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This analysis examined rural-urban differences in recent trends for being up-to-date with screenings for breast, cervical, and colorectal cancers. Methods: Behavioral Risk Factor Surveillance System data (2018, 2020, 2022) were used to estimate weighted prevalence and apply survey-weighted multivariable logistic regression. Results: Uptake declined by 2022 versus 2018, with notable cervical reduction. Rural populations had lower breast screening odds across years, while colorectal and cervical differences diminished by 2022.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/rural-urban-disparities-and-trends-in-cancer-screening-an-analysis-of-behavioral-risk-factor-surveillance-system-data-2018-2022-research-report/332887/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/rural-urban-disparities-and-trends-in-cancer-screening-an-analysis-of-behavioral-risk-factor-surveillance-system-data-2018-2022-research-report/332887.png","ImageObject",300,407,{"name":92,"@type":93},"Genevieve","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What was the study’s main objective?","Question",{"text":113,"@type":114},"To assess rural-urban differences in recent trends for being up-to-date with breast, cervical, and colorectal cancer screenings using BRFSS data from 2018 to 2022.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How did screening uptake change from 2018 to 2022?",{"text":118,"@type":114},"Prevalence of being up-to-date with each screening was lower in 2022 than in 2018, with the largest decline observed for cervical cancer.",{"name":120,"@type":111,"acceptedAnswer":121},"Were rural populations consistently less likely to be up-to-date with screenings?",{"text":122,"@type":114},"Rural-urban disparities were observed for breast cancer screening from 2018 to 2022, with rural populations having lower odds. For colorectal and cervical cancers, rural disadvantages were seen in 2018 and 2020, but no statistically significant differences appeared in 2022.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},332887,1790510831,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":46,"preview_page_count":4},1374391974585,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","JNCI Cancer Spectrum, 2024, 8(6), pkae113  \n[https://doi.org/10.1093/jncics/pkae113](https://doi.org/10.1093/jncics/pkae113)  \nAdvance Access Publication Date: November 9, 2024  \nArticle  \nRural-urban disparities and trends in cancer screening: an analysis of Behavioral Risk Factor Surveillance System data (2018-2022)  \nGabriel A. Benavidez , PhD1􀀃 , Ami E. Sedani , PhD2, Tisha M. Felder , PhD3, Matthew Asare , PhD1, Charles R. Rogers , PhD2 1Department of Public Health, Robbins College of Health and Human Sciences, Baylor University, Waco, TX 76798, United States  \n2Men’s Health Inequities Research Lab, Milwaukee, WI 53226, United States  \n3Department of Biobehavioral Health & Nursing Science, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, United States  \n􀀃 Corresponding author: Gabriel A. Benavidez, PhD, Department of Public Health, Robbins College of Health and Human Sciences, Baylor University, One Bear Place  \n\\#97343, Waco, TX 76798, United States ([gabriel_benavidez@baylor.edu](gabriel_benavidez@baylor.edu))  \nAbstract  \nBackground: Despite evidence of the benefit of routine cancer screenings, data show a concerning decline in cancer screening uptake for multiple cancers. This analysis aimed to examine rural-urban differences in recent trends for being up-to-date with screenings for breast, cervical, and colorectal cancers.  \nMethods: We used 2018, 2020, and 2022 Behavioral Risk Factor Surveillance System data to assess up-to-date cancer screening status among eligible adults in the United States. We calculated weighted prevalence estimates overall and stratified by county-level ruralurban classification. We used survey-weighted multivariable logistic regression models to examine rural-urban disparities in cancer screening up-to-date status by year.  \nResults: Prevalence of being up-to-date with each cancer screening was lower in 2022 than it was in 2018. The largest decline in screening overall was for cervical cancer, which dropped from 81.89% in 2018 to 47.71% in 2022. Rural-urban disparities were observed for breast cancer screening from 2018 to 2022, with the odds of up-to-date screening being 14% to 27% lower for rural populations than for urban populations. For colorectal and cervical cancers, the odds of being up-to-date with screenings were lower for rural populations in 2018 and 2020, but no statistically significant difference was observed in 2022 (colorectal screening odds ratio ¼ 0.96, 95% CI ¼ 0.90 to 1.02; cervical screening odds ratio ¼ 0.97, 95% CI ¼ 0.93 to 1.03) .  \nConclusion: There is a concerning trend of decreasing uptake of cancer screenings that will challenge future efforts in cancer prevention and control. There is a need to better understand the factors contributing to the decline in cancer screening update.  \nIntroduction  \nIn the United States, colorectal, breast, and cervical cancers together account for more than 40% of cancer incidence and nearly 25% of all cancer deaths among women.1 For men, colorectal cancer (CRC) alone represents nearly 10% of total cancer incidence and mortality.1 Through routine screenings, each of these cancers is amenable to early detection, with survival rates at or above 90% when detected at a localized stage.2 Over the past 3 decades, substantial progress in cancer control has led to a consistent decline in overall cancer mortality, from 214 deaths per 100 000 in 1990 to 143 deaths per 100 000 in 2020,3 much of which can be attributed to successful public health efforts to increase early detection and treatment of these cancers through screening. Model-based estimates suggest a 10% increase in the proportion of age-eligible people who complete routine cancer screenings would save an additional 1300 lives from breast cancer, 3400 lives from cervical cancer, and 11 000 lives from CRC,4 demonstrating the importance of routine cancer screenings in further improving cancer control efforts.  \nRecent data show stagnant and even decl","cbCainuBnPC9vT3f","https://ap.wps.com/l/cbCainuBnPC9vT3f","pdf",729199,"English","# Abstract\n# Introduction\n## Cancer burden and importance of screening\n## Prior evidence of declining uptake and disparities\n## Focus on rural populations and care access","[{\"question\":\"What was the study’s main objective?\",\"answer\":\"To assess rural-urban differences in recent trends for being up-to-date with breast, cervical, and colorectal cancer screenings using BRFSS data from 2018 to 2022.\"},{\"question\":\"How did screening uptake change from 2018 to 2022?\",\"answer\":\"Prevalence of being up-to-date with each screening was lower in 2022 than in 2018, with the largest decline observed for cervical cancer.\"},{\"question\":\"Were rural populations consistently less likely to be up-to-date with screenings?\",\"answer\":\"Rural-urban disparities were observed for breast cancer screening from 2018 to 2022, with rural populations having lower odds. For colorectal and cervical cancers, rural disadvantages were seen in 2018 and 2020, but no statistically significant differences appeared in 2022.\"}]","Rural-urban disparities and trends in cancer screening: an analysis of Behavioral Risk Factor Surveillance System data (2018-2022) - Research report | PDF",1789999851]