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This study explored whether screening for breast and cervical cancer varied between rural and urban areas using data from the 1994-2004 Behavioral Risk Factor Surveillance System. While mammography participation increased 10% over the 11-year interval in both rural and urban women, in 2004 rural women remained less likely to receive mammography than urban women (71% vs. 76%). In contrast, the prevalence of timely Pap smear testing for cervical cancer remained at about 85% across both time and the rural-urban continuum. Elderly women, those with low socioeconomic status, and Asian or Pacific Islanders were less likely than their counterparts to receive either screening test. Increased access to timely breast and cervical cancer screening is needed among women living in rural areas, particularly those in high-risk groups.
Author contact information:
Mark Doescher, MD, MSPH
WWAMI Rural Health Research Center
Phone: 206.616.9207
mdoesche@u.washington.edu
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