This report examines differences in receipt of cervical cancer screening and HPV vaccination associated with residence and race/ethnicity. Data for the study were drawn from two nationally representative samples of medical practices, the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey.
• Key Facts
• Full Report
Patient Receipt of Cervical Cancer Screening or Vaccination Services
• No significant differences were observed for type of cervical cancer screening modality (conventional, liquid or unspecified) by patient residence (urban versus rural) or by race/ethnicity (white versus African American women).
• A significantly higher proportion of women living in rural counties (69.6%) received liquid based Pap testing in hospital outpatient settings than women in urban counties (39%).
• A significantly higher proportion of women residing in urban counties received HPV DNA testing versus women residing in rural counties (10% versus 3.3%, respectively).
• No significant differences were observed in the receipt of HPV vaccination by patient residence.
Physician Providers for Women Receiving Pap or Other Cervical Screening Services
• Most patients receiving cervical screening, regardless of residence, were seen by urban physicians (92.4%).
• Significantly higher proportion of patients in rural practices were publicly insured than patients in urban practices (36.7% versus 23.0%).
Jessica D. Bellinger, PhD
South Carolina Rural Health Research Center