Predictors of cervical cancer screening for rarely or never screened rural appalachian women

Jennifer Hatcher, Christina R. Studts, Mark B. Dignan, Lisa M. Turner, Nancy E. Schoenberg

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background and Purpose. Women who have not had a Papanicolaou test in five years or more have increased risk of developing invasive cervical cancer. This study compares Appalachian women whose last screening was more than one year ago but less than five years ago with those not screened for the previous five years or more. Methods. Using PRECEDE/PROCEED as a guide, factors related to obtaining Pap tests were examined using cross-sectional data from 345 Appalachian Kentucky women. Bivariate and multivariate analyses were conducted to identify predictors of screening. Results. Thirty-four percent of participants were rarely- or never-screened. In multiple logistic regression analyses, several factors increased those odds, including belief that cervical cancer has symptoms, and not having a regular source of medical care. Conclusion. The findings from this study may lead to the development of effective intervention and policies that increase cervical cancer screening in this population.

Original languageEnglish (US)
Pages (from-to)176-193
Number of pages18
JournalJournal of health care for the poor and underserved
Volume22
Issue number1
StatePublished - Feb 1 2011
Externally publishedYes

Fingerprint

Health Knowledge, Attitudes, Practice
Vaginal Smears
Rural Population
Early Detection of Cancer
Uterine Cervical Neoplasms
Papanicolaou Test
Cross-Sectional Studies
Multivariate Analysis
Logistic Models
Regression Analysis
Population

Keywords

  • Access
  • Appalachian women
  • Cervical cancer screening
  • Predictors

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Predictors of cervical cancer screening for rarely or never screened rural appalachian women. / Hatcher, Jennifer; Studts, Christina R.; Dignan, Mark B.; Turner, Lisa M.; Schoenberg, Nancy E.

In: Journal of health care for the poor and underserved, Vol. 22, No. 1, 01.02.2011, p. 176-193.

Research output: Contribution to journalArticle

Hatcher, Jennifer ; Studts, Christina R. ; Dignan, Mark B. ; Turner, Lisa M. ; Schoenberg, Nancy E. / Predictors of cervical cancer screening for rarely or never screened rural appalachian women. In: Journal of health care for the poor and underserved. 2011 ; Vol. 22, No. 1. pp. 176-193.
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