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Factors associated with cervical cancer screening in a safety net population
AIM: To identify factors associated with Papanicolaou-smear (Pap-smear) cervical cancer screening rates in a safety net population. METHODS: From January 2012 to May 2013, the use of Pap-smear was determined for all patients seen at the breast clinic in a safety net hospital. Health literacy assessm...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5056332/ https://www.ncbi.nlm.nih.gov/pubmed/27777883 http://dx.doi.org/10.5306/wjco.v7.i5.406 |
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author | Heberer, Meredith A Komenaka, Ian K Nodora, Jesse N Hsu, Chiu-Hsieh Gandhi, Sonal G Welch, Lauren E Bouton, Marcia E Aristizabal, Paula Weiss, Barry D Martinez, Maria Elena |
author_facet | Heberer, Meredith A Komenaka, Ian K Nodora, Jesse N Hsu, Chiu-Hsieh Gandhi, Sonal G Welch, Lauren E Bouton, Marcia E Aristizabal, Paula Weiss, Barry D Martinez, Maria Elena |
author_sort | Heberer, Meredith A |
collection | PubMed |
description | AIM: To identify factors associated with Papanicolaou-smear (Pap-smear) cervical cancer screening rates in a safety net population. METHODS: From January 2012 to May 2013, the use of Pap-smear was determined for all patients seen at the breast clinic in a safety net hospital. Health literacy assessment was performed using the validated Newest Vital Sign. The records of patients were reviewed to determine if they had undergone Pap-smears for cervical cancer screening. Sociodemographic information was collected included age, education, monthly income, race/ethnicity, employment, insurance status, and primary care provider of the patient. Logistic regression analysis was then performed to determine factors associated with utilization of Pap-smears. Crude and adjusted odds ratios derived from multivariate logistic regression models were calculated as well as the associated 95%CIs and P-values. RESULTS: Overall, 39% had Pap-smears in the prior 15 mo, 1377 consecutive women were seen during the study period and their records were reviewed. Significantly more patients with adequate health literacy underwent Pap-smears as compared to those with limited health literacy (59% vs 34%, P < 0.0001). In multivariate analysis, patients with adequate health literacy, younger patients, and those with later age of first live birth were more likely to undergo Pap-smears. Patients whose primary care providers were gynecologists were also significantly more likely to have Pap-smears compared to other specialties (P < 0.0001). Patients younger than 21 years or older than 65 years underwent screening less frequently (11% and 11%, respectively) than those 21-64 years (41%, P < 0.0001). Race, ethnicity, language, and insurance status were not associated with Pap-smear screening rates. CONCLUSION: Patient health literacy and primary care physician were associated with Pap-smear utilization. Development of interventions to target low health literacy populations could improve cervical cancer screening. |
format | Online Article Text |
id | pubmed-5056332 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-50563322016-10-24 Factors associated with cervical cancer screening in a safety net population Heberer, Meredith A Komenaka, Ian K Nodora, Jesse N Hsu, Chiu-Hsieh Gandhi, Sonal G Welch, Lauren E Bouton, Marcia E Aristizabal, Paula Weiss, Barry D Martinez, Maria Elena World J Clin Oncol Observational Study AIM: To identify factors associated with Papanicolaou-smear (Pap-smear) cervical cancer screening rates in a safety net population. METHODS: From January 2012 to May 2013, the use of Pap-smear was determined for all patients seen at the breast clinic in a safety net hospital. Health literacy assessment was performed using the validated Newest Vital Sign. The records of patients were reviewed to determine if they had undergone Pap-smears for cervical cancer screening. Sociodemographic information was collected included age, education, monthly income, race/ethnicity, employment, insurance status, and primary care provider of the patient. Logistic regression analysis was then performed to determine factors associated with utilization of Pap-smears. Crude and adjusted odds ratios derived from multivariate logistic regression models were calculated as well as the associated 95%CIs and P-values. RESULTS: Overall, 39% had Pap-smears in the prior 15 mo, 1377 consecutive women were seen during the study period and their records were reviewed. Significantly more patients with adequate health literacy underwent Pap-smears as compared to those with limited health literacy (59% vs 34%, P < 0.0001). In multivariate analysis, patients with adequate health literacy, younger patients, and those with later age of first live birth were more likely to undergo Pap-smears. Patients whose primary care providers were gynecologists were also significantly more likely to have Pap-smears compared to other specialties (P < 0.0001). Patients younger than 21 years or older than 65 years underwent screening less frequently (11% and 11%, respectively) than those 21-64 years (41%, P < 0.0001). Race, ethnicity, language, and insurance status were not associated with Pap-smear screening rates. CONCLUSION: Patient health literacy and primary care physician were associated with Pap-smear utilization. Development of interventions to target low health literacy populations could improve cervical cancer screening. Baishideng Publishing Group Inc 2016-10-10 2016-10-10 /pmc/articles/PMC5056332/ /pubmed/27777883 http://dx.doi.org/10.5306/wjco.v7.i5.406 Text en ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Observational Study Heberer, Meredith A Komenaka, Ian K Nodora, Jesse N Hsu, Chiu-Hsieh Gandhi, Sonal G Welch, Lauren E Bouton, Marcia E Aristizabal, Paula Weiss, Barry D Martinez, Maria Elena Factors associated with cervical cancer screening in a safety net population |
title | Factors associated with cervical cancer screening in a safety net population |
title_full | Factors associated with cervical cancer screening in a safety net population |
title_fullStr | Factors associated with cervical cancer screening in a safety net population |
title_full_unstemmed | Factors associated with cervical cancer screening in a safety net population |
title_short | Factors associated with cervical cancer screening in a safety net population |
title_sort | factors associated with cervical cancer screening in a safety net population |
topic | Observational Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5056332/ https://www.ncbi.nlm.nih.gov/pubmed/27777883 http://dx.doi.org/10.5306/wjco.v7.i5.406 |
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