Cervical Cancer Screening in the US–Mexico Border Region: A Binational Analysis

摘要: Cervical cancer mortality is high along the US–Mexico border. We describe prevalence of a recent Papanicolaou screening test (Pap) among US and Mexican border women. analyzed 2006 cross-sectional data from Mexico’s National Survey Health Nutrition Behavioral Risk Factor Surveillance System. Women aged 20–77 years in 44 counties (n = 1,724) 80 municipios 1,454) were studied. computed weighted proportions for Pap within past year by age, education, employment, marital status, health insurance, risk behaviors, ethnicity adjusted ratios (APR) US, Mexico, region overall. Sixty-five percent (95 %CI 60.3–68.6) women 32 % 28.7–35.2) had Pap. residence (APR 2.01, 95 1.74–2.33), marriage 1.31, 1.17–1.47) insurance 1.38, 1.22–1.56) positively associated with test. Among women, 1.21, 1.05–1.38 1.33, 1.10–1.61, respectively), 20–34 about 25 more likely to have received than older Insurance also testing 1.39, 1.17–1.64 1.50; 1.23–1.82, as lower levels education (≤8th grade or 9th–12th versus some college) 1.74; 1.21–2.52 1.60; 1.03–2.49, respectively). Marriage on both sides Binational coverage increases and/or cost reductions might bolster unmarried uninsured leading earlier cervical diagnosis potentially mortality.