WASHINGTONA new analysis of data from the National
Breast and Cervical Cancer Early Detection Program (NBCCEDP) shows that among
women who received their first NBCCEDP Pap test between 1991 and 1998, American
Indian and Alaskan Native (AI/AN) women had the highest proportion of abnormal
Pap tests, while white women had the highest rate of serious cervical lesions
detected by biopsy.
Specifically, 4.4% of AI/AN women, 3.2% of blacks, 3.0% of
whites, 2.7% of Hispanics, and 1.9% of Asian and Pacific Islanders (A/PIs) had
abnormal tests. Biopsies detected serious cervical lesions in 9.9 per 1,000 Pap
tests among whites, followed by Hispanics with 7.6 per 1,000, blacks at 7.1 per
1,000, AI/AN women with 6.7 per 1,000, and A/PIs at 5.4 per 1,000 Pap tests.
AI/AN women were the least likely to have ever had a Pap test
prior to participating in a NBCCEDP screening. Black women were the least
likely to receive follow-up care after a diagnosis of a serious cervical
NBCCEDP, which is administered by the CDC, is a federally
funded program that provides breast and cervical cancer screenings to older and
low-income women, and underserved women of racial and ethnic minority groups.