Non-utilization of the Pap Test Among Women with Frequent Health System Contact.


Journal Article

Despite improvements in health access, many underserved women abstain from cervical cancer screening. A self-administered questionnaire was used to identify factors determining whether medically underserved women attending a safety net health system regularly are screened for cervical cancer. Approximately 11 % of study subjects had never received a Pap test despite an average of nearly four clinic visits in the preceding 12 months. Never screeners were significantly younger, more likely to be Hispanic, non-U.S. born and less likely to have healthcare continuity. In multivariable analysis, odds for never screening were independently lower among women with male partner support (aOR 0.29) and physician's recommendation for screening (aOR 0.34) and higher among women who believed screening visits are too long (aOR 2.53). Educating male partners of Hispanic and immigrant women in addition to addressing recognized situational barriers may help to improve cervical cancer screening rates.

Full Text

Cited Authors

  • Ogunwale, AN; Sangi-Haghpeykar, H; Montealegre, J; Cui, Y; Jibaja-Weiss, M; Anderson, ML

Published Date

  • December 2016

Published In

Volume / Issue

  • 18 / 6

Start / End Page

  • 1404 - 1412

PubMed ID

  • 26424729

Pubmed Central ID

  • 26424729

Electronic International Standard Serial Number (EISSN)

  • 1557-1920

International Standard Serial Number (ISSN)

  • 1557-1912

Digital Object Identifier (DOI)

  • 10.1007/s10903-015-0287-9


  • eng