Breast and Cervical Cancer Screening Among Low-income Women in Nebraska: Findings from the Every Woman Matters Program, 1993–2004

Objective. To examine the likelihood of enrollees in the Nebraska Every Woman Matters program being screened for breast and cervical cancer. Methods. We explored the relationship between sociodemographic characteristics and receiving cancer screening services. Results. Older and Native American women were more likely than younger and White women to have mammograms ordered [adjusted odds ratio (OR) = 1.41, 95% confidence interval (CI) 1.08, 1.85]. African American [OR = 0.54, 95% CI 0.46, 0.64] and Native American women [OR = 0.47, 95% CI 0.39, 0.55] were less likely than White women to have clinical breast exams performed. Native American [OR = 0.19, 95% CI 0.16, 0.23] and African American women [OR = 0.56, 95% CI 0.46, 0.68] were less likely than White women to have a Pap test performed. Conclusion. Receiving cancer screening services was related to race; thus, understanding barriers for screening for minority women is warranted.