Reviewer’s report
Title: 
Cervical cancer screening among English- and Spanish-speaking Hispanic
women in an urban safety net health system, 2015-2020.
Version: 
1 
Date: 
04 Mar 2023
Reviewer's report:
I would like to thank the authors for their hard work invested in the creation of
this article.
The study was performed on a large sample of patients, and it highlighted the
differences in cervical cancer screening adherence among different Hispanic
subpopulations.
However, in my opinion, there is space for improvement. 
Background
It would be beneficial if you change the statement in lines 24-28 about the
screening guidelines. Screening guidelines are not the same in different
countries. Please adjust the statement accordingly. 
Results 
I would emphasize, that the Spanish-speaking subgroup of Hispanic women was
above average for UPD screening status. 
Discussion
In lines 132-134, it would be beneficial to add your opinion about why your
study contradicts previous research. 
Conclusion
In my opinion, it would be beneficial to add information about a higher
proportion of UTD in a group of women, that never smoked in comparison to
others. 
Furthermore, addressing the differences between healthcare programs, Medicaid,
Medicare, and other insurance is necessary as it could represent one of the major
causes for differences in screening adherence. Moreover, it could represent the
causation, that is most easy to address and improve.
Declaration of competing interests
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Is the study design appropriate to answer the research question (including the use
of appropriate controls), and are the conclusions supported by the evidence
presented?
Yes
Are the methods sufficiently described to allow the study to be repeated?
Yes
Is the use of statistics and treatment of uncertainties appropriate?
Yes
Is the presentation of the work clear?
Yes
Are the images in this manuscript (including electrophoretic gels and blots) free
from apparent manipulation?
Yes
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