{"id":9430,"date":"2025-03-01T13:55:38","date_gmt":"2025-03-01T18:55:38","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/cancerscreening2016\/"},"modified":"2025-03-02T00:22:33","modified_gmt":"2025-03-02T05:22:33","slug":"cancerscreening2016","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/dpc\/cancerscreening2016\/","title":{"rendered":"dpc\/cancerscreening2016 ~  Cancer Screening Prevalence Data  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n\n\n\n\n  <br>\n\n\n  \n\n\n  <div class=\"container\" id=\"main_header\">\n\n\n    <!-- BEGIN readspeaker div -->\n\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\n\n\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/dph\/dpc\/cancerscreening2016.html\" title=\"Listen to this page using ReadSpeaker\">\n\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n\n      <\/a>\n\n\n    <\/div>\n\n\n    <!-- END readspeaker div -->\n\n\n\n\n\n    \n\n\n    <header class=\"pull-left\">\n\n\n      <h1><!--[type=EDIT name=\"Page Title\"]--><\/h1><h1>Trends in Cancer Screening PrevalenceRelatively Steady Among Delaware Adults<\/h1><h1><!--[END]--><\/h1>\n\n\n    <\/header>\n\n\n  <\/div><br>\n\n\n \n\n\n  <div class=\"container\">\n\n\n    <div class=\"row\">\n\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n\n          <div class=\"panel sectionmenu_panel\">\n\n\n            <div class=\"panel-heading\">\n\n\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Public Health Menu<\/strong><\/a><\/p>\n\n\n            <\/div>\n\n\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\n\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\n    <li><a href=\"\/dph\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n      <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\n        <li><a href=\"\/dph\/about.html\">About DPH<\/a><\/li>\n        <li><a href=\"\/dph\/sections.html\">Sections &#038; 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Beginning in 2018, the BRFS began collecting data on lung cancer screening. This estimate is a point-in-time and trendlines cannot be established.\u00a0<\/p>\n\n\n\n\n\n\n\n<p style=\"margin-left: 40px;\"><span style=\"font-size: 12px;\">[Technical Note:\u00a0 Weighting is a process in which a sample is proportionally adjusted to the known population, in this case the adult Delaware resident population.\u00a0 In 2011, there was a major change to the weighting methodology where\u00a0the number of demographic variables was increased and also allowed the sample to contain both cell phones and landlines. As such, the new methodology increased the validity of the estimates. However, because the change in the new weighting methodology (also knownas raking) was so different, all trendlines prior to 2011 must be broken.\u00a0To illustrate the change in the broken trendlines, a dark dashed\u00a0vertical line at 2011 is used for demarcation. Additionally, all trendlines are dashed between 2010 and 2012.]<\/span><\/p>\n\n\n\n\n\n\n\n<p>Any changes observed in prevalence between 2010 and 2012 may be due to the methodology change and not due to an actual change in prevalence of cancer screening.\u00a0<\/p>\n\n\n\n\n\n\n\n<h2>The Association Between Health Care Access and Cancer Screening<\/h2>\n\n\n\n\n\n\n\n<p>Cancer screenings help detect cancer early.\u00a0 Early detection can lead to better cancer outcomes by reducing late-stage incidence rates and mortality.\u00a0 The BRFS asks questions about clinical breast exams, mammography, sigmoidoscopy and colonoscopy, and prostate-specific antigen.\u00a0 For that reason, health care access, health care coverage, and cancer screenings are covered in this section.<\/p>\n\n\n\n\n\n\n\n<p>Access to health care is an important factor in cancer screening.\u00a0 The BRFS asked three separate questions regarding access to health care from 2008-2018.\u00a0 The questions included health care coverage status, personal doctor status, and check-up timeliness.\u00a0 The figure below shows the flow of association from access to health care to cancer screening to cancer outcomes.\u00a0<\/p>\n\n\n\n\n\n\n\n<p><img decoding=\"async\" alt=\"Image of flow chart relating health care access to screening for cancer\" src=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/healthcare-screening.png\" style=\"margin: 10px 15px; width: 800px; height: 217px;\"><strong>Flow of Association of Health Care Access to Cancer Screening and Outcomes in Delaware<\/strong><\/p>\n\n\n\n\n\n\n\n<p><span style=\"font-size: 10px;\">Source: Delaware Health and Social Services, Division of Public Health, Behavioral Risk Factor Survey (BRFS), 2008-2018<\/span><\/p>\n\n\n\n\n\n\n\n<p>Those who do not have access or have poor access are less likely to receive a timely cancer screening, which in turn can lead to increased risk of negative cancer outcomes from diagnosis at a later stage.