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, Age 40+
    • Pap Smear in Past 3 Years, No Hysterectomy, Ages 18+
    • Fecal occult blood test (FOBT) in Past 2 Years, Ages 50+
    • Ever Had Colorectal Endoscopy (sigmoidoscopy or colonoscopy), Ages 50+
    • Ever Had Colorectal Cancer Test (home-based FOBT in the past two years or ever had a colorectal endoscopy), Ages 50+
    • Smokers (current or ever), Age 18+

    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 2008 through 2010.

    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 period1. 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
(Directly Estimated 2018 BRFSS Data)

Had a Pap Smear in Past 3 Years and No Hysterectomy
All Races (includes Hispanic), Female, Ages 18+
Healthy People 2020 Objective Number: C-15
Increase the proportion of women who receive a cervical cancer screening based on the most recent guidelines

Sorted by Percent
State
 sort alphabetically by name ascending
Met
Objective
of 93.0%?1
Percent 2
(95% Confidence Interval)
 sort by percent ascending
Number of Respondents with Screening or Risk Factor
United States No 71.7 N/A
Louisiana No 77.47 (74.73, 80.21) 1,267
Mississippi No 76.29 (73.82, 78.76) 1,465
District of Columbia No 75.75 (72.77, 78.73) 1,274
Virginia No 75.44 (73.40, 77.48) 2,931
Connecticut No 75.40 (73.42, 77.38) 3,198
Georgia No 75.21 (73.29, 77.13) 2,394
Alabama No 75.01 (72.40, 77.62) 1,575
South Carolina No 74.73 (72.69, 76.77) 2,610
North Carolina No 74.23 (71.56, 76.90) 1,260
Tennessee No 74.21 (71.05, 77.37) 1,229
Puerto Rico No 74.10 (71.83, 76.37) 1,667
Maryland No 73.99 (72.21, 75.77) 4,765
New Hampshire No 73.96 (71.49, 76.43) 1,494
New York No 73.86 (72.41, 75.31) 9,824
Michigan No 73.61 (71.79, 75.43) 2,710
Delaware No 73.51 (70.69, 76.33) 1,445
New Jersey No 73.45 (69.20, 77.70) 916
Florida No 73.15 (70.90, 75.40) 3,565
Rhode Island No 73.11 (70.23, 75.99) 1,582
Hawaii No 72.92 (70.49, 75.35) 2,279
Arkansas No 72.81 (69.71, 75.91) 1,078
Kentucky No 72.41 (69.74, 75.08) 2,110
Massachusetts No 72.19 (69.78, 74.60) 1,940
Missouri No 71.92 (69.10, 74.74) 1,429
Texas No 71.74 (68.82, 74.66) 2,550
Minnesota No 71.67 (70.24, 73.10) 4,464
Maine No 71.65 (69.26, 74.04) 2,696
West Virginia No 71.21 (68.51, 73.91) 1,274
Ohio No 70.91 (68.89, 72.93) 3,235
Indiana No 70.32 (67.95, 72.69) 1,726
Oregon No 70.18 (67.69, 72.67) 1,518
Kansas No 70.04 (68.02, 72.06) 2,391
Alaska No 69.75 (65.67, 73.83) 640
Iowa No 69.75 (67.83, 71.67) 2,261
Oklahoma No 69.71 (66.93, 72.49) 1,132
Nebraska No 69.68 (67.74, 71.62) 3,460
Wisconsin No 69.42 (66.36, 72.48) 1,179
California No 69.25 (67.23, 71.27) 3,059
Illinois No 69.11 (66.60, 71.62) 1,401
Nevada No 69.02 (64.83, 73.21) 739
Wyoming No 68.62 (65.44, 71.80) 930
Arizona No 68.50 (65.62, 71.38) 1,753
Colorado No 68.15 (66.07, 70.23) 1,923
Pennsylvania No 67.84 (65.06, 70.62) 1,660
New Mexico No 67.64 (65.07, 70.21) 1,562
Montana No 67.14 (64.04, 70.24) 1,147
South Dakota No 67.08 (63.26, 70.90) 1,693
Vermont No 67.08 (64.32, 69.84) 1,741
North Dakota No 66.49 (62.96, 70.02) 1,149
Washington No 66.32 (64.44, 68.20) 2,929
Utah No 63.23 (61.21, 65.25) 2,401
Idaho No 60.46 (56.58, 64.34) 665
Notes:
Created by statecancerprofiles.cancer.gov on 07/12/2020 7:08 pm.

1 n/a - Due to a difference in the age group populations for the Healthy People 2020 Objective for pap (ages 21-65) and the screening data (ages 18+), the Healthy People 2020 Objective is not shown.
2 2018 BRFSS Survey Data is the source for this data collected by the Behavioral Risk Factor Surveillance System (BRFSS) sponsored by the Centers for Disease Control and Prevention. Data for the US is a median and not a percent.

BRFSS Prevalence estimates presented here may vary from other published estimates due to differences in the methodology used to generate estimates.

Note: Healthy People 2020 Objectives are age-adjusted to the year 2000 standard population while these estimates are not age-adjusted.
Data for United States does not include Puerto Rico.

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