141st APHA Annual Meeting and Exposition

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292364
Impact of cervical cancer screening by race/ethnicity on u.s. active duty service women, 2000-2011


Monday, November 4, 2013 : 1:15 p.m. - 1:35 p.m.

Monique-Nicole Anthony, MPH, Epidemiology and Analysis Division, General Dynamics Information Technology, Armed Forces Health Surveillance Center, Silver Spring, MD
Leslie Clark, PhD, MS, Division of Epidemiology & Analysis, General Dynamics Information Technology, Armed Forces Health Surveillance Center, Silver Spring, MD
Patricia Rohrbeck, MPH, DrPH, CPH, Division of Epidemiology and Analysis, Armed Forces Health Surveillance Center (AFHSC), Silver Spring, MD
Background: Cervical cancer screening using the Pap test has been a successful strategy for preventing invasive cervical cancer. Low population screening rates translate into capturing cervical cancer diagnoses at a later stage which results in poorer outcomes. US service women have access to universal health care and are required to have yearly Pap tests. As a result, military health surveillance can assist in capturing a thorough view of the impact of cervical screens. This analysis describes cervical cytology screening among female members of the active component U.S. Armed Forces during the 2000-2011.

Methods: Analysis of active duty service members were conducted over a 10 year period using data from the defense medical surveillance system (DMSS). Demographic characteristics and incidence rates are calculated using SAS software. Multiple regression was used to assess the effect of covariates.

Results: More than 851,000 screens were reviewed. Caucasian women had a higher rate of abnormal test results. The incidence rate for malignant neoplasm of the cervix is 0.16 per 1,000 persons per year (DMED). White women had a higher incidence, although protective, than black women 0.18 per 1,000 vs. 0.10 per 1,000).

Conclusion: When comparing the outcomes of this analysis to the general population, access to universal healthcare may play a role in reducing disparities for African American women.

Learning Areas:

Chronic disease management and prevention
Epidemiology
Planning of health education strategies, interventions, and programs
Provision of health care to the public

Learning Objectives:
Describes cervical cytology screening among female members of the active component U.S. Armed Forces during the 2000-2011

Keyword(s): Cancer Screening, Cervical Cancer

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a Principal Research Analyst for General Dynamics Information Technology. I provide Epidemiology and Data Analysis support to the Armed Forces Health Surveillance Center. I have an MPH in Epidemiology and have worked in the field since 2002. I have published and presented health data at APHA and similar conferences and peer-reviewed journals. I have also taught/co-taught Introduction to Epidemiology courses at Lehman College and GWU.
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.

Back to: 3235.0: Cancer Epidemiology