Complete Health Indicator Report of Cervical Cancer Screening (Pap)
Definition
The proportion of women 18 years or older who reported having a Pap test in the last three years.Numerator
The proportion of women 18 years or older who reported having a Pap test in the last three years.Denominator
The total number of female survey respondents aged 18 or older excluding those who responded "don't know" or "refused" to the numerator question.Data Interpretation Issues
To reduce bias and more accurately represent population data, the BRFSS has changed survey methodology. In 2010, it began conducting surveys by cellular phone in addition to landline phones. It also adopted "iterative proportional fitting" (raking) as its weighting method. More details about these changes can be found at: [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf].Why Is This Important?
Cervical cancer is one of the most curable cancers if detected early through routine screening. Almost all cases of cervical cancer are caused by infection of high-risk types of the human papillomavirus (HPV). The HPV vaccine protects against the HPV types that most often cause cervical cancer. Women who have had an HPV vaccine still need to have routine Pap smears because the vaccine does not fully protect against all the strains of the virus and other risk factors that can cause cervical cancer. HPV is transmitted through sexual contact. Any woman who is sexually active is at risk for developing cervical cancer. Other risk factors include giving birth to many children, having sexual relations at an early age, having multiple sex partners or partners with many other partners, cigarette smoking, and use of oral contraceptives. The U.S. Preventive Services Task Force recommends cervical cancer screening (Pap smear) every 3 years for women 21 to 65 years old. For women 30 to 65 years old, Pap smears may be conducted every 5 years in conjunction with human papillomavirus (HPV) testing.How Are We Doing?
Cervical cancer screening rates have continually fallen since 2010 at both the state and national level. Between 2012 and 2020, the percentage of Utah women aged 18 or older who reported receiving a Pap test within the last three years decreased from 70.7% to 62.9% (age-adjusted rates), compared to a national rate of 68.8%. Cervical cancer screening rates in Utah vary by geography, ethnicity, race, socio-economic status, and age. For combined years 2019 and 2020, Central Utah (54.8%), Southwest (55.0%), and Utah County (56.8%) local health districts reported statistically significantly lower cervical cancer screening rates when compared to the state rate (60.9%). Salt Lake County (63.6%) reported a statistically significantly higher rate. See additional data views for screening rates by Utah Small Areas. In 2020, women who identified as Hispanic reported receiving a screening for cervical cancer within the past 3 years at a higher rate (65.3%) than women who identified as non-Hispanic (62.4%), although this was not significantly different. Those who identified racially as Pacific Islander reported the lowest rates (44.9%), while those who identified as Asian (69.8%) and American Indian/Native Alaskan (69.1%) reported the highest rates in 2019-2020. However, none of these were statistically significantly different than the overall state rate. In 2020, and when looking at the highest level of education completed, college graduates (69.7%) and those with some post high school education (68.5%) were more likely to have received a Pap test than those with a high school diploma (63.9%) or those with no high school degree (59.7%). Women in households with annual incomes less than $25,000 (51.6%) were significantly less likely to have had a Pap test in 2020 than women in households with higher incomes (total 67.6%). Women age 18-34 years old (56.1%) were significantly less likely to have had a Pap test in 2020 than women age 50-64 (69.4%) and women age 35-49 (78.5%). The U.S. Preventive Services Task Force does not recommend screening for cervical cancer in women older than 65 years who have had adequate prior screening and are not otherwise high risk for cervical cancer.How Do We Compare With the U.S.?
Cervical cancer screening rates have continually fallen since 2010 at both the state and national level. Screening rates in Utah have also consistently been lower than national rates. Nationally, the percentage of women aged 18 or older who reported receiving a Pap test in the past three years decreased from 80.7% in 2010 to 68.8% in 2020. In Utah, the percentage of women who received a pap test decreased from 74.3% in 2010 to 62.9% in 2020. The latest state rates from 2020 indicate that only 62.9% have received a cervical cancer screening test within the past 3 years.What Is Being Done?
