{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:48:34Z","timestamp":1777916914786,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"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":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>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\u201349. 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 &lt;5 years ago, and sterilization completed \u22655 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>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\u2009=\u20091.75\u20134.00) of being underscreened for cervical cancer compared with women who did not have a tubal sterilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Approximately 4.3 million women ages 22\u201349 in the United States are potentially underscreened for cervical cancer and women with previous tubal ligation \u22655 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2023.0610","type":"journal-article","created":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T15:00:46Z","timestamp":1710860446000},"page":"729-733","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Tubal Sterilization and Cervical Cancer Underscreening in the United States"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6833-8372","authenticated-orcid":false,"given":"Hunter K.","family":"Holt","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine, University of Illinois at Chicago, Chicago, Illinois, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gladys","family":"Martinez","sequence":"additional","affiliation":[{"name":"Reproductive Statistics Branch, National Center for Health Statistics, Division of Vital Statistics, Centers for Disease Control and Prevention, Hyattsville, Maryland, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria F.","family":"Reyes","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mona","family":"Saraiya","sequence":"additional","affiliation":[{"name":"Epidemiology and Applied Research Branch, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Qin","sequence":"additional","affiliation":[{"name":"Epidemiology and Applied Research Branch, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George F.","family":"Sawaya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences, Center for Healthcare Value, University of California San Francisco, San Francisco, California, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,6,13]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30507"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2019.04.010"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-011-9439-6"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.3951"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6637a4"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2015.11.006"},{"issue":"388","key":"e_1_3_6_8_2","first-page":"1","article-title":"Current contraceptive status among women aged 15\u201349: United States, 2017\u20132019","author":"Daniels K","year":"2020","unstructured":"Daniels K, , Abma JC. Current contraceptive status among women aged 15\u201349: United States, 2017\u20132019. NCHS Data Brief, 2020;(388):1\u20138.","journal-title":"NCHS Data Brief"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000249604.78234.d3"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2016.80"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2012.07.119"},{"issue":"2","key":"e_1_3_6_12_2","first-page":"94","article-title":"Sociodemographic factors associated with pap test adherence and cervical dysplasia in surgically sterilized women","volume":"15","author":"Whitehouse KC","year":"2014","unstructured":"Whitehouse KC, , Montealegre JR, , Follen M, et al. Sociodemographic factors associated with pap test adherence and cervical dysplasia in surgically sterilized women. J Reprod Infertil, 2014; 15(2):94\u2013104.","journal-title":"J Reprod Infertil"},{"key":"e_1_3_6_13_2","unstructured":"Data from: National Survey of Family Growth. CDC for Health Statistics: Hyattsville MD; 2020. Deposited November 8 2021."},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.10897"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1363\/4422812"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.05.009"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/13557858.2023.2174254"},{"key":"e_1_3_6_18_2","unstructured":"Bureau USC. Foreign-Born: 2021 Current Population Survey Detailed Tables. November 15 2022. Available from: www.census.gov\/data\/tables\/2021\/demo\/foreign-born\/cps-2021.html [Last accessed: October31 2022]."},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2019.105880"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.43582"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2011.3418"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2018.03.026"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2020.8807"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-015-0524-5"},{"key":"e_1_3_6_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2021.08.023"},{"key":"e_1_3_6_26_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.epi-07-2629"},{"issue":"9","key":"e_1_3_6_27_2","first-page":"721","article-title":"Validation of self-reported breast and cervical cancer screening tests among low-income minority women","volume":"5","author":"Paskett ED","year":"1996","unstructured":"Paskett ED, , Tatum CM, , Mack DW, et al. Validation of self-reported breast and cervical cancer screening tests among low-income minority women. Cancer Epidemiol Biomarkers Prev, 1996; 5(9):721\u2013726.","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"e_1_3_6_28_2","doi-asserted-by":"publisher","DOI":"10.1186\/gm8"},{"key":"e_1_3_6_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-720x.2008.302.x"},{"key":"e_1_3_6_30_2","unstructured":"On Racism: A New Standard for Publishing on Racial Health Inequities. Health Affairs Blog; Updated July 2 2020. Available from: www.healthaffairs.org\/content\/forefront\/racism-new-standard-publishing-racial-health-inequities [Last accessed: November10 2023]."},{"key":"e_1_3_6_31_2","doi-asserted-by":"publisher","DOI":"10.1080\/13557858.2018.1439896"},{"key":"e_1_3_6_32_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2021.01422"},{"key":"e_1_3_6_33_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.689462"}],"container-title":["Journal of Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/jwh.2023.0610","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2023.0610","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2023.0610","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:59:50Z","timestamp":1777658390000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.1089\/jwh.2023.0610"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":32,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1089\/jwh.2023.0610"],"URL":"https:\/\/doi.org\/10.1089\/jwh.2023.0610","relation":{},"ISSN":["1540-9996","1931-843X"],"issn-type":[{"value":"1540-9996","type":"print"},{"value":"1931-843X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6]]}}}