Factors Associated with the Use of Pap Test in a Rural Area.
- Author:
Kun Sei LEE
1
;
Hye Won KOO
;
Won Jin LEE
;
Soung Hoon CHANG
;
Keun Young YOO
Author Information
1. Department of Preventive Medicine, College of Medicine, Kon-Kuk University, Korea.
- Publication Type:Original Article
- Keywords:
Cervix cancer;
Pap test;
Screening rate;
Cancer screening behavior
- MeSH:
Breast;
Chungcheongbuk-do;
Female;
Hepatitis;
Humans;
Mass Screening;
Physical Examination;
Surveys and Questionnaires;
Uterine Cervical Neoplasms
- From:Korean Journal of Preventive Medicine
1999;32(2):147-154
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: To construct basic data to develop strategies for achieving higher Pap test coverage rate by evaluating factors associated with the use of Pap test through population-based survey. METHODS: 16.4%(671) of the 4,090 women, who were eligible population for this study, in 3 Myens of Chung-ju City participated in this study voluntarily from July 21 to 26, 1997. After basic physical examination by trained doctors, they were interviewed with structured questionnaire by well-educated interviewers. RESULTS: It shows that only 54.3% of study participants experienced Pap test. The strongest factor which is related with the use of Pap test was the history of having breast screening tests(aOR=8.71, 95% CI=4.25-17.84). Probability of ever having Pap test was also higher in married women(aOR of single=0.46, 95% CI=0.29-0.72), younger(Ptrend<0.05), more educated (Ptrend<0.001), non-smoker (aOR of smoker=0.26, 95% CI=0.12-0.55), women of ever having hepatitis test(aOR=2.60, 95% CI=1.73-3.88) in multiple linear logistic analysis. CONCLUSIONS: This study suggests that several factors significantly associated with the use of Pap test, and especially, high-risk population for cervical cancer such as women of older ages, less educated, living alone are less likely to have the Pap test. We should concentrate on encouraging high-risk women in the use of Pap test to improve Pap test coverage rate.
