal sterilization 5 or more years ago had 2.64 times the odds (95% confidence interval = 1.75–4.00) of being underscreened for cervical cancer compared with women who did not have a tubal sterilization. Conclusions: Approximately 4.3 million women ages 22–49 in the United States are potentially underscreened for cervical cancer and women with previous tubal ligation ≥5 years ago are more likely to be underscreened. These results may inform the need for culturally sensitive public health messages informing people who have had these procedures about the need for continued screening. [ABSTRACT FROM AUTHOR] |
|
Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
