In addition to more systematic efforts to reduce tobacco use, improve diet and physical activity, and reduce obesity, expanded use of established screening tests could prevent much of the suffering and death from cancer, according to an annual report from the American Cancer Society (ACS).
In cancer screening, mammography use has not increased since 2000, according to the ACS. In 2010, 66.5% of women 40 years or older reported getting a mammogram in the past year. The lowest use of mammograms was reported among women who lack health insurance (31.5%), according to the society.
The ACS also reported that 76.4% of adult women in 2010 reported having a Pap test in the past three years. However, the ACS noted that there is persistent underuse of the Pap test among women who are uninsured, as well as among recent immigrants and those with low education.
In colon cancer screening, 59.1% of adults 50 years or older reported being screened for colon cancer using either a recommended stool test or an endoscopy test within recommended time intervals. However, rates remain substantially lower in uninsured individuals and those with lower socioeconomic status, the ACS said. Currently, 28 states and the District of Columbia have passed legislation ensuring coverage.
