Document Type
Capstone Experience
Graduation Date
5-2024
Degree Name
Master of Public Health
Department
Epidemiology
First Committee Member
Kendra Ratnapradipa
Second Committee Member
Ariane Rung
Third Committee Member
Anthony Blake
Fourth Committee Member
Ishrat Kamal-Ahmed
Abstract
Objective: To determine if, among women aged 21-65, there is a positive association between avoiding healthcare due to cost and not being up to date on cervical cancer screening.
Methods: This cross-sectional study utilized the 2022 Behavioral Risk Factor Surveillance System dataset. A total of 123,275 women, aged 18-69 without a hysterectomy, were analyzed with bivariate and multivariate analyses. The outcome was length of time since last cervical cancer screening. The exposure was avoiding healthcare in the last 12 months due to cost.
Results: Women who avoided healthcare due to cost had higher odds of not being up to date on cervical cancer screening (aPOR 1.57; 95% CI 1.34,1.84). Risk factors included increased age (Aged 60-69: aPOR 4.02; 95% CI 3.16, 5.11), insurance status, certain races, lacking transportation, lacking primary healthcare providers, and location. Protective factors included increased annual income ($100,000+: aPOR 0.72; 95% CI 0.58, 0.89), speaking Spanish, increased education, and certain races.
Conclusions: This study demonstrates the effect of cost on cervical cancer screening and draws attention to the need for cost-effective health services for at-risk women.
Recommended Citation
Johnson, Sarah M., "Cervical Cancer Screening and Affordability of Medical Care: A Cross-Sectional Study" (2024). Capstone Experience. 337.
https://digitalcommons.unmc.edu/coph_slce/337