C-18.2 Increase the proportion of women who were counseled by their providers about Pap tests

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
Yes
Measure
percent (age adjusted—see Comments)
Baseline (Year)
60.2 (2008)
Target
66.2
Target-Setting Method
10 percent improvement
Numerator
Number of women aged 21 to 65 years who have not had a hysterectomy and were counseled by their provider about having a Pap test
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:]

Was your most recent Pap smear or Pap test recommended by a doctor or other health professional?

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

[If no:]

In the PAST 12 MONTHS, has a doctor or other health professional recommended that you have a Pap smear or Pap test?

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

[NUMERATOR AND DENOMINATOR:]

Have you EVER HAD a Pap smear or Pap test?

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

[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
  9. Don't have doctor
  10. Had an HPV DNA test

[All:]

Have you had a hysterectomy?

  1. Yes
  2. No
  3. Refused
  4. Don't know
Data Collection Frequency
Periodic
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective

Comments

Methodology Notes

Data include women whose most recent Pap test was recommended by a provider or whose provider recommended a Pap test in the past 12 months. Only women who have not had a hysterectomy are included in the sample.

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, 45-64
  • Marital Status: 21-34, 35-44, 45-65
Description of Changes Since the Healthy People 2020 Launch

The original baseline was revised from 59.8 to 60.2 due to a change in methodology. The target was adjusted from 65.8 to 66.2 to reflect the revised baseline using the original target-setting method.

Changes Between HP2010 and HP2020
This objective differs from Healthy People 2010 objective 3-10g in that objective 3-10g tracked the proportion of health care providers who counseled their female patients about Pap tests, while the current objective tracks the proportion of women who receive Pap test counseling from their providers. The measure was also 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