The Utah Breast & Cervical Cancer Program (Utah B&C) partners with local health departments, community clinics, hospitals and healthcare professionals to help those with low incomes who do not have adequate insurance gain access to timely breast and cervical cancer screening, diagnostic and treatment services. Eligible women can apply to Utah B&C by calling 800-717-1811 or by submitting an online enrollment form available at: [https://cancerutah.org/do-i-qualify/]. In addition, the Utah Immunization Vaccines for Children (VFC) program provides low cost HPV vaccines to females ages 9 to 18 who meet income guidelines. Visit [https://immunize.utah.gov/vaccines-for-children-program/] for more information.Available Services
The Utah Breast & Cervical Cancer Program (Utah B&C) partners with local health departments, community clinics, hospitals and healthcare professionals to help those with low incomes who do not have adequate insurance gain access to timely breast and cervical cancer screening, diagnostic and treatment services. Eligible women can apply to Utah B&C by calling 800-717-1811 or by submitting an online enrollment form available at: [https://cancerutah.org/do-i-qualify/]. In addition, the Utah Immunization Vaccines for Children (VFC) program provides low cost HPV vaccines to females ages 9 to 18 who meet income guidelines. Visit [https://immunize.utah.gov/vaccines-for-children-program/] for more information.Health Program Information
The 2000 Utah Legislature approved a resolution encouraging private health insurance companies and employers to include insurance coverage for the screening and detection of cervical cancer. As of July 2001, the Utah Breast and Cervical Cancer Program is able to refer Utah women in need of treatment for cervical cancers for full Medicaid benefits. The women must meet all requirements as outlined in the National Breast and Cervical Cancer Treatment Act.Related Indicators
Relevant Population Characteristics
Economically disadvantaged persons are significantly less likely to get a Pap test. Women are also more likely to receive screening tests as their level of education increases.Related Relevant Population Characteristics Indicators:
Health Care System Factors
As part of the Affordable Care Act, women can receive free preventive services such as Pap smears.Related Health Care System Factors Indicators:
Risk Factors
Any woman who is sexually active is at risk for developing cervical cancer. Other risk factors include having sexual relations at an early age, having multiple sex partners or a partner with many other partners, having a weakened immune system, not getting the HPV vaccine, and cigarette smoking.Related Risk Factors Indicators:
Health Status Outcomes
Cervical cancer is one of the most preventable types of cancer with the use of the HPV vaccine. It is also highly treatable when caught early through screening tests.Related Health Status Outcomes Indicators:
Graphical Data Views
BRFSS Utah vs. U.S. | Year | Age-adjusted Percentage of Women 18+ | Lower Limit | Upper Limit | ||
---|---|---|---|---|---|---|
Record Count: 41 | ||||||
UT Old Methodology | 1991 | 88.2% | 85.2% | 90.7% | ||
UT Old Methodology | 1992 | 81.1% | 77.3% | 84.3% | ||
UT Old Methodology | 1993 | 79.4% | 75.4% | 82.8% | ||
UT Old Methodology | 1994 | 82.5% | 78.9% | 85.5% | ||
UT Old Methodology | 1995 | 80.0% | 76.6% | 83.0% | ||
