Breast and Cervical Cancer Screening in Virginia: The Impact of Insurance Coverage and the Every Woman's Life Screening Program

Background: Screening for breast and cervical cancers is important because early detection increases cancer survival. Since 1991, the U.S. government has helped finance a national early detection program for breast and cervical cancer among uninsured low-income women, known in Virginia (VA) as Every Woman's Life (EWL).Objectives: This study aims to determine whether there are differences in the prevalence of breast and cervical cancer screening based on insurance coverage, assess the prevalence of screening by health district, and evaluate the ability of EWL to effectively reach its target population.Methods: Cross-sectional data from the 2005 Behavioral Risk Factor Surveillance System survey were analyzed. Using population weights, descriptive statistics were generated and multiple regression was performed to assess the association between insurance coverage and screening prevalence among VA women 40 to 64 years of age (n=1,627). Adjusted screening prevalence by health district was also calculated. EWL client (n=4,959) and provider data from the VA Department of Health was obtained to create screening density maps with Geographic Information Systems.Results: After adjustment, women with insurance were significantly more likely to have a mammogram within the last two years compared to those without insurance (78% vs. 50%, pConclusion: The results of this study will be used to assist EWL in recruitment of additional screening and/or diagnostic sites in underserved areas of Virginia.

Name thesis:degree_name

Master of Public Health

Level thesis:degree_level

Thesis

Discipline thesis:degree_discipline

Epidemiology & Community Health

Year dc:date.available

2007

Author dc:creator

• Somayaji, Kamila

Contributors dc:contributor

• Dr. C.M.G. Buttery

• PAP test
• mammogram
• cancer screening
• low income
• uninsured
• Epidemiology
• Medicine and Health Sciences
• Public Health

Statement dc:rights

• © The Author

Identifier

https://scholarscompass.vcu.edu/etd/1230

OAI identifier oai:identifier

oai:scholarscompass.vcu.edu:etd-2229