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ORIGINAL RESEARCH

The Association Between Insurance Status and Cervical Cancer Screening in Community Health Centers: Exploring the Potential of Electronic Health Records for Population-Level Surveillance, 2008–2010

Insurance Comparison and Race/EthnicityAge, yAdjusted Prevalence Ratio (95% Confidence Interval) for Receipt of Papanicolaou Test
Partially vs fully insured
Non-Hispanic white 40–641.00 (0.93–1.07)
21–390.91 (0.84–0.99)
Hispanic 40–640.94 (0.88–1.00)
21–390.91 (0.84–0.99)
Non-Hispanic other 40–641.05 (0.95–1.17)
21–391.09 (0.99–1.20)
Uninsured vs fully insured
Non-Hispanic white 40–640.88 (0.79–0.97)
21–390.80 (0.71–0.91)
Hispanic 40–640.80 (0.75–0.86)
21–391.11 (1.05–1.18)
Non-Hispanic other 40–640.86 (0.72–1.02)
21–390.98 (0.83–1.17)


Figure.
Adjusted prevalence ratios (APRs) and 95% confidence intervals (CIs) for receipt of cervical cancer screening, by insurance status and stratified by race/ethnicity and age, for women in selected Oregon and California OCHIN-affiliated community health centers, from 2008 through 2010 (N = 11,560). Adjusted prevalence ratios are significant at the α = .05 level if the 95% confidence interval does not contain 1.00.

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