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In the 60- to 64-year age group, high screening rates for patients with poorer health were observed: physical component summary quartiles 1 and 2, 55.7% and 54.2%, respectively.
Some of the states with high screening rates are red states with strong anti-immigrant sentiment.
However, some events had high screening rates through onsite screening such as 88% for mammograms or 100% for colonoscopies; however, their reach was relatively low (less than 60).
Beginning in the 1960's, intensification of screening was linked to oral contraceptive prescriptions and pre- and post-natal care resulting in high screening rates among women younger than 35 [ 6, 7].
Such focused interventions would in turn benefit from knowledge of which physicians are most likely to have low (and high) screening rates for their patients, including their immigrant patients.
Only women with FPG <5.8 mmol/l and 2-h PG <11.1 mmol/l remained blinded for their glucose values throughout the study, which may have led to a selection of low-risk women in study sites with high screening rates (3).
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However, given the high screening rate (70%), these differences are unlikely to bias the findings significantly.
A major strength of these data is the high screening rate (70% of all women were screened), reducing the potential for differences between the screened and target population.
This is likely due to the high screening rate among DES daughters, leading to enhanced detection of precancerous lesions of the cervix.
A high screening rate among the target age group does not necessarily reflect compliance if, for example, screening rates are also high among age groups not recommended for screening.
However, all participants in this study were health professionals, who have been shown to have more robust and valid self-reported diagnostic information and a relatively high screening rate (25).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com