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Home » 2020 Topics & Objectives » Cancer » C-18.2 Data Details

C-18.2 Data Details

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

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 (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

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:

    [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
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 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: 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
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.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2013, 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.

References

Additional resources about the objective

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

    http://www.ahrq.gov/legacy/clinic/uspstfix.htm
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