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 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 61.7 (60.2, 63.2) 11,375
Rhode Island 83.2 (76.1, 88.6) 213
District of Columbia 79.4 (73.5, 84.4) 329
Massachusetts 75.0 (67.3, 81.4) 193
South Dakota 74.7 (69.2, 79.6) 326
New Hampshire 72.3 (65.7, 78.1) 202
North Dakota 72.2 (63.7, 79.3) 142
Maryland 71.9 (67.5, 76.0) 618
Hawaii 69.3 (62.3, 75.5) 182
Colorado 69.2 (62.1, 75.5) 195
California 69.0 (60.5, 76.4) 178
Delaware 68.9 (62.3, 74.8) 215
Pennsylvania 68.7 (64.2, 73.0) 655
North Carolina 67.8 (59.6, 75.0) 175
Washington 67.8 (61.0, 74.0) 225
Puerto Rico 67.2 (60.7, 73.1) 220
Oregon 67.0 (60.0, 73.4) 200
Vermont 66.7 (61.5, 71.6) 332
Connecticut 66.4 (59.8, 72.5) 226
Iowa 66.1 (56.9, 74.1) 141
Minnesota 65.7 (58.4, 72.3) 196
Virginia 64.9 (57.6, 71.5) 393
Michigan 64.7 (57.6, 71.2) 232
New York 64.4 (59.1, 69.4) 397
Kansas 64.3 (56.8, 71.1) 187
Louisiana 63.9 (56.9, 70.4) 186
Wisconsin 63.3 (56.7, 69.4) 195
Alabama 62.5 (55.6, 68.8) 182
Illinois 62.2 (56.9, 67.1) 363
Ohio 62.2 (53.5, 70.1) 160
South Carolina 62.1 (54.7, 69.0) 154
Nebraska 61.9 (54.8, 68.6) 205
Arizona 61.7 (54.6, 68.3) 180
Idaho 61.6 (54.8, 67.9) 207
Maine 61.5 (54.5, 68.0) 182
Utah 61.4 (54.1, 68.2) 180
Georgia 60.9 (52.8, 68.4) 133
Missouri 59.3 (52.5, 65.7) 206
New Mexico 57.9 (51.5, 64.1) 200
Kentucky 57.0 (49.0, 64.8) 138
Arkansas 56.8 (50.2, 63.1) 164
Oklahoma 56.7 (49.3, 63.8) 131
Nevada 56.5 (49.1, 63.5) 178
Tennessee 56.5 (49.4, 63.3) 169
West Virginia 56.4 (49.2, 63.3) 142
Alaska 56.2 (48.8, 63.3) 152
Indiana 55.2 (48.0, 62.2) 151
New Jersey 54.8 (47.1, 62.4) 167
Montana 52.6 (45.8, 59.3) 161
Texas 51.5 (46.0, 56.9) 559
Florida 49.0 (40.7, 57.2) 155
Wyoming 48.0 (40.5, 55.7) 129
Mississippi 32.7 (26.5, 39.6) 94
Notes:
Created by statecancerprofiles.cancer.gov on 05/25/2024 1:05 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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