• Cindy Welch, Carl W Miller, and Nadine T James.
• School of Nursing, The University of Southern Mississippi, Hattiesburg, MS 39406-0001, USA. cindy.welch@usm.edu
• J Obstet Gynecol Neonatal Nurs. 2008 Jan 1; 37 (1): 51-7.

ObjectivesTo identify sociodemographic and health-related determinants of Breast and Cervical Cancer Screening behaviors and evaluate progress toward Healthy People 2010 cancer-related objectives.DesignThe Behavioral Risk Factor Surveillance System 2005 data served as the numerical predicate for identifying or validating sociodemographic and health-related quality of life predictors, or both, and for determining any relative progress.Setting/ParticipantsEleven U.S. states (n = 27,625 women).Main Outcome MeasuresDeterminants of Breast and Cervical Cancer Screening and assessment of progress toward Healthy People 2010 objectives 3-11 and 3-13.ResultsNine significant predictors of annual Breast and Cervical Cancer Screening (reported as odds ratios) were identified through regression analysis: adequate health care coverage, nonsmoking, age between 40 and 64 years, age greater than or equal to 65 years, no activity limitations, Black, non-Hispanic race, income greater than or equal to $35K, current exercise performance, and no risk for high blood cholesterol. Also, Healthy People 2010 objective 3-11 was not met; however, objective 3-13 was exceeded by 2.0%.ConclusionsThe national health initiatives appear to benefit select American women (overall declining mortality rates from breast and cervical cancer); however, there seems to be a negative economy of scale with respect to age-as age increases, Breast and Cervical Cancer Screening declines and morbidity/mortality increases. Given this disparity, as of 2005, related Healthy People 2010 objectives remain unrealized.

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