\u00a0<\/p>\n\n\n\n\n\n\n\n<p>Health care coverage (also known as having health insurance) is associated both with having a personal doctor and with having a check-up within the past year.\u00a0 Having a personal doctor does not affect health insurance status.<\/p>\n\n\n\n\n\n\n\n<p>The &#8220;personal doctor&#8221; variable is downstream from health care coverage.\u00a0 In other words, having a personal doctor does not affect health coverage status (having health insurance or not having health insurance).\u00a0 Personal doctor is upstream from check-up timeliness.\u00a0 Having a personal doctor is independently associated with having a check-up within the past year.<\/p>\n\n\n\n\n\n\n\n<p>In contrast, having a personal doctor is associated with having a check-up within the past year.\u00a0 Receiving a check-up does not have any bearing on a person\u2019s health care coverage or personal doctor.\u00a0 However, check-up timeliness is strongly associated with receiving timely cancer screening.<\/p>\n\n\n\n\n\n\n\n<h3>Breast Cancer Screening<\/h3>\n\n\n\n\n\n\n\n<h4>Mammogram<\/h4>\n\n\n\n\n\n\n\n<p>The United States Preventive Services Task Force (USPSTF) recommends that all females 40 years of age and older receive an annual mammogram or as recommended by their doctor or health professional. The Delaware Cancer Consortium recommends the same guidelines for breast cancer screening.<\/p>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><strong>PERCENT OF FEMALES 40 YEARS OF AGE AND OLDER WHO RECEIVED A MAMMOGRAM WITHIN THE PAST TWO YEARS IN DELAWARE, 2008-2018<\/strong><\/p>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/mammogram.jpg\"><img decoding=\"async\" alt=\"\" src=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/mammogram.jpg\"><\/a><\/p>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><span style=\"font-size: 10px;\">Source: Delaware Health &#038; Social Services, Division of Public Health, Behavioral Risk Factor Survey (BRFS), 2008-2018.<\/span><\/p>\n\n\n\n\n\n\n\n<p>The prevalence of having received a mammogram among Delaware females 40 years of age and older decreased from 82 percent\u00a0in 2008 to 79 percent\u00a0in 2018. However, this decrease is not statistically significant.<\/p>\n\n\n\n\n\n\n\n<p>There are a number of demographic and access to health care factors captured within the Behavioral Risk Factor Survey.\u00a0 Demographic variables include age, race\/ethnicity, educational level, income, and disability status.\u00a0 Access to health care factors include health care coverage, personal doctor, and check-up timeliness.\u00a0 Of all these variables, only two variables (age group and check-up timeliness) were associated with receiving a mammogram within recommendations:<\/p>\n\n\n\n\n\n\n\n<ul>\n\n\n\n <li>Females 50-64 years of age were more likely to have received a mammogram within the past two years compared to females 40-49 years of age.<\/li>\n\n\n\n <li>Females who received a check-up within the past year were more likely to also have received a mammogram within the past two years compared to females who had not received a check-up within the past year.<\/li>\n\n\n\n <li>Females without a disability were more likely to also have received a mammogram within the past two years compared to females who have a disability.<\/li>\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n<h3>Cervical Cancer Screening<\/h3>\n\n\n\n\n\n\n\n<p>Cervical cancer screening can be done by two methods: Human Papilloma Virus (HPV) test, and Pap test.\u00a0 The HPV test looks specifically for HPV, a virus known to cause cervical cancers.\u00a0 The Pap test looks for cell changes on the cervix, which could potentially become cancers if not treated appropriately.\u00a0 The United States Preventive Services Task Force (USPSTF) recommends all women between the ages of 21 and 65 receive a Pap test once every three years.\u00a0 A woman between the ages of 30 and 65 can opt to have a HPV test alone or in combination with a Pap test every five years.