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
(2021 National Immunization Survey)

Percent with Up-to-Date HPV Vaccination Coverage
All Races (includes Hispanic), Male, 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 57.1 (54.3, 59.9) 3,482
District of Columbia 82.8 (71.6, 90.2) 114
North Dakota 72.5 (55.7, 84.6) 42
California 72.1 (55.9, 84.0) 66
Massachusetts 70.2 (55.8, 81.4) 68
Hawaii 69.1 (55.9, 79.7) 55
New Hampshire 68.7 (56.6, 78.7) 65
South Dakota 68.1 (57.5, 77.0) 105
Vermont 67.8 (58.7, 75.7) 106
Washington 65.9 (52.2, 77.4) 59
Maryland 65.6 (57.4, 72.9) 205
Oregon 65.5 (53.0, 76.1) 70
Alabama 63.5 (51.7, 73.8) 61
Iowa 63.0 (47.3, 76.3) 43
Pennsylvania 62.9 (54.6, 70.5) 199
Puerto Rico 62.7 (49.9, 73.9) 57
South Carolina 62.7 (49.8, 74.0) 50
Kentucky 62.1 (48.9, 73.7) 49
Colorado 61.3 (48.2, 73.0) 57
Delaware 60.7 (48.8, 71.4) 58
North Carolina 60.4 (47.5, 72.0) 57
Idaho 59.9 (48.4, 70.4) 71
New York 59.6 (49.8, 68.7) 106
Michigan 59.0 (46.1, 70.7) 66
Louisiana 58.9 (46.4, 70.3) 61
Connecticut 58.4 (46.5, 69.4) 65
Nebraska 57.8 (45.8, 68.9) 65
Nevada 57.0 (44.0, 69.1) 53
Illinois 56.5 (47.0, 65.6) 103
Montana 56.4 (44.3, 67.7) 54
Minnesota 55.1 (42.7, 66.8) 54
Utah 55.0 (42.1, 67.4) 59
Georgia 54.5 (40.0, 68.3) 43
Wisconsin 54.3 (42.4, 65.7) 55
Arizona 53.6 (41.8, 65.1) 63
Florida 53.1 (39.1, 66.6) 62
Virginia 52.5 (39.5, 65.1) 124
Kansas 52.2 (39.2, 64.9) 47
Oklahoma 51.9 (38.5, 65.0) 38
New Mexico 49.3 (37.5, 61.1) 50
Arkansas 49.0 (37.0, 61.1) 43
Maine 48.6 (36.6, 60.7) 50
Tennessee 48.1 (35.9, 60.5) 53
Indiana 48.0 (35.7, 60.6) 44
Missouri 48.0 (36.4, 59.9) 62
Alaska 46.6 (35.0, 58.7) 47
Ohio 46.3 (31.5, 61.9) 40
Texas 46.3 (37.3, 55.4) 167
New Jersey 39.9 (28.0, 53.2) 46
West Virginia 38.3 (27.1, 50.9) 32
Wyoming 37.6 (25.6, 51.3) 32
Mississippi 33.4 (22.9, 45.7) 29
Rhode Island * *
Notes:
Created by statecancerprofiles.cancer.gov on 05/25/2024 12:57 am.
* Data has been suppressed to ensure confidentiality and stability of rate estimates. Counts are suppressed if fewer than 16 records were reported in a specific area-sex-race category.
Data not available for this combination of data selections.

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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