248419 Knowledge of family history of cancer on cervical cancer screening behavior in a population-based survey of women in the Southeastern United States

Wednesday, November 2, 2011: 9:10 AM

Jessica D. Bellinger, PhD, MPH , University of South Carolina, Columbia, SC
Heather M. Brandt, PhD, CHES , Department of Health Promotion, Education, and Behavior, University of South Carolina Arnold School of Public Health, Columbia, SC
James W. Hardin, PhD , Department of Biostatistics, University of South Carolina Arnold School of Public Health, Columbia, SC
Shalanda A. Bynum, PhD, MPH , Department of Health Outcomes and Behavior, Moffitt Cancer Center and Research Institute, Tampa, FL
Patricia A. Sharpe, PhD, MPH , Prevention Research Center, Arnold School of Public Health, University of South Carolina, Columbia, SC
Introduction: Family history of cancer influences cancer screening behavior, but how it impacts cervical cancer prevention is less understood. To inform an understanding of cervical cancer disparities in mortality, the study objective was to determine the role of knowledge of family history of cancer on cervical cancer screening.

Methods: In a population-based survey of HPV and cervical cancer, women's knowledge of family history of cancer, Pap test behavior, and access to care were measured (n=986). Random-digit dial, computer-assisted telephone interviewing was used to contact eligible respondents: adult women, aged 18-70, South Carolina residents with landline telephones, and English proficiency. Survey-weighted data analysis procedures ensured estimation representative of the state. Logistic regression models were estimated using STATA 10.

Results: Less than 10% of African-American respondents reported family history of cancer (FHC+) compared to 13% of non-African American respondents. FHC+ was not predictive of Pap test behavior (OR=1.19, 95% CI 0.63, 2.24). However, private health insurance (OR=2.28, 95% CI 1.46, 3.56) and younger age (18-30 years: OR=4.29, 95% CI 1.54, 11.94; 31-44 years: OR=5.17, 95% CI 2.22, 12.04) were predictors of cervical cancer screening.

Conclusions: Findings suggest family history of cancer was not correlated with cervical cancer screening in this sample. Additional research is needed to understand the potential impact of family history on cervical cancer screening behavior and the role of access and availability of care. However, findings suggest a need to target older women with recommended screening and increase awareness of Pap test resources available to uninsured women.

Learning Areas:
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Articulate factors associated with cancer screening behavior in women; 2. Identify strategies to improve access to care for women in need of cervical cancer screening; and 3. Identify resources for cervical cancer prevention and control for underserved women.

Keywords: Health Care Access, Cancer Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have extensive experience with mixed methods investigations of cancer prevention and control, health disparities, and health policy as a researcher at the Arnold School of Public Health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.