Factors affecting compliance in the first year of postcolposcopy surveillance among women with a high incidence of cervical cancer

Abstract

The percentage of noncompliance with postcolposcopy follow-up was high among the study women. The significant independent factors predicting noncompliance were previous history of abnormal smear, severity of cervical histopathology, age, and education level.

Patient compliance with cervical smear surveillance in a shared-care setting

“…In the present study population, having a history of smoking was significantly associated with non‐compliance and it is hypothesized that risky patient behaviors could be associated with poor knowledge, low self‐awareness, or difficulty accessing medical care, resulting in poor compliance. The present study also identified that patients who had previously undergone treatment related to cervical smear screening were more compliant with follow‐up compared with patients who had not; the non‐compliance rate in this group of patients was in‐line with lower estimates reported in the literature (25.9%–56.8%) [9,10,17–19]. A possible explanation for these findings is that staff at WDTC could have been more stringent in contacting defaulting patients from this group.…”

“…Unfortunately, no universal factors have been identified that predict patient non‐compliance. Factors including being single, high‐severity cervical lesions, a low level of education, living a long distance from healthcare facilities, poor knowledge or misconceptions, a lack of rapport with healthcare providers, and a lack of staff to perform cervical smear examinations have been suggested to contribute to patient non‐compliance [9–14]. However, different studies have provided conflicting data regarding risk factors [15,16].…”

Cervical Pathology in Cytology-Negative/HPV-Positive Women: Results from Lampang Cancer Hospital, Thailand

“…Unexpectedly, the prevalence of CIN 2-3 among women infected with non-HPV 16/18 oncogenic types was approximately 10% which was relatively high as comparing with the rate of only 4.6% from the ATHENA study (Wright, et al, 2011). It should be cautiously viewed that the percentage of noncompliance with cervical cancer screening processes among Thai women can be high (Siriaree et al, 2006;Kietpeerakool et al, 2011;Rattanalappaiboon et al, 2014). These raise the question as to whether rescreening with cotest in 1-year interval is appropriate for Thai women with cytology-negative who infected with non-HPV 16/18 oncogenic types.…”

Histopathological Outcomes of Women with Abnormal Cervical Cytology: a Review of Literature in Thailand

“…Recommended management of LSIL cytology might be either colposcopy or cytological follow-up and varies between countries (Scheungraber et al, 2004). Nevertheless, immediate colposcopy might be appropriate in Thailand in which the patients' compliance is suboptimal (Rattanalappaiboon et al, 2014).…”