C-15 Increase the proportion of women who receive a cervical cancer screening based on the most recent guidelines

National Data Source
National Health Interview Survey (NHIS); Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS)
Changed Since the Healthy People 2020 Launch
No
Measure
percent (age adjusted—see Comments)
Baseline (Year)
84.5 (2008)
Target
93.0
Target-Setting Method
10 percent improvement
Numerator
Number of women aged 21 to 65 years who have not had a hysterectomy and have had a Pap test in the past 3 years
Denominator
Number of women aged 21 to 65 years who have not had a hysterectomy
Questions Used to Obtain the National Baseline Data

From the 2008 National Health Interview Survey Cancer Control Supplement:

[NUMERATOR:]

Have you EVER HAD a Pap smear or Pap test?

  1. Yes
  2. No
  3. Refused
  4. Don't know

[If yes:]

When did you have your MOST RECENT Pap smear or Pap test?

_____________

[NUMERATOR AND DENOMINATOR:]

Have you EVER HAD a Pap smear or Pap test?

[If no:]

What is the most important reason you have {NEVER had a Pap smear or Pap test / NOT had a Pap smear or Pap test in the LAST 3 YEARS}?

  1. No reason/never thought about it
  2. Didn't need/Didn't know I needed this type of test
  3. Doctor didn't order it/didn't say I needed it
  4. Haven't had any problems
  5. Put if off/Didn't get around to it
  6. Too expensive/No insurance/Cost
  7. Too painful, unpleasant, or embarrassing
  8. Had hysterectomy

[All:]

Have you had a hysterectomy?

Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective

Comments

Methodology Notes

Data include women who have had a Pap test within the last 3 years. Women who answered “Had hysterectomy” to the third question or did not answer “No” to the fourth question are excluded from the sample. Healthy People 2020 uses the U.S. Preventative Services Task Force (USPSTF) guidelines to measure this objective and the current USPSTF guidelines recommend Pap test every 3 years for women within 3 years of onset of sexual activity or age 21 (whichever comes first) up to 65 years. The USPSTF also recommends against routine Pap smear screening for women who have had a total hysterectomy for benign disease.

Age Adjustment

This Indicator uses Age-Adjustment Groups:

  • Total: 21-34, 35-44, 45-65
  • Race/Ethnicity: 21-34, 35-44, 45-65
  • Educational Attainment: 25-34, 35-44, 45-65
  • Family Income: 21-34, 35-44, 45-65
  • Family Type: 21-34, 35-44, 45-65
  • Country of Birth: 21-34, 35-44, 45-65
  • Disability Status: 21-34, 35-44, 45-65
  • Geographic Location: 21-34, 35-44, 45-65
  • Health Insurance Status: 21-34, 35-44, 45-65
  • Marital Status: 21-34, 35-44, 45-65
Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 3-11b in that the measure was updated to match new guidelines put forth by the U.S. Preventive Services Task Force.

References and More Information

  1. U.S. Preventive Services Task Force (USPSTF), AHRQ
    http://www.ahrq.gov/legacy/clinic/uspstfix.htm