Barriers to follow-up of abnormal Papanicolaou smears in an urban community health center.
Arch Fam Med
; 8(2): 129-34, 1999.
Article
em En
| MEDLINE
| ID: mdl-10101983
ABSTRACT
OBJECTIVE:
To determine factors predictive of failure to return for colposcopy among women with significant abnormalities on Papanicolaou smears in a high-risk clinical population.DESIGN:
Telephone survey.SETTING:
An urban community health center.PARTICIPANTS:
Two hundred seventy-nine women randomly selected from all women seen at the health center with abnormal Papanicolaou smears requiring colposcopy during 1993 to 1994. Six (2%) refused participation, and 19% could not be reached for inclusion. Subjects were mostly minority women receiving Medicaid. MAIN OUTCOMEMEASURE:
Completion of colposcopy.RESULTS:
Of the 279 selected women, 79% were interviewed. The rate of adherence with colposcopy was 75% for the respondents. Women who did not know the results of their smear or who incorrectly understood their results were significantly less likely to return for colposcopy (P = .001). Younger women, especially teenagers, were less likely to return (P = .02). Socioeconomic status, education, primary language, health beliefs, fear of cancer, and clinician's gender or discipline were not associated with rate of follow-up. Barriers involving transportation, child care, and insurance also did not predict follow-up.CONCLUSIONS:
Effective communication of results is the most important factor related to follow-up after abnormal Papanicolaou smear in this setting. In other settings, other factors may be of greater importance.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Esfregaço Vaginal
/
Neoplasias do Colo do Útero
/
Colo do Útero
/
Cooperação do Paciente
/
Teste de Papanicolaou
Tipo de estudo:
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Arch Fam Med
Ano de publicação:
1999
Tipo de documento:
Article