UT Old Methodology | 1996 | 80.1% | 77.2% | 82.8% | ||
UT Old Methodology | 1997 | 78.2% | 74.7% | 81.4% | ||
UT Old Methodology | 1998 | 77.8% | 74.3% | 81.1% | ||
UT Old Methodology | 1999 | 80.4% | 77.2% | 83.2% | ||
UT Old Methodology | 2000 | 81.8% | 78.5% | 84.7% | ||
UT Old Methodology | 2002 | 80.7% | 77.8% | 83.2% | ||
UT Old Methodology | 2004 | 79.0% | 76.8% | 81.1% | ||
UT Old Methodology | 2006 | 75.1% | 72.6% | 77.4% | ||
UT Old Methodology | 2008 | 74.1% | 71.7% | 76.4% | ||
UT Old Methodology | 2010 | 74.3% | 72.5% | 75.9% | ||
US Old Methodology | 1991 | 88.6% | 88.1% | 89.1% | ||
US Old Methodology | 1992 | 82.1% | 81.5% | 82.3% | ||
US Old Methodology | 1993 | 83.0% | 82.4% | 83.5% | ||
US Old Methodology | 1994 | 82.8% | 82.2% | 83.3% | ||
US Old Methodology | 1995 | 82.8% | 82.2% | 83.4% | ||
US Old Methodology | 1996 | 83.3% | 82.8% | 83.8% | ||
US Old Methodology | 1997 | 83.6% | 83.2% | 84.2% | ||
US Old Methodology | 1998 | 83.5% | 83.1% | 84.0% | ||
US Old Methodology | 1999 | 84.6% | 84.1% | 85.0% | ||
US Old Methodology | 2000 | 85.2% | 84.7% | 85.6% | ||
US Old Methodology | 2002 | 85.6% | 85.2% | 86.0% | ||
US Old Methodology | 2004 | 84.8% | 84.5% | 85.2% | ||
US Old Methodology | 2006 | 83.5% | 83.1% | 83.9% | ||
US Old Methodology | 2008 | 82.2% | 81.9% | 82.6% | ||
US Old Methodology | 2010 | 80.7% | 80.3% | 81.0% | ||
UT New Methodology | 2012 | 70.7% | 69.2% | 72.2% | ||
UT New Methodology | 2014 | 70.0% | 68.6% | 71.4% | ||
UT New Methodology | 2016 | 66.7% | 64.9% | 68.5% | ||
UT New Methodology | 2018 | 63.4% | 61.6% | 65.2% | ||
UT New Methodology | 2019 | 59.1% | 56.9% | 61.2% | ||
UT New Methodology | 2020 | 62.9% | 61.0% | 64.6% | ||
US New Methodology | 2012 | 77.7% | 77.3% | 78.0% | ||
US New Methodology | 2014 | 75.1% | 74.7% | 75.5% | ||
US New Methodology | 2016 | 72.1% | 71.7% | 72.5% | ||
US New Methodology | 2018 | 71.7% | 71.2% | 72.2% | ||
US New Methodology | 2020 | 68.8% | 68.3% | 69.4% |
Data Notes
Age-adjusted to the 2000 standard population. UT/US Old Methodology: Previous BRFSS methodology used "post-stratification" which was used to weight data by age, gender, and local health district (LHD). UT/US New Methodology: To reduce bias and more accurately represent population data, the BRFSS has changed survey methodology. It began conducting surveys by cellular phone in addition to landline phones. It also adopted "iterative proportional fitting" (raking) as its weighting method. With raking, education, race/ethnicity, marital status, home ownership/renter, and telephone source are included in the weighting procedure.Data Sources
- Behavioral Risk Factor Surveillance System Survey Data, US Department of Health and Human Services Centers for Disease Control and Prevention (CDC).
- Utah Department of Health and Human Services Behavioral Risk Factor Surveillance System (BRFSS) [https://ibis.health.utah.gov/ibisph-view/query/selection/brfss/BRFSSSelection.html]
Local Health District | Age-adjusted Percentage of Women Aged 18+ | Lower Limit | Upper Limit | |||
---|---|---|---|---|---|---|
Record Count: 14 | ||||||
Bear River | 60.7% | 55.4% | 65.8% | |||
Central | 54.8% | 48.7% | 60.8% | |||
Davis County | 64.1% | 59.5% | 68.4% | |||
Salt Lake County | 63.6% | 61.2% | 66.0% | |||
San Juan | 50.6% | 38.2% | 63.0% | |||
Southeast | 55.5% | 46.8% | 63.9% | |||
Southwest | 55.0% | 49.9% | 60.0% | |||
Summit | 68.8% | 57.1% | 78.6% | |||
