Factors Associated with the Use of Pap Smear Testing in Greece

Simou, Effie; Maniadakis, Nikos; Pallis, Athanasios; Foundoulakis, Emanouel; Kourlaba, Georgia

doi:10.1089/jwh.2009.1907

Cited by 18 publications

(22 citation statements)

References 27 publications

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“…[28][29][30][31][32][33][34][35][36] Our study found similar results, with a college education reducing the nonutilization of screening practice. A lack of insurance was also related to nonutilization as other studies have identified, although in this study population, insurability was high (over 90%).…”

Section: Discussionsupporting

confidence: 77%

“…A lack of insurance was also related to nonutilization as other studies have identified, although in this study population, insurability was high (over 90%). 29,[32][33][34][35][36] Another factor is age. In this analysis, as age increases, Pap smear usage decreases.…”

Section: Discussionmentioning

confidence: 99%

“…Others report similar findings that as women age, cancer screenings decline. 28,[31][32][33][34][35][36] The DES-exposed women were on average age 52 at the time of the 2006 follow-up. In the US general population, vaginal and cervical clear cell cancer is typically diagnosed in women over 50 years of age; it is uncertain today whether the DESexposed population of women will experience a new spike in cancer development (bimodal incidence rate) as they age.…”

Section: Discussionmentioning

confidence: 99%

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Factors Associated with a Lack of Pap Smear Utilization in Women Exposed In Utero to Diethylstilbestrol

Camp

Prehn

Shen

et al. 2015

Journal of Women's Health

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Background: Women in the1940s-1960s were prescribed diethylstilbestrol (DES), a nonsteroidal estrogen, to prevent miscarriages, but the practice was terminated after it was discovered that the daughters so exposed in utero were at increased risk for developing clear cell adenocarcinoma (CCA) of the vagina or cervix at early ages. Pap smear screening is one of the principal methods used to identify tumor development and is necessary in this group of women to maintain their health. Currently, little is known about the factors associated with nonutilization of this screening tool in this high-risk population of women. Methods: National cohort data from the National Cancer Institute (NCI) DES Combined Cohort Follow-up Study during 1994, and 2006 were used to determine which factors were associated with Pap smear screening nonutilization in 2006 among DES-exposed and unexposed women. Self-reported questionnaire data from 2,861 DES-exposed and 1,027 unexposed women were analyzed using binary logistic regression models. Results: DES exposure, not having a previous gynecologic dysplasia diagnosis, lack of insurance, originating cohort, increasing age, and previous screening behavior were all factors associated with not reporting a Pap smear examination in the 2006 questionnaire, although college education reduced nonutilization. Conclusions: Understanding which factors are associated with not acquiring a screening exam can help clinicians better identify which DES-exposed women are at risk for nonutilization and possibly tailor their standard of care to aid in the early detection of cervical and vaginal adenocarcinomas in this high-risk group.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Factors Associated with a Lack of Pap Smear Utilization in Women Exposed In Utero to Diethylstilbestrol

Camp

Prehn

Shen

et al. 2015

Journal of Women's Health

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“…, Simou et al . ) and to the roles and activities of the professionals in primary care. Physicians (Magai et al .…”

Section: Introductionmentioning

confidence: 99%

Social capital and adherence to cervical and breast cancer screening guidelines: a cross-sectional study in rural Crete

Moudatsou

Kritsotakis

Alegakis

et al. 2014

Health Soc Care Community

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Breast and cervical cancers are among the leading causes of female mortality. The reasons that make women adhere, or not, to screening guidelines are not only related to individual and health characteristics but are also placed in a wider social and cultural context. Social capital might facilitate the dissemination of relevant knowledge of and the adherence to cancer screening guidelines. This cross-sectional study explored the associations of individual-level social capital with breast and cervical cancer screening and the knowledge for the existence of relevant screening tests (Pap test and mammography) in the municipality of Gorgolaini, a rural area in Crete, Greece. A random sample of 131 of the 592 women of the 2001 electoral register were invited to participate in the study and 125 completed the Social Capital Questionnaire and two questions on self-reported health knowledge and behaviour (participation rate 95.4%). Women were eligible to participate if they were aged 35-75, had lived in the area for the last 10 years and were of Greek origin. Multiple logistic regressions were performed to establish associations among each social capital factor (total, participation in the community, value of life, tolerance for diversity, feelings of safety, family/friends connections) and knowledge of and adherence to breast and cervical cancer screening guidelines after adjustment for confounders. Our results suggest that early detection of breast and cervical cancers may be facilitated when taking into account the social context of the population.

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“…A substantial body of research has explored how neighborhoods or area of residence is associated with cancer screening (Bergamini et al, 2007; Luengo et al, 1996; Simou, Maniadakis, Pallis, Foundoulakis, & Kourlaba, 2010; Todorova, Baban, Alexandrova-Karamanova, & Bradley, 2009). Researchers have shown that geographical access to mammography, such as distance to and transportation, increases utilization (Akinyemiju et al, 2012; Eberth et al, 2014; Peipins et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Perceptions of One's Neighborhood and Mammogram Use among a Sample of Low-Income Women at Risk for Human Immunodeficiency Virus and Sexually Transmitted Infections

Davey‐Rothwell

Bowie

Murray

et al. 2016

Women's Health Issues

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Factors Associated with the Use of Pap Smear Testing in Greece

Cited by 18 publications

References 27 publications

Factors Associated with a Lