ASPO Abstracts
Sociodemographic and health-related factors associated with cervical cancer screening among women at a high risk of HIV infection: a cross-sectional analysis of the 2016 Behavioral Risk Factor Surveillance System (BRFSS) data
Category: Early Detection & Risk Prediction
Conference Year: 2019
Abstract Body:
BACKGROUND: Previous studies identified various factors associated with cervical cancer screening. However, many of them used samples from the general population and limited of them focused on women with high-risk health behaviors. OBJECTIVE: Here we investigated factors associated with cervical cancer screening among women at a high risk of HIV infection. METHODS: The 2016 Behavioral Risk Factor Surveillance System (BRFSS) was used for our analysis and we included 3,458 women with a history of high-risk behaviors associated with HIV infection last year. Sociodemographic and health-related variables were collected by a self-report approach. We first descriptively summarized numbers of observations and weighted percentages of 13 sociodemographic and health-related factors. Crude and multivariable logistic regressions were used to investigate associations between study characteristics and screening. A sensitivity analysis restricted to women without a history of hysterectomy was conducted. We further examined if there was an interaction between clinical checkup, health coverage, and HIV test and race in relation to screening. RESULTS: A total of 2,918 women had cervical cancer screening (weighted%=85.6). In the multivariable model, older age (OR=0.45, 95% CI=0.25-0.80) and being a current smoker (OR=0.56, 95% CI=0.38-0.82) appeared to be inversely associated with screening. Graduating from college (OR=1.80, 95% CI 1.12-2.88), having clinical checkup last year (OR=2.22, 95% CI 1.56-3.16), owning health coverage (OR=1.91, 95% CI 1.25-2.92), regular exercise (OR=1.52, 95% CI 1.02-2.25), and having HIV test last year (OR=2.60, 95% CI 1.66-4.07) were positively associated with screening. We did not observe significant interactions for clinical checkup, health coverage, and HIV test. CONCLUSIONS: We identified 7 factors that could be potential barriers or facilitators to screening. This can help health practitioners establish a more targeted and efficient intervention program to increase cervical cancer screening among women at a high risk of HIV infection.
Keywords: cervical cancer screening, cancer prevention, epidemiology, women’s health