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), Both Sexes, Ages 13-17

Sorted by Name
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 61.7 (60.2, 63.2) 11,375
Wyoming 48.0 (40.5, 55.7) 129
Wisconsin 63.3 (56.7, 69.4) 195
West Virginia 56.4 (49.2, 63.3) 142
Washington 67.8 (61.0, 74.0) 225
Virginia 64.9 (57.6, 71.5) 393
Vermont 66.7 (61.5, 71.6) 332
Utah 61.4 (54.1, 68.2) 180
Texas 51.5 (46.0, 56.9) 559
Tennessee 56.5 (49.4, 63.3) 169
South Dakota 74.7 (69.2, 79.6) 326
South Carolina 62.1 (54.7, 69.0) 154
Rhode Island 83.2 (76.1, 88.6) 213
Puerto Rico 67.2 (60.7, 73.1) 220
Pennsylvania 68.7 (64.2, 73.0) 655
Oregon 67.0 (60.0, 73.4) 200
Oklahoma 56.7 (49.3, 63.8) 131
Ohio 62.2 (53.5, 70.1) 160
North Dakota 72.2 (63.7, 79.3) 142
North Carolina 67.8 (59.6, 75.0) 175
New York 64.4 (59.1, 69.4) 397
New Mexico 57.9 (51.5, 64.1) 200
New Jersey 54.8 (47.1, 62.4) 167
New Hampshire 72.3 (65.7, 78.1) 202
Nevada 56.5 (49.1, 63.5) 178
Nebraska 61.9 (54.8, 68.6) 205
Montana 52.6 (45.8, 59.3) 161
Missouri 59.3 (52.5, 65.7) 206
Mississippi 32.7 (26.5, 39.6) 94
Minnesota 65.7 (58.4, 72.3) 196
Michigan 64.7 (57.6, 71.2) 232
Massachusetts 75.0 (67.3, 81.4) 193
Maryland 71.9 (67.5, 76.0) 618
Maine 61.5 (54.5, 68.0) 182
Louisiana 63.9 (56.9, 70.4) 186
Kentucky 57.0 (49.0, 64.8) 138
Kansas 64.3 (56.8, 71.1) 187
Iowa 66.1 (56.9, 74.1) 141
Indiana 55.2 (48.0, 62.2) 151
Illinois 62.2 (56.9, 67.1) 363
Idaho 61.6 (54.8, 67.9) 207
Hawaii 69.3 (62.3, 75.5) 182
Georgia 60.9 (52.8, 68.4) 133
Florida 49.0 (40.7, 57.2) 155
District of Columbia 79.4 (73.5, 84.4) 329
Delaware 68.9 (62.3, 74.8) 215
Connecticut 66.4 (59.8, 72.5) 226
Colorado 69.2 (62.1, 75.5) 195
California 69.0 (60.5, 76.4) 178
Arkansas 56.8 (50.2, 63.1) 164
Arizona 61.7 (54.6, 68.3) 180
Alaska 56.2 (48.8, 63.3) 152
Alabama 62.5 (55.6, 68.8) 182
Notes:
Created by statecancerprofiles.cancer.gov on 05/20/2024 9:22 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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