<\/p>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><strong>PERCENT OF FEMALES AGE 21-65 WHO HAVE RECEIVED A PAP TEST WITHIN THE PAST THREE YEARS IN DELAWARE, 2008-2018<\/strong><\/p>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/pap.jpg\"><img decoding=\"async\" alt=\"\" src=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/pap.jpg\"><\/a><\/p>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><span style=\"font-size: 10px;\">Source:\u00a0 Delaware Health &#038; Social Services, Division of Public Health, Behavioral Risk Factor Survey (BRFS), 2008-2016.<\/span><\/p>\n\n\n\n\n\n\n\n<p>The prevalence of Delaware females age 21-65 who have received a Pap test within the past three years has declined from a high of 90.1 percent in 2008 to\u00a083 percent in 2018.\u00a0 This decrease is not statistically significant.<\/p>\n\n\n\n\n\n\n\n<p>Of all the demographic and health care variables, only two variables \u2013 an annual household income of $50,000 or more, and receiving a check-up within the past two years \u2013 were associated with receiving a Pap test within recommendations:<\/p>\n\n\n\n\n\n\n\n<ul>\n\n\n\n <li>Females age 30-65 were more likely to have received a Pap test within the past three years compared to females age 21-19.<\/li>\n\n\n\n <li>Females with an annual household income of $50,000 or more were more likely to have received a Pap test within the past three years compared to females who had an annual household income of less than $50,000.<\/li>\n\n\n\n <li>Females who received a check-up within the past two years were more likely to also have received a Pap test within the past three years compared to females who had not received a check-up within the past year.<\/li>\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n<p id=\"colorectalcs\">\u00a0<\/p>\n\n\n\n\n\n\n\n<h3>Colorectal Cancer Screening<\/h3>\n\n\n\n\n\n\n\n<p>There are several methods available to screen for colorectal cancer.\u00a0 These tests include stool tests, flexible sigmoidoscopy, colonoscopy, and CT colonography.<\/p>\n\n\n\n\n\n\n\n<p>For the stool tests, both the guaiac-based fecal occult blood test (gFOBT) and the fecal immunochemical test (FIT) are used to detect blood in the stool and should be done about once a year.\u00a0 The other stool test, the FIT-DNA test, combines the FIT with a method to detect altered DNA in the stool.\u00a0 The FIT-DNA test can be done every one to three years.<\/p>\n\n\n\n\n\n\n\n<p>Flexible sigmoidoscopy and colonoscopy are similar tests.\u00a0 Both tests require the insertion of a flexible, lighted tube into the colon to check for polyps or cancer.\u00a0 In the flexible sigmoidoscopy, only the lower third of the colon is checked. During a colonoscopy, the entire colon is examined for polyps or cancer.\u00a0\u00a0These tests are recommended once every five years\u2014or every ten years if combined with an annual FIT.\u00a0 CT colonography uses combined images from a CT scanner and X-rays to create a computerized 3-D picture of the colon.<\/p>\n\n\n\n\n\n\n\n<p>While there are multiple colorectal cancer screening tests available, the United States Preventive Services Task Force (USPSTF) states \u201ccolonoscopy is generally considered the criterion standard for test characteristic studies.\u201d In other words, colonoscopy is still seen as the \u201cgold standard\u201d for colorectal cancer screening. \u00a0Therefore, the Delaware Cancer Consortium recommends that all adults age 50 and older receive a colonoscopy at least every 10 years, or as recommended by their doctor or health professional.<\/p>\n\n\n\n\n\n\n\n<h3>USPSTF Colorectal Cancer Recommendations<\/h3>\n\n\n\n\n\n\n\n<p>Since 2014, the BRFS has asked a series of questions aimed at determining the prevalance of Delaware adults who fully met the USPSTF colorectal screening recommendations.<\/p>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><strong>Percent of adults who have fully met the USPSTF recommendations in Delaware, 2014-2018<\/strong><\/p>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/colorectalcancer.jpg\"><img decoding=\"async\" alt=\"Colorectal Cancer Trends in Delaware Adults\" src=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/colorectalcancer.jpg\"><\/a><\/p>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><span style=\"font-size: 10px;\">Source:\u00a0 Delaware Health &#038; Social Services, Division of Public Health, Behavioral Risk Factor Survey (BRFS), 2008-2018.<\/span><\/p>\n\n\n\n\n\n\n\n<p>The prevalence of fully meeting the USPSTF colorectal cancer screening recommendations among Delaware adults has remained stable, from 71.7 percent in 2014 to 73.0 percent in 2018.