An Examination of Differential Follow-Up Rates in Cervical Cancer Screening

Authors: Fox P.¹; Arnsberger P.²; Zhang X.³

Source: Journal of Community Health, Volume 22, Number 3, June 1997 , pp. 199-209(11)

Publisher: Springer

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Abstract:

The purpose of this study was to test the hypothesis that follow-up rates for women with abnormal cervical cancer screening results vary by age, ethnicity, and initial screening results in California's Breast and Cervical Cancer Control Program. The sample consisted of women in the screening program who received an abnormal cervical screening result (N = 1,738). Bivariate and logistic regression analyses were utilized to examine variables that account for differences in follow-up rates among these women. Bivariate analysis showed significant differences by age, race/ethnicity, initial screening results, and urban/rural residence. In logistic regression analysis, these variables also retained significance. Severity of diagnosis was a highly significant predictor of follow-up. Women of color, older women, and women with less severe diagnoses should be targeted as groups needing assistance in adhering to follow-up recommendations.

Language: English

Document Type: Research article

Affiliations: 1: Associate Professor of Medical Sociology, Institute for Health & Aging, School of Nursing, University of California, San Francisco, CA 2: Assistant Adjunct Professor of Social Welfare, Institute for Health & Aging, School of Nursing, University of California, San Francisco, CA 3: Senior Statistician, Institute for Health & Aging, School of Nursing, University of California, San Francisco, CA

Publication date: 1997-06-01