PMID: 22340898Feb 22, 2012Paper

Predictors of patient comfort and adherence with less frequent cervical cancer screening

Quality in Primary Care
Kathy L MacLaughlinLynne T Shuster

Abstract

The Papanicolaou (Pap) test is an effective, well-accepted screening tool that has led to a decrease in cervical cancer incidence and mortality. Updated evidence-based cervical cancer screening guidelines support less frequent testing in low-risk patients but have met resistance from providers and patients. To assess patient knowledge about cervical cancer screening and attitudes toward recommendations for less frequent testing. A hard copy of an eight-question survey was distributed to 389 women aged 30-64 years at two primary care clinics in Rochester, Minnesota, over a six-week period. The survey response rate was 86.8%. Of the 280 women who responded to a survey question about the cause of cervical cancer, 212 (75.7%) identified human papillomavirus (HPV) as the cause. Multivariable logistic regression analysis showed that this knowledge was not associated with feeling comfortable with a recommendation for less frequent testing or with support for less frequent testing. The only significant predictor of patient comfort and adherence with a two- to three-year Pap testing interval was the patient's belief about whether a Pap test was needed annually or every two or three years. Patient belief about Pap testing frequency was t...Continue Reading

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