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), Male, Ages 13-17

Sorted by Percent

State
 sort alphabetically by name ascending
Percent 2
(95% Confidence Interval)
 sort by percent descending
Number of Respondents with Screening or Risk Factor
United States 59.0 (56.7, 61.2) 5,452
Mississippi 37.6 (27.7, 48.6) 47
Oklahoma 39.4 (30.1, 49.6) 58
West Virginia 45.0 (36.4, 53.9) 69
Kentucky 45.9 (36.3, 55.8) 74
Nevada 46.5 (36.2, 57.1) 75
Georgia 48.5 (35.5, 61.7) 64
Idaho 49.2 (39.2, 59.3) 77
California 50.8 (39.3, 62.3) 73
Arkansas 51.6 (42.2, 60.9) 93
Alaska 52.0 (41.7, 62.1) 68
Tennessee 52.4 (41.2, 63.3) 78
Florida 52.7 (41.5, 63.7) 86
New Jersey 53.3 (44.7, 61.7) 112
Texas 53.9 (44.2, 63.4) 252
Alabama 55.0 (46.3, 63.5) 100
Wyoming 55.1 (45.6, 64.3) 88
Missouri 55.2 (43.7, 66.1) 69
Montana 58.6 (49.7, 67.0) 110
South Carolina 58.9 (49.2, 67.9) 101
Kansas 61.3 (52.2, 69.6) 121
Maine 61.7 (52.9, 69.8) 100
Ohio 61.8 (51.4, 71.3) 91
Arizona 62.6 (52.8, 71.4) 92
North Carolina 62.7 (52.3, 72.0) 121
Utah 63.0 (51.6, 73.1) 68
Illinois 64.2 (57.5, 70.3) 242
Maryland 64.3 (54.8, 72.8) 177
Pennsylvania 64.3 (54.3, 73.2) 291
New Mexico 64.7 (54.3, 73.9) 92
Louisiana 65.6 (55.5, 74.4) 99
Michigan 65.7 (54.5, 75.3) 83
Wisconsin 65.7 (57.4, 73.2) 158
Vermont 66.0 (54.1, 76.2) 80
Minnesota 66.1 (56.9, 74.2) 110
New Hampshire 66.2 (57.3, 74.2) 100
Virginia 66.4 (54.6, 76.5) 109
Iowa 66.6 (54.9, 76.6) 79
Nebraska 66.9 (56.5, 75.9) 103
Washington 67.0 (55.7, 76.7) 77
New York 67.8 (60.8, 74.2) 197
Indiana 68.1 (58.5, 76.3) 101
Colorado 68.3 (59.4, 76.0) 122
Oregon 68.4 (58.9, 76.6) 106
Hawaii 70.4 (61.8, 77.8) 109
Delaware 70.6 (61.0, 78.7) 100
Connecticut 71.2 (56.9, 82.2) 57
District of Columbia 71.9 (60.6, 80.9) 118
South Dakota 75.4 (66.3, 82.7) 123
North Dakota 77.0 (67.5, 84.4) 104
Puerto Rico 77.0 (68.6, 83.7) 187
Massachusetts 78.7 (70.1, 85.3) 145
Rhode Island 81.4 (68.3, 89.8) 83
Notes:
Created by statecancerprofiles.cancer.gov on 03/20/2025 7:53 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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