Tooele | 60.4% | 52.4% | 67.8% | |||
TriCounty | 59.6% | 51.6% | 67.2% | |||
Utah County | 56.8% | 53.6% | 59.8% | |||
Wasatch | 57.4% | 47.7% | 66.6% | |||
Weber-Morgan | 63.9% | 59.4% | 68.1% | |||
State of Utah | 60.9% | 59.5% | 62.3% |
Data Notes
Age-adjusted to U.S. 2000 population.Data Source
Utah Department of Health and Human Services Behavioral Risk Factor Surveillance System (BRFSS) [https://ibis.health.utah.gov/ibisph-view/query/selection/brfss/BRFSSSelection.html]Utah Small Areas | Age-adjusted Percentage of Women Aged 18+ | Lower Limit | Upper Limit | Note | ||
---|---|---|---|---|---|---|
Record Count: 100 | ||||||
Brigham City | 42.7% | 28.9% | 57.7% | |||
Box Elder Co (Other) V2 | 56.4% | 41.6% | 70.1% | |||
Tremonton | ** | ** | ||||
Logan V2 | 59.6% | 49.8% | 68.6% | |||
North Logan | 61.3% | 44.9% | 75.4% | |||
Cache (Other)/Rich (All) V2 | 71.2% | 60.0% | 80.2% | |||
Hyrum | 56.9% | 41.4% | 71.2% | * | ||
Smithfield | 67.1% | 49.2% | 81.1% | * | ||
Ben Lomond | 65.1% | 57.2% | 72.3% | |||
Weber County (East) | 53.5% | 41.8% | 64.7% | |||
Morgan County | 63.0% | 46.6% | 76.8% | * | ||
Ogden (Downtown) | 65.7% | 54.5% | 75.3% | |||
South Ogden | 64.0% | 51.4% | 74.9% | |||
Roy/Hooper | 63.7% | 51.7% | 74.2% | |||
Riverdale | 65.7% | 50.2% | 78.4% | |||
Clearfield Area/Hooper | 66.5% | 54.3% | 76.8% | |||
Layton/South Weber | 64.2% | 55.6% | 71.9% | |||
Kaysville/Fruit Heights | 68.5% | 53.8% | 80.2% | |||
Syracuse | 58.8% | 46.9% | 69.6% | |||
Centerville | 50.8% | 35.1% | 66.4% | |||
Farmington | 52.8% | 33.2% | 71.6% | |||
North Salt Lake | 76.5% | 56.1% | 89.2% | * | ||
Woods Cross/West Bountiful | 61.8% | 45.9% | 75.5% | * | ||
Bountiful | 59.5% | 48.3% | 69.8% | |||
SLC (Rose Park) | 67.9% | 52.4% | 80.3% | |||
SLC (Avenues) | 81.0% | 67.9% | 89.6% | * | ||
SLC (Foothill/East Bench) | 73.8% | 59.3% | 84.5% | |||
Magna | 54.3% | 39.1% | 68.8% | |||
SLC (Glendale) V2 | 45.6% | 27.9% | 64.5% | |||
West Valley (Center) | 57.5% | 44.5% | 69.5% | |||
West Valley (West) V2 | 72.0% | 59.0% | 82.0% | * | ||
West Valley (East) V2 | 71.3% | 61.1% | 79.7% | |||
SLC (Downtown) V2 | 63.1% | 51.2% | 73.5% | |||
SLC (Southeast Liberty) | 67.0% | 50.6% | 80.1% | |||
South Salt Lake | 56.8% | 39.8% | 72.3% | |||
SLC (Sugar House) | 71.2% | 59.7% | 80.5% | |||
Millcreek (South) | 72.5% | 60.2% | 82.1% | |||
Millcreek (East) | 75.3% | 61.1% | 85.5% | * | ||
Holladay V2 | 62.9% | 45.2% | 77.7% | |||
Cottonwood | 70.4% | 57.2% | 80.9% | |||
Kearns V2 | 59.4% | 49.1% | 68.9% | |||
Taylorsville (E)/Murray (W) | 46.3% | 36.0% | 56.9% | |||
Taylorsville (West) | 78.9% | 70.0% | 85.8% | |||
Murray | 63.9% | 51.6% | 74.6% | |||
Midvale | 75.3% | 68.7% | 81.0% | |||
West Jordan (Northeast) V2 | 46.2% | 32.8% | 60.1% | |||
West Jordan (Southeast) | 64.9% | 49.4% | 77.9% | |||
West Jordan (W)/Copperton | 62.3% | 47.3% | 75.2% | |||
South Jordan V2 | 74.5% | 64.9% | 82.2% | |||
Daybreak | 58.0% | 46.7% | 68.4% | |||
Sandy (West) | 61.0% | 42.2% | 77.1% | |||
Sandy (Center) V2 | 57.0% | 40.3% | 72.3% | |||
Sandy (Northeast) | 67.5% | 54.6% | 78.1% | * | ||
Sandy (Southeast) | 74.2% | 61.8% | 83.6% | |||
Draper | 53.4% | 40.8% | 65.6% | |||
Riverton/Bluffdale | 67.6% | 57.5% | 76.2% | |||
Herriman | 60.3% | 47.8% | 71.6% | |||
Tooele County (Other) | 61.4% | 45.6% | 75.1% | |||
Tooele Valley | 62.7% | 53.9% | 70.7% | |||
Eagle Mountain/Cedar Valley | 40.8% | 27.3% | 55.8% | |||
