Screening and Risk Factors Table

New: County level modeled estimates for breast or cervical screening, smoking, and colorectal screening.
  • How do you find them?

    These estimates are only available for

    • Mammogram in Past 2 Years, Ages 40+
    • Mammogram in Past 2 Years, Ages 50-75
    • Pap Smear in Past 3 Years, No Hysterectomy, Ages 18+
    • Had Colonoscopy in Past 10 Years, Ages 50-75
    • Guidance Sufficient CRC, Ages 50-75
    • Fecal occult blood test (FOBT), Ages 50-75
    • Smokers (current), Age 18+
    • Percent of Daily Smokers Who Stopped Smoking for 1 day or Longer in the Past 12 Months, Age 18+
    • Former Smoking Prevalence, Age 18+
    • Former Smoking Prevalence who Quit 1 Year, Age 18+
    • Percent of Workers in Non-Smoking Environments (All People)

    Select one of those statistics in the Screening and Risk Factors drop-down, and then you can choose County-Level Modeled Estimates in the Data Type drop-down when you choose Counties for a specific state (e.g., Alabama Counties) in the Area drop-down.

    For more about what these estimates are, see the Data Type Explanation.

  • Why are they different?

    One difference is that the direct estimate is from data collected in one year, while the modeled estimate relies on pooled data from 2017 through 2019 or 2018 through 2019.

    Another difference is that the modeled estimates use data from BRFSS as well as another survey (NHIS) that has a smaller but more representative sample, in that NHIS includes people without phones or with only cell phones. The national cancer screening prevalence estimates based on the BRFSS was sometimes substantially larger than the NHIS estimates for the same time period. For similar time periods, the modeled estimates may be closer to the true value.

    See the Data Type Explanation.

    The model uses multiple years (2008-2010) to provide reasonable sample sizes (mainly for estimates at the county level), and needs at least two years of data from each survey. For the screening questions, data actually came from year 2008 and 2010. For smoking, data came from each year of 2008 to 2010.

    1 Davis WW, Parsons VL, Xie D, Schenker N, Town M, Raghunathan TE, Feuer EJ. State-based estimates of mammography screening rates based on information from two health surveys. Public Health Rep 2010 Jul-Aug;125(4):567-578. [Access article]

Data Options

Screening and Risk Factors Report by State
(2023 National Immunization Survey)

Percent with Up-to-Date HPV Vaccination Coverage
All Races (includes Hispanic), Both Sexes, Ages 13-15

Sorted by Percent

State
 sort alphabetically by name ascending
Percent 2
(95% Confidence Interval)
 sort by percent ascending
Number of Respondents with Screening or Risk Factor
United States 57.3 (55.3, 59.4) 5,993
Rhode Island 80.4 (68.8, 88.3) 85
Massachusetts 80.2 (72.8, 86.0) 152
North Dakota 78.5 (69.3, 85.6) 119
Puerto Rico 69.8 (61.6, 76.9) 193
District of Columbia 69.4 (58.5, 78.5) 135
Delaware 69.1 (60.4, 76.6) 121
Hawaii 68.1 (59.7, 75.5) 114
South Dakota 65.6 (55.8, 74.2) 118
Oregon 65.3 (56.3, 73.4) 122
Colorado 65.2 (57.0, 72.6) 122
Minnesota 65.0 (56.4, 72.6) 125
Michigan 64.9 (54.3, 74.2) 101
New Mexico 64.3 (55.0, 72.6) 114
Pennsylvania 64.1 (55.0, 72.4) 319
Maryland 63.6 (55.0, 71.4) 188
Wisconsin 63.6 (55.6, 70.9) 163
Iowa 63.2 (53.2, 72.2) 100
Connecticut 63.1 (49.7, 74.8) 62
Illinois 63.0 (56.8, 68.9) 265
New York 61.7 (55.2, 67.8) 219
Vermont 61.5 (50.3, 71.7) 79
New Hampshire 61.3 (51.9, 70.0) 95
North Carolina 61.2 (51.3, 70.2) 129
Ohio 60.6 (50.7, 69.7) 108
Alabama 59.1 (51.1, 66.7) 122
Maine 58.8 (50.7, 66.5) 106
Washington 58.6 (48.4, 68.1) 86
Kansas 58.5 (50.3, 66.3) 139
Florida 58.4 (48.1, 68.1) 89
Nebraska 58.4 (48.8, 67.5) 90
Utah 58.4 (47.4, 68.6) 71
Louisiana 58.1 (48.5, 67.1) 107
Arizona 57.6 (48.2, 66.5) 103
Indiana 57.1 (47.5, 66.3) 105
South Carolina 56.3 (47.4, 64.9) 110
California 56.1 (45.7, 66.0) 90
Virginia 56.0 (44.5, 66.9) 127
Montana 54.5 (46.3, 62.6) 118
Texas 54.3 (45.7, 62.6) 324
Tennessee 54.2 (42.9, 65.1) 85
Arkansas 51.2 (42.5, 59.8) 102
Missouri 50.4 (39.4, 61.4) 71
Idaho 50.0 (40.6, 59.4) 98
West Virginia 48.2 (40.2, 56.3) 90
Wyoming 47.9 (38.9, 56.9) 87
Alaska 47.5 (37.7, 57.6) 73
Kentucky 44.5 (36.0, 53.4) 92
Nevada 44.1 (35.2, 53.4) 86
New Jersey 42.7 (34.9, 50.9) 105
Georgia 40.1 (29.3, 52.0) 64
Oklahoma 36.1 (27.6, 45.6) 59
Mississippi 32.8 (23.8, 43.2) 39
Notes:
Created by statecancerprofiles.cancer.gov on 04/24/2025 3:35 am.

2 Source: The National Immunization Survey - Teen, Hyattsville, MD: Centers for Disease Control and Prevention.
Percent with Up-to-Date HPV Vaccination Coverage indicates teens that either have received 3 or more HPV doses or have received 2 or more HPV doses with the 1st dose before age 15 years and at least 5 months minus 4 days between the 1st and 2nd doses.
* Results were suppressed if the ratio of the standard error to the estimate was > 0.3 or the sample size was < 30.

Data for United States does not include Puerto Rico.

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