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C-15 Data Details

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

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
National Health Interview Survey
Changed Since the Healthy People 2020 Launch: 
percent (age adjusted—see Comments)
Baseline (Year): 
84.5 (2008)
Target-Setting Method: 
10 percent improvement

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


Number of women aged 21 to 65 years who have not had a hysterectomy

Comparable Healthy People 2010 Objective: 
Adapted from HP2010 objective
Questions Used to Obtain the National Baseline Data: 

    From the 2008 National Health Interview Survey Cancer Control Supplement:


    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?



    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


    Have you had a hysterectomy?

Data Collection Frequency: 
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 Notes: 

    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 (percent poverty threshold): 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
    • Sexual Orientation: 21-34, 35-44, 45-65
    • Marital Status: 21-34, 35-44, 45-65
Trend Issues: 
Beginning with 2018, the American Community Survey questions are no longer available in the NHIS. As a result, tabulated data by disability are discontinued after 2017.
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.


Additional resources about the objective

  1. U.S. Preventive Services Task Force (USPSTF), AHRQ