<\/p>\n\n\n\n\n\n\n\n<p>Among the demographic and health care variables, only age ground and check-up timeliness variables were associated with fully meeting the USPSTF colorectal cancer screening recommendations.<\/p>\n\n\n\n\n\n\n\n<ul>\n\n\n\n <li>Adults age 65 and older were more likely to fully meet the USPSTF colorectal cancer screening recommendations compared to adults age 50-64.<\/li>\n\n\n\n <li>Adults who received a check-up within the past year were more likely to fully meet the USPSTF colorectal cancer screening recommendations compared to adults whose last check-up was a year or more ago.<\/li>\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n<h3>Colonoscopy and Sigmoidoscopy<\/h3>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><strong>Percent of adults who have ever received a sigmoidoscopy or colonoscopy in Delaware, 2008-2018<\/strong><\/p>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><strong><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/colonoscopy.jpg\"><img decoding=\"async\" alt=\"Colonoscopy Trends in Delaware Adults\" src=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/colonoscopy.jpg\"><\/a><\/strong><\/p>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><strong><span style=\"font-size: 10px;\">Source: Delaware Health and Social Services, Division of Public Health, Behavioral Risk Factor Survey (BRFS), 2008-2018<\/span><\/strong><\/p>\n\n\n\n\n\n\n\n<p id=\"prostatecs\">The prevalence of ever having a colonoscopy\/sigmoidoscopy among Delaware adults age 50 and older has remained stable, from 74.3 percent in 2008 to 76.7 percent in 2018.<\/p>\n\n\n\n\n\n\n\n<p>Among the demographic and health care variables, only age group, check-up timeliness, and personal doctor variables were associated with receiving a sigmoidoscopy or colonoscopy.<\/p>\n\n\n\n\n\n\n\n<ul>\n\n\n\n <li>Adults age 65 and older were more likely to ever have received a sigmoidoscopy or colonoscopy compared to adults age 50-64.<\/li>\n\n\n\n <li>Adults who had a personal doctor were more likely to have received a sigmoidoscopy or colonoscopy compared to adults who did not have a personal doctor.<\/li>\n\n\n\n <li>Adults who received a check-up within the past year were more likely to have a sigmoidoscopy or \n\n\n\n     compared to adults whose last check-up was a year or more ago.<\/li>\n\n\n\n <li>\u00a0<\/li>\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n<h3>Prostate Cancer Screening<\/h3>\n\n\n\n\n\n\n\n<p>Screening for prostate cancer is performed by determining the levels of prostate-specific antigen (PSA) in the blood. Prostate-specific antigen (PSA) is a protein produced by both normal and cancerous prostate gland cells.\u00a0Because there are specific risk factors such as race\/ethnicity and family history associated with the incidence of prostate cancer, recommendatons are tiered based on risk category. According to HealthyDelaware.org\u00a0<\/p>\n\n\n\n\n\n\n\n<ul>\n\n\n\n <li>Men who are of average risk should begin screening for prostate cancer at age 0.<\/li>\n\n\n\n <li>Men who are determined to be high risk shold begin screening at age 45. High risk classification includes African Americans and men who have a first degree relatie diagnosed with prostate cancer before the age of 65.<\/li>\n\n\n\n <li>Men who are higher risk should begin screening for prostate cancer at age 40. This category includes men who have more than one first-deree relative who had prostate cancer befothe afe of 65.<\/li>\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><strong>Percent of males who have <em>NOT<\/em> received a PSA test in Delaware, 2008-2018<\/strong><\/p>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/prostate.jpg\"><img decoding=\"async\" alt=\"Prostate test in Delaware trend\" src=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/prostate.jpg\"><\/a><\/p>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><span style=\"font-size: 10px;\">Source: Delaware Health &#038; Social Services, Division of Public Health, Behavioral Risk Factor Survey (BRFS), 2008-2018.<\/span><\/p>\n\n\n\n\n\n\n\n<p>The prevalence of <strong>NOT<\/strong> <strong><em>receiving a PSA test in the past two years<\/em><\/strong> among Delaware adult males age 40 and older increased from 42.9 percent in 2008 to 62.3 percent in 2018.\u00a0 This change is statistically significant.\u00a0<\/p>\n\n\n\n\n\n\n\n<p>Of the demographic and health care variables, only check-up timeliness and age group were associated with not having received a PSA test within the past two years.