Screening and Risk Factors Table

New: County level modeled estimates for breast or cervical screening, smoking, and colorectal screening.
  • How do you find them?

    These estimates are only available for

    • Mammogram in Past 2 Years, Ages 40+
    • Mammogram in Past 2 Years, Ages 50-75
    • Pap Smear in Past 3 Years, No Hysterectomy, Ages 18+
    • Had Colonoscopy in Past 10 Years, Ages 50-75
    • Guidance Sufficient CRC, Ages 50-75
    • Fecal occult blood test (FOBT), Ages 50-75
    • Smokers (current), Age 18+
    • Percent of Daily Smokers Who Stopped Smoking for 1 day or Longer in the Past 12 Months, Age 18+
    • Former Smoking Prevalence, Age 18+
    • Former Smoking Prevalence who Quit 1 Year, Age 18+
    • Percent of Workers in Non-Smoking Environments (All People)

    Select one of those statistics in the Screening and Risk Factors drop-down, and then you can choose County-Level Modeled Estimates in the Data Type drop-down when you choose Counties for a specific state (e.g., Alabama Counties) in the Area drop-down.

    For more about what these estimates are, see the Data Type Explanation.

  • Why are they different?

    One difference is that the direct estimate is from data collected in one year, while the modeled estimate relies on pooled data from 2017 through 2019 or 2018 through 2019.

    Another difference is that the modeled estimates use data from BRFSS as well as another survey (NHIS) that has a smaller but more representative sample, in that NHIS includes people without phones or with only cell phones. The national cancer screening prevalence estimates based on the BRFSS was sometimes substantially larger than the NHIS estimates for the same time period. For similar time periods, the modeled estimates may be closer to the true value.

    See the Data Type Explanation.

    The model uses multiple years (2008-2010) to provide reasonable sample sizes (mainly for estimates at the county level), and needs at least two years of data from each survey. For the screening questions, data actually came from year 2008 and 2010. For smoking, data came from each year of 2008 to 2010.

    1 Davis WW, Parsons VL, Xie D, Schenker N, Town M, Raghunathan TE, Feuer EJ. State-based estimates of mammography screening rates based on information from two health surveys. Public Health Rep 2010 Jul-Aug;125(4):567-578. [Access article]

Data Options

Screening and Risk Factors Report by State
(2022 National Immunization Survey)

Percent with Up-to-Date HPV Vaccination Coverage
All Races (includes Hispanic), Both Sexes, Ages 13-15

Sorted by Percent

State
 sort alphabetically by name ascending
Percent 2
(95% Confidence Interval)
 sort by percent ascending
Number of Respondents with Screening or Risk Factor
United States 58.6 (56.7, 60.5) 5,980
Rhode Island 81.3 (71.8, 88.2) 144
District of Columbia 77.2 (67.0, 85.0) 120
North Dakota 75.4 (66.4, 82.6) 139
Iowa 72.9 (62.5, 81.3) 97
Massachusetts 72.1 (62.3, 80.2) 107
New Hampshire 72.0 (62.5, 79.9) 99
Puerto Rico 69.9 (63.6, 75.5) 262
Delaware 69.2 (59.2, 77.7) 105
Hawaii 69.1 (59.5, 77.2) 96
Maryland 68.8 (58.3, 77.7) 153
Pennsylvania 67.1 (60.8, 72.8) 328
New York 66.5 (60.1, 72.4) 207
Illinois 66.3 (59.3, 72.6) 260
Connecticut 65.9 (56.6, 74.2) 104
Washington 65.9 (56.2, 74.4) 106
South Dakota 65.5 (55.9, 74.1) 110
Michigan 65.4 (55.6, 74.1) 103
Wisconsin 64.3 (54.9, 72.8) 107
Louisiana 64.1 (55.4, 72.0) 128
Colorado 63.4 (55.5, 70.6) 130
Idaho 61.9 (52.0, 70.9) 93
Vermont 61.9 (52.4, 70.7) 108
Alabama 61.8 (52.5, 70.4) 92
New Jersey 61.5 (51.3, 70.7) 89
Ohio 61.5 (51.1, 70.9) 101
Montana 61.2 (52.5, 69.3) 112
Oregon 60.0 (50.8, 68.5) 99
Minnesota 59.9 (51.1, 68.1) 120
Tennessee 59.5 (49.1, 69.0) 90
Nebraska 59.2 (49.8, 68.0) 95
Georgia 59.0 (50.1, 67.3) 121
Kansas 58.9 (50.3, 67.0) 102
Maine 58.7 (49.7, 67.2) 92
New Mexico 58.5 (49.4, 67.1) 115
Virginia 58.2 (51.3, 64.8) 230
Arizona 57.7 (48.1, 66.8) 93
Missouri 57.2 (48.1, 65.8) 101
California 55.3 (45.6, 64.7) 109
Utah 54.7 (45.1, 64.0) 94
Indiana 54.4 (45.1, 63.5) 96
Texas 54.0 (45.9, 61.9) 275
Alaska 52.5 (42.5, 62.2) 83
North Carolina 52.3 (43.7, 60.8) 127
Nevada 52.2 (42.8, 61.5) 80
Arkansas 51.4 (42.8, 60.0) 102
Kentucky 51.4 (42.1, 60.5) 81
Florida 49.3 (39.5, 59.2) 93
South Carolina 45.1 (35.8, 54.6) 75
West Virginia 43.6 (34.6, 52.9) 67
Wyoming 43.1 (34.2, 52.5) 86
Oklahoma 41.2 (32.1, 51.1) 67
Mississippi 33.1 (24.0, 43.6) 49
Notes:
Created by statecancerprofiles.cancer.gov on 01/22/2025 1:21 pm.

2 Source: The National Immunization Survey - Teen, Hyattsville, MD: Centers for Disease Control and Prevention.
Percent with Up-to-Date HPV Vaccination Coverage indicates teens that either have received 3 or more HPV doses or have received 2 or more HPV doses with the 1st dose before age 15 years and at least 5 months minus 4 days between the 1st and 2nd doses.
* Results were suppressed if the ratio of the standard error to the estimate was > 0.3 or the sample size was < 30.

Data for United States does not include Puerto Rico.

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