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), Female, Ages 13-15

Sorted by Percent
State
 sort alphabetically by name ascending
Percent 2
(95% Confidence Interval)
 sort by percent descending
Number of Respondents with Screening or Risk Factor
United States 60.0 (57.1, 62.7) 3,224
Kentucky 38.8 (24.6, 55.1) 27
Mississippi 38.8 (26.7, 52.6) 30
Florida 43.2 (28.0, 59.8) 37
Texas 46.5 (36.3, 57.1) 151
North Dakota 46.7 (31.5, 62.5) 26
Nevada 47.6 (35.5, 59.9) 55
Oklahoma 48.8 (35.9, 61.8) 38
Montana 49.0 (36.8, 61.4) 45
Wyoming 49.8 (37.0, 62.7) 47
Alaska 49.9 (36.3, 63.5) 37
Nebraska 52.9 (39.0, 66.3) 54
Arizona 53.9 (40.5, 66.8) 39
Arkansas 54.5 (42.5, 66.0) 48
Oregon 54.5 (41.6, 66.7) 52
Indiana 55.3 (42.0, 67.8) 40
Vermont 56.5 (45.8, 66.7) 76
Connecticut 56.8 (44.1, 68.6) 62
Louisiana 57.4 (44.7, 69.3) 49
Washington 57.7 (45.6, 69.0) 69
New Mexico 58.4 (46.3, 69.6) 63
Wisconsin 59.8 (46.6, 71.8) 50
South Carolina 59.9 (46.5, 72.0) 50
Utah 60.7 (47.0, 72.8) 53
Illinois 61.3 (52.0, 69.9) 110
Michigan 61.4 (48.5, 72.9) 70
Idaho 62.2 (49.6, 73.4) 64
Alabama 62.5 (49.9, 73.7) 48
New York 62.5 (52.9, 71.3) 111
Hawaii 63.0 (49.1, 75.0) 44
Tennessee 63.3 (49.9, 74.9) 49
Ohio 63.7 (48.5, 76.6) 56
Georgia 63.9 (48.7, 76.7) 34
Maine 64.1 (51.3, 75.1) 58
California 64.5 (48.4, 77.9) 50
Missouri 64.5 (52.7, 74.7) 59
New Jersey 64.9 (51.0, 76.7) 52
Puerto Rico 65.4 (53.1, 75.9) 66
Colorado 65.6 (52.2, 76.9) 61
Delaware 66.3 (53.9, 76.8) 64
West Virginia 66.6 (53.6, 77.5) 47
Pennsylvania 68.6 (59.9, 76.2) 181
Minnesota 68.9 (54.1, 80.7) 63
Maryland 70.1 (61.9, 77.2) 186
Iowa 71.7 (54.1, 84.5) 46
North Carolina 72.3 (54.3, 85.2) 46
Kansas 72.6 (60.0, 82.5) 59
Virginia 73.5 (60.6, 83.3) 102
New Hampshire 74.9 (62.8, 84.1) 58
District of Columbia 76.1 (64.9, 84.6) 93
South Dakota 80.3 (70.0, 87.7) 95
Massachusetts * *
Rhode Island * *
Notes:
Created by statecancerprofiles.cancer.gov on 04/17/2024 5:20 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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