\u00a0<\/p>\n\n\n\n\n\n\n\n<ul>\n\n\n\n <li>Males ages 40-49 were more likely\u00a0<strong><em>NOT <\/em><\/strong>to have received a PSA test within the past two years compared to males age 65 and older.<\/li>\n\n\n\n <li>Men ages 50-64 were more likely to <em><strong>NOT<\/strong><\/em> have received a PSA test within the past two years compaed to males age 65 and older.<\/li>\n\n\n\n <li>Males whose last check-up was more than one year ago were more likely\u00a0<strong><em>NOT<\/em><\/strong> to\u00a0have received a PSA test compared to males whose last check-up was within the past year.<\/li>\n\n\n\n <li>Men should discuss prostate cancer screening with their health care provider before being screened.<\/li>\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n<h3>Lung Cancer Screening<\/h3>\n\n\n\n\n\n\n\n<p>&#8220;The USPSTF&#8221; recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit smoking within the past 15 years.&#8221; In 2018, the BRFS began asking questions to determine the prevalence of Delaware adults who are eligible for lung cancer screening and the prevalence of Delaware adults who have had a lung cancer screening. Because this is the first year these questions have been included, these data are only a point-in-time and trendlines cannot be established.<\/p>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><strong>Percent of Delaware adults eligible for lung cancer screening by screening acceptance, 2018<\/strong><\/p>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><strong><a href=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/lung.jpg\"><img decoding=\"async\" alt=\"Lung Cancer Screening Eligibility in Delaware Adults\" src=\"\/wp-content\/uploads\/sites\/10\/dph\/img\/lung.jpg\"><\/a><\/strong><\/p>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\"><span style=\"font-size: 10px;\">Source: Delaware Health and Social Services, Behavioral Risk Factor Survey (BRFS), 2018<\/span><\/p>\n\n\n\n\n\n\n\n<p>Approximately 11 percent of Delaware adults age 55 to 80 meet the USPSTF eligibility criteria for lung cancer screening. Of those who are eligible, only 19.7 percent report having had a CT or CAT scan for lung cancer screening within the past 12 months. In addition, another 8.6 percent of Delaware adults age 55 to 80 who did not meet the USPSTF eligibility criteria for lung cancer screening reported having a CT or CAT scan within the past 12 months.<\/p>\n\n\n\n\n\n\n\n<p>Of those Delaware adults who meet eligibility criteria but have NOT received a lung cancer screening with in the past 12 months:<\/p>\n\n\n\n\n\n\n\n<ul>\n\n\n\n <li>55.2 percent are age 55-64<\/li>\n\n\n\n <li>51.6 percent are male<\/li>\n\n\n\n <li>85.9 percent are non-Hispanic Caucasian<\/li>\n\n\n\n <li>55.0 percent have a high school degree or less and 26.2 percent have some college or technical schooling.<\/li>\n\n\n\n <li>70.9 percent have an annual household income of less than $50,000<\/li>\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n<p style=\"text-align: center;\">\u00a0<\/p>\n\n\n\n\n\n\n\n<hr>\n\n\n\n<p><span style=\"font-size: 11px;\"><a href=\"brfsurveys.html\"><strong>Return to the main Delaware BRFS page<\/strong>.<\/a><\/span><\/p>\n\n\n\n  <!--[END]-->\n\n\n  \n\n\n      <\/div>\n\n\n    <\/div>\n\n\n  <\/div><!-- \/container -->\n\n\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Trends in Cancer Screening PrevalenceRelatively Steady Among Delaware Adults Public Health Menu Home About About DPH Sections &#038; Programs Office Locations Contact Info Calendar Services A-Z Services Air &#038; Water Quality Birth, Death, &#038; Marriage Records Clinics Health Data &#038; Statistics Emergency Preparedness Health &#038; Wellness Healthy Homes Healthy Workplaces Laboratory Restaurant Inspections Screening [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":9401,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-9430","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9430","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/comments?post=9430"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9430\/revisions"}],"predecessor-version":[{"id":10669,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9430\/revisions\/10669"}],"up":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9401"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/media?parent=9430"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}