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
(2023 National Immunization Survey)

Percent with Up-to-Date HPV Vaccination Coverage
All Races (includes Hispanic), Female, Ages 13-17

Sorted by Name

State
 sort alphabetically by name descending
Percent 2
(95% Confidence Interval)
 sort by percent ascending
Number of Respondents with Screening or Risk Factor
United States 64.0 (61.9, 66.1) 5,104
Alabama 65.7 (56.7, 73.7) 95
Alaska 57.1 (45.8, 67.8) 66
Arizona 63.6 (53.2, 72.8) 89
Arkansas 54.3 (44.5, 63.8) 78
California 64.7 (53.8, 74.2) 82
Colorado 68.8 (59.4, 76.8) 104
Connecticut 71.2 (56.3, 82.6) 58
Delaware 75.4 (66.8, 82.3) 107
District of Columbia 72.9 (60.9, 82.3) 104
Florida 76.6 (67.1, 84.0) 79
Georgia 32.1 (21.8, 44.4) 45
Hawaii 70.3 (60.4, 78.6) 85
Idaho 57.9 (46.8, 68.3) 79
Illinois 74.3 (67.9, 79.8) 234
Indiana 55.2 (44.4, 65.6) 83
Iowa 69.8 (59.1, 78.6) 99
Kansas 59.4 (49.6, 68.6) 107
Kentucky 50.0 (39.7, 60.3) 81
Louisiana 66.8 (57.1, 75.3) 108
Maine 60.8 (52.0, 68.9) 99
Maryland 70.2 (60.4, 78.3) 151
Massachusetts 86.2 (78.4, 91.4) 123
Michigan 81.1 (70.0, 88.8) 92
Minnesota 72.3 (63.1, 80.0) 116
Mississippi 39.3 (29.0, 50.7) 39
Missouri 60.2 (48.5, 70.9) 80
Montana 59.4 (49.8, 68.3) 95
Nebraska 67.9 (57.3, 76.9) 83
Nevada 50.7 (41.0, 60.3) 90
New Hampshire 75.1 (64.4, 83.5) 90
New Jersey 47.0 (37.4, 56.8) 72
New Mexico 56.9 (46.3, 67.0) 78
New York 69.3 (62.0, 75.8) 188
North Carolina 64.4 (52.7, 74.6) 91
North Dakota 79.7 (69.8, 87.0) 95
Ohio 65.1 (53.9, 74.9) 85
Oklahoma 49.2 (39.2, 59.2) 69
Oregon 66.7 (56.7, 75.3) 99
Pennsylvania 66.9 (57.2, 75.4) 276
Puerto Rico 75.1 (66.5, 82.0) 157
South Carolina 63.3 (53.5, 72.1) 92
South Dakota 69.0 (57.5, 78.5) 84
Tennessee 57.8 (44.5, 70.1) 65
Texas 61.2 (51.6, 70.1) 274
Utah 59.4 (46.2, 71.3) 59
Vermont 70.8 (59.2, 80.3) 70
Virginia 59.1 (46.6, 70.6) 104
Washington 63.2 (51.9, 73.2) 74
West Virginia 54.8 (45.5, 63.7) 80
Wisconsin 74.4 (66.4, 81.0) 140
Wyoming 53.2 (43.3, 62.9) 83
Rhode Island * *
Notes:
Created by statecancerprofiles.cancer.gov on 06/16/2025 9:04 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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