TY - JOUR
T1 - Predictors of compliance with recommended cervical cancer screening schedule
T2 - A population-based study
AU - Simoes, Eduardo J.
AU - Newschaffer, Craig J.
AU - Hagdrup, Nicola
AU - Ali-Abarghoui, Farnoush
AU - Tao, Xi
AU - Mack, Nilsa
AU - Brownson, Ross C.
N1 - Funding Information:
The authors are grateful to supervisors and surveyors from the Missouri Behavioral Risk Factor Surveillance System program, Manpower,In c., and the University of Missouri-Columbia School of Journalism, who collected data, and to Dr. Jeannette Jackson-Thompson, who coordinated portions of the data collection. This study was partially supported by the Centers for Disease Control and Prevention cooperative agreement a157/CCU706744, awarded to the Breast and Cervical Cancer Control Project, Division of Chronic Disease Prevention and Health Promotion, Missouri Department of Health.
PY - 1999
Y1 - 1999
N2 - Background: The prevalence of routine cervical cancer screening and compliance with screening schedules are low compared to the Year 2000 objectives. Identifying predictors of routine screening and screening schedule compliance will help achieve these objectives. Methods: We analyzed data from probability samples of 1,609 Missouri women responding to both the 1994 Behavioral Risk Factor Surveillance System (BRFSS) and the Missouri Enhanced Survey (ES). We generated prevalence odds ratios to identify predictors of non-compliance to cervical cancer screening guidelines. Also, among a sample of women reporting a reason for last Pap test, we estimated the relative odds of a screening v. diagnostic exam. Results: In the combined probability sample, compliance with screening schedule was likely among women younger than 50 years of age and women who had either a recent mammography or a clinical breast exam. Being African-American, not experiencing a cost barrier when seeking medical care, having at least a high-school education and health coverage were each associated with an increased compliance with a screening schedule in the combined probability sample. Among women in the combined probability sample, whites, those who experienced no cost barrier to seeking medical care, the non-obese, and those who had a recent mammography were each more likely to have had a screening as opposed to a diagnostic exam. Discussion: Cancer control and cardiovascular (CVD) prevention programs should consider jointly targeting those at high risk for cervical cancer and CVD because of aging and associated high-risk behavior such as non-compliance with cervical cancer screening, smoking, and obesity. Also, further research is needed to examine whether the increased compliance with cervical cancer screening guidelines among African American women may be in part due to higher occurrence of diagnostic Pap smears.
AB - Background: The prevalence of routine cervical cancer screening and compliance with screening schedules are low compared to the Year 2000 objectives. Identifying predictors of routine screening and screening schedule compliance will help achieve these objectives. Methods: We analyzed data from probability samples of 1,609 Missouri women responding to both the 1994 Behavioral Risk Factor Surveillance System (BRFSS) and the Missouri Enhanced Survey (ES). We generated prevalence odds ratios to identify predictors of non-compliance to cervical cancer screening guidelines. Also, among a sample of women reporting a reason for last Pap test, we estimated the relative odds of a screening v. diagnostic exam. Results: In the combined probability sample, compliance with screening schedule was likely among women younger than 50 years of age and women who had either a recent mammography or a clinical breast exam. Being African-American, not experiencing a cost barrier when seeking medical care, having at least a high-school education and health coverage were each associated with an increased compliance with a screening schedule in the combined probability sample. Among women in the combined probability sample, whites, those who experienced no cost barrier to seeking medical care, the non-obese, and those who had a recent mammography were each more likely to have had a screening as opposed to a diagnostic exam. Discussion: Cancer control and cardiovascular (CVD) prevention programs should consider jointly targeting those at high risk for cervical cancer and CVD because of aging and associated high-risk behavior such as non-compliance with cervical cancer screening, smoking, and obesity. Also, further research is needed to examine whether the increased compliance with cervical cancer screening guidelines among African American women may be in part due to higher occurrence of diagnostic Pap smears.
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U2 - 10.1023/A:1018754307718
DO - 10.1023/A:1018754307718
M3 - Article
C2 - 10202691
AN - SCOPUS:0032932085
VL - 24
SP - 115
EP - 130
JO - Journal of Community Health
JF - Journal of Community Health
SN - 0094-5145
IS - 2
ER -