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 13-15

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 58.5 (56.5, 60.5) 6,706
Rhode Island 85.4 (77.0, 91.1) 139
District of Columbia 79.3 (71.7, 85.3) 207
South Dakota 73.8 (66.5, 80.0) 200
Massachusetts 73.5 (63.0, 81.8) 118
New Hampshire 71.7 (63.3, 78.8) 123
California 68.6 (57.4, 78.0) 116
Maryland 67.9 (62.2, 73.1) 391
Iowa 67.1 (55.6, 76.9) 89
Hawaii 66.2 (56.8, 74.5) 99
Pennsylvania 65.8 (59.9, 71.3) 380
North Carolina 65.6 (55.2, 74.7) 103
Puerto Rico 64.1 (55.3, 72.0) 123
Colorado 63.6 (54.3, 72.0) 118
Delaware 63.6 (55.1, 71.3) 122
Virginia 63.1 (53.8, 71.5) 226
Alabama 63.0 (54.5, 70.8) 109
Vermont 62.4 (55.3, 69.0) 182
Kansas 62.2 (52.7, 70.8) 106
Minnesota 61.9 (52.4, 70.5) 117
Washington 61.6 (52.6, 70.0) 128
South Carolina 61.2 (51.9, 69.8) 100
New York 61.1 (54.3, 67.5) 217
Idaho 61.0 (52.6, 68.9) 135
Michigan 60.1 (51.0, 68.5) 136
North Dakota 59.9 (48.2, 70.7) 68
Oregon 59.6 (50.5, 68.0) 122
Illinois 58.9 (52.3, 65.3) 213
Georgia 58.7 (48.0, 68.6) 77
Louisiana 58.1 (49.2, 66.6) 110
Connecticut 57.6 (48.9, 65.9) 127
Utah 57.6 (48.2, 66.6) 112
Wisconsin 57.0 (48.1, 65.4) 105
Missouri 56.6 (48.1, 64.8) 121
Maine 56.1 (47.2, 64.7) 108
Tennessee 55.8 (46.6, 64.7) 102
Nebraska 55.6 (46.4, 64.4) 119
Ohio 55.2 (44.2, 65.7) 96
New Mexico 54.0 (45.5, 62.2) 113
Arizona 53.8 (44.8, 62.5) 102
New Jersey 53.4 (43.6, 62.9) 98
Montana 52.7 (44.0, 61.2) 99
Nevada 52.1 (43.1, 60.9) 108
Arkansas 52.0 (43.4, 60.4) 91
West Virginia 51.8 (42.7, 60.8) 79
Indiana 51.5 (42.4, 60.6) 84
Kentucky 50.6 (40.3, 60.9) 76
Oklahoma 50.3 (40.9, 59.7) 76
Alaska 48.1 (39.1, 57.3) 84
Florida 48.0 (37.3, 58.9) 99
Texas 46.4 (39.6, 53.3) 318
Wyoming 44.0 (34.9, 53.5) 79
Mississippi 35.9 (27.7, 45.0) 59
Notes:
Created by statecancerprofiles.cancer.gov on 05/09/2024 5:11 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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