Lehi | 52.5% | 41.8% | 63.0% | |||
Saratoga Springs | 70.8% | 58.6% | 80.5% | * | ||
American Fork | 65.8% | 57.0% | 73.6% | |||
Alpine | ** | ** | ||||
Pleasant Grove/Lindon | 52.1% | 41.7% | 62.3% | |||
Orem (North) | 73.0% | 64.6% | 80.1% | |||
Orem (West) | 64.0% | 52.3% | 74.3% | |||
Orem (East) | 55.7% | 40.0% | 70.4% | |||
Provo/BYU | 53.9% | 42.2% | 65.2% | |||
Provo (West City Center) | 55.9% | 40.6% | 70.1% | |||
Provo (East City Center) | 56.3% | 40.1% | 71.3% | |||
Salem City | 58.2% | 39.4% | 74.9% | * | ||
Spanish Fork | 47.9% | 38.1% | 57.8% | |||
Springville | 47.0% | 34.2% | 60.2% | |||
Mapleton | 68.5% | 53.8% | 80.3% | * | ||
Utah County (South) V2 | 52.7% | 35.6% | 69.2% | |||
Payson | 56.3% | 42.1% | 69.5% | |||
Park City | 68.9% | 54.6% | 80.3% | |||
Summit County (East) | 75.3% | 64.4% | 83.7% | * | ||
Wasatch County | 57.4% | 47.7% | 66.6% | |||
Daggett and Uintah County | 59.2% | 49.2% | 68.4% | |||
Duchesne County | 61.0% | 49.4% | 71.5% | |||
Nephi/Mona | 72.1% | 50.7% | 86.6% | * | ||
Delta/Fillmore | 51.5% | 38.6% | 64.2% | |||
Sanpete Valley | 54.0% | 45.3% | 62.4% | |||
Central (Other) | 53.0% | 43.6% | 62.1% | |||
Richfield/Monroe/Salina | 51.0% | 39.6% | 62.2% | |||
Carbon County | 56.3% | 45.2% | 66.8% | |||
Emery County | 47.2% | 32.3% | 62.6% | |||
Grand County | 56.5% | 38.0% | 73.3% | |||
Blanding/Monticello | 50.8% | 38.9% | 62.6% | |||
San Juan County (Other) | 41.7% | 28.2% | 56.6% | |||
St. George | 57.2% | 49.1% | 65.0% | |||
Washington Co (Other) V2 | 53.8% | 38.7% | 68.3% | * | ||
Washington City | 63.8% | 50.5% | 75.3% | |||
Hurricane/La Verkin | 42.2% | 26.0% | 60.2% | |||
Ivins/Santa Clara | 72.8% | 57.4% | 84.1% | * | ||
Cedar City | 50.2% | 37.0% | 63.5% | |||
Southwest LHD (Other) | 40.4% | 27.6% | 54.6% | |||
State of Utah | 60.9% | 59.5% | 62.3% |
Data Notes
Age-adjusted to U.S. 2000 standard population. *Use caution in interpreting; the estimate has a coefficient of variation >30% and is therefore deemed unreliable by Utah Department of Health and Human Services standards. **The estimate has been suppressed because 1) the relative standard error is greater than 50% or 2) the observed number of events is very small and not appropriate for publication. Maps, methods, and changes to Utah Small Areas may be found on IBIS at the following URL: [https://ibis.health.utah.gov/resource/Guidelines.html].Data Source
Utah Department of Health and Human Services Behavioral Risk Factor Surveillance System (BRFSS) [https://ibis.health.utah.gov/ibisph-view/query/selection/brfss/BRFSSSelection.html]Hispanic Ethnicity | Age-adjusted Percentage of Women 18+ | Lower Limit | Upper Limit | |||
---|---|---|---|---|---|---|
Record Count: 3 | ||||||
Hispanic/Latino | 65.3% | 58.5% | 71.5% | |||
Non-Hispanic/Latino | 62.4% | 60.5% | 64.3% | |||
All ethnicities | 62.9% | 61.0% | 64.6% |
Data Notes
Age-adjusted to the U.S. 2000 standard population.Data Source
Utah Department of Health and Human Services Behavioral Risk Factor Surveillance System (BRFSS) [https://ibis.health.utah.gov/ibisph-view/query/selection/brfss/BRFSSSelection.html]Race | Age-adjusted Percentage of Women Age 18+ | Lower Limit | Upper Limit | |||
---|---|---|---|---|---|---|
Record Count: 7 | ||||||
American Indian/Alaska Native | 69.1% | 56.6% | 79.3% | |||
Asian | 69.8% | 55.9% | 80.9% | |||
Black, African American | 62.6% | 45.9% | 76.8% | |||
Native Hawaiian, Pacific Islander | 44.9% | 27.0% | 64.3% | |||
White | 61.1% | 59.6% | 62.6% | |||
Other | 67.4% | 60.2% | 73.8% | |||
All races | 61.6% | 60.1% | 63.0% |
Data Notes
Age-adjusted to the U.S. 2000 standard population.Data Source
Utah Department of Health and Human Services Behavioral Risk Factor Surveillance System (BRFSS) [https://ibis.health.utah.gov/ibisph-view/query/selection/brfss/BRFSSSelection.html]Education Level | Age-adjusted Percentage of Women 25+ | Lower Limit | Upper Limit | |||
---|---|---|---|---|---|---|
Record Count: 5 | ||||||
Less than high school | 59.7% | 49.2% | 69.4% | |||
H.S. grad or G.E.D. | 63.9% | 59.4% | 68.1% | |||
Some post high school | 68.5% | 65.3% | 71.5% | |||
College graduate | 69.7% | 67.0% | 72.4% | |||
Total | 67.4% | 65.4% | 69.3% |
Data Notes
Age-adjusted to the 2000 standard population.Data Source
Utah Department of Health and Human Services Behavioral Risk Factor Surveillance System (BRFSS) [https://ibis.health.utah.gov/ibisph-view/query/selection/brfss/BRFSSSelection.html]Income Category | Age-adjusted Percentage of Women 18+ | Lower Limit | Upper Limit | |||
---|---|---|---|---|---|---|
Record Count: 5 | ||||||
<$25,000 | 51.6% | 46.0% | 57.1% | |||
$25,000-$49,999 | 61.5% | 56.7% | 66.1% | |||
$50,000-$74,999 | 65.6% | 60.7% | 70.2% | |||
$75,000+ | 71.2% | 68.0% | 74.3% | |||
Total | 62.9% | 61.0% | 64.6% |
Data Notes
Age-adjusted to the 2000 standard population.Data Source
Utah Department of Health and Human Services Behavioral Risk Factor Surveillance System (BRFSS) [https://ibis.health.utah.gov/ibisph-view/query/selection/brfss/BRFSSSelection.html]Age Group | Percentage of Women Aged 18+ | Lower Limit | Upper Limit | |||
---|---|---|---|---|---|---|
Record Count: 4 | ||||||
18-34 | 56.1% | 52.6% | 59.6% | |||
35-49 | 78.5% | 75.3% | 81.3% | |||
50-64 | 69.4% | 64.8% | 73.6% | |||
65+ | 36.0% | 31.6% | 40.7% |
Data Notes
^The U.S. Preventive Services Task Force does not recommend screening for cervical cancer in women older than 65 years who have had adequate prior screening and are not otherwise high risk for cervical cancer.Data Source
Utah Department of Health and Human Services Behavioral Risk Factor Surveillance System (BRFSS) [https://ibis.health.utah.gov/ibisph-view/query/selection/brfss/BRFSSSelection.html]References and Community Resources
Utah Breast and Cervical Cancer @ [http://www.cancerutah.org] [[br]] Utah Immunization Vaccines for Children @ [https://immunize.utah.gov/vaccines-for-children-program/] [[br]] Utah Cancer Action Network @ [http://www.ucan.cc] [[br]] National Cancer Institute @ [http://www.cancer.gov] [[br]] American Cancer Society @ [http://www.cancer.org] [[br]] Huntsman Cancer Institute @ [http://www.huntsmancancer.org] [[br]] Centers for Disease Control and Prevention @ [http://www.cdc.gov] [[br]] American Society of Clinical Oncology @ [http://www.asco.org]More Resources and Links
Evidence-based community health improvement ideas and interventions may be found at the following sites:Additional indicator data by state and county may be found on these Websites:
- CDC Prevention Status Reports for all 50 states
- County Health Rankings
- Kaiser Family Foundation's StateHealthFacts.org
- CDC WONDER DATA2010, the Healthy People 2010 Database.
Medical literature can be queried at the PubMed website.
Page Content Updated On 01/02/2024,
Published on 02/26/2024