{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:02:03Z","timestamp":1789995723576,"version":"4.0.1"},"reference-count":59,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":78,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Rural women in the United States experience cervical cancer disparities. This study investigates whether these disparities extend beyond cancer to include screening recency, modality, and patient awareness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This cross\u2010sectional analysis used 2021 NHIS data on\n                      <jats:italic>N<\/jats:italic>\n                      = 1463 rural and\n                      <jats:italic>N<\/jats:italic>\n                      = 9227 urban US women aged 21\u201365 to investigate associations between rurality and cervical cancer screening outcomes, including: ever having had cervical cancer screening, time since most recent screening, abnormal result in the past 5 years, being told the test type at most recent screening, Pap testing at most recent screening, and HPV testing at most recent screening. Weighted bivariate analyses compared unadjusted outcomes, and multivariable logistic regressions controlling for sociodemographic covariates estimated adjusted odds ratios (aORs) of outcomes between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In unadjusted analyses, rural women were less likely to report screening within the past 5 years (odds ratio [OR]: 0.82, 95% CI: 0.70 to 0.96) and more likely to report HPV testing at their most recent screening (OR: 1.60, 95% CI: 1.35 to 1.89). After adjustment for sociodemographic covariates, rural women remained less likely to report screening within the past 5 years (aOR 0.79, 95% CI: 0.67 to 0.92) and had higher adjusted odds of HPV testing at most recent screening (aOR: 1.41, 95% CI: 1.16 to 1.70).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These results highlight persistent geographic disparities in cervical cancer screening recency, but also demonstrate potential improvement in HPV testing in rural areas.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jrh.70210","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T12:36:46Z","timestamp":1787056606000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rural\u2013Urban Differences in Cervical Cancer Screening Patterns: A Cross\u2010Sectional Analysis of the 2021 National Health Interview Survey (NHIS)"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1312-9092","authenticated-orcid":false,"given":"Anika","family":"Eldien","sequence":"first","affiliation":[{"name":"Rural Cancer Institute  Staples Minnesota USA"},{"name":"University of Minnesota Medical School, University of Minnesota\u2014Duluth  Duluth Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9285-8964","authenticated-orcid":false,"given":"Laura","family":"Hankins","sequence":"additional","affiliation":[{"name":"Rural Cancer Institute  Staples Minnesota USA"},{"name":"University of Minnesota Medical School, University of Minnesota\u2014Duluth  Duluth Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5304-2239","authenticated-orcid":false,"given":"Taylor","family":"Neilson","sequence":"additional","affiliation":[{"name":"Department of Surgery The Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0199-9082","authenticated-orcid":false,"given":"Ingrid","family":"Jacobson","sequence":"additional","affiliation":[{"name":"Rural Cancer Institute  Staples Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","unstructured":"R. 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