{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T05:07:25Z","timestamp":1791176845117,"version":"4.1.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2012,11,1]],"date-time":"2012-11-01T00:00:00Z","timestamp":1351728000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2012,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Regular Pap test screening has contributed to decreasing cervical cancer incidence and mortality over the past decades, yet half of the women diagnosed with cervical cancer have never had a Pap test. Our study aims to examine the cervical cancer screening rate, identify socioeconomic and demographic risk factors associated with adult women who have never had a Pap test, and examine the relationship of screening with use of related health services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Using Behavioral Risk Factor Surveillance System data (1993\u20132010), a multivariable survey logistic regression model was fitted to estimate odds ratios for associations between risk factors and the outcome of never screened.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Between 1993 and 2010, 81.3% of respondents reported they had a Pap test within 3 years; 6.2% were never screened. For women who had a recent checkup, 5.5% were never screened. Among women who had a hysterectomy, 69.4% had a Pap test within 3 years. The multivariable analysis showed that age, race\/ethnicity, education, annual household income, never married, and currently uninsured were significantly (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt;0.001) associated with never screened.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Screening programs accompanied by adequate treatment options should target women at high risk for never being screened, which could decrease cervical cancer incidence and mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2011.3418","type":"journal-article","created":{"date-parts":[[2012,8,8]],"date-time":"2012-08-08T12:07:05Z","timestamp":1344427625000},"page":"1132-1138","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":60,"title":["Cervical Cancer Screening in the United States, 1993\u20132010: Characteristics of Women Who Are Never Screened"],"prefix":"10.1177","volume":"21","author":[{"given":"Han-Yang","family":"Chen","sequence":"first","affiliation":[{"name":"Center for Urban Population Health"},{"name":"University of Wisconsin Madison"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtenay L.","family":"Kessler","sequence":"additional","affiliation":[{"name":"Center for Urban Population Health"},{"name":"University of Wisconsin Madison"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoyo","family":"Mori","sequence":"additional","affiliation":[{"name":"Center for Urban Population Health"},{"name":"University of Wisconsin-Milwaukee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suneet P.","family":"Chauhan","sequence":"additional","affiliation":[{"name":"Eastern Virginia Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,11,1]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Howlader N Noone AM Krapcho M et al. SEER cancer statistics review 1975\u20132008. Bethesda MD: National Cancer Institute seer.cancer.gov\/csr\/1975_2008\/Based onNovember 2010SEER data submission posted to the SEER website 2011."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.currproblcancer.2007.01.001"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pop.2009.04.010"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.52.6.342"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181c6f8a4"},{"key":"e_1_3_3_7_2","first-page":"1","volume-title":"NIH consensus statement","author":"National Institutes of Health Consensus Development Panel","year":"1996","unstructured":"National Institutes of Health Consensus Development Panel. Cervical cancer. NIH consensus statement. 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