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: 
21 Feb 2023
Reviewer's report:
Dear Author, thank you for the paper where you have evaluated cervical cancer
screening adherence based on different immigrant status. It is without a doubt an
interesting study that can offer insight into challenges of different ethnic groups. 
However, based on the article alone I fail to recognise the importance of the
findings. As for an international reviewer that has absolutely no contact with the
Hispanic population whatsoever I cannot comprehend the value of the findings.
It has already been established that Hispanic population has lower adherence to
the screening programme. What you add is the preferred language that might be
substitute marker for immigration status but we actually do not know much
about that specific population. I believe the aim of the study and its implications
have to be expressed much more clearly. 
Additionally, screening programme should be set in the context of the health
system. For an European reader Medicaid, Medicare etc. tells absolutely nothing
since health systems across continents are fundamentally different.
I would also recommend to include post-hoc analysis (etc. Bonferroni correction)
Why are black and white races included in table 1 when the target population is
Hispanic?
Study has several serious limitations and as such, limitations section should be
significantly improved.
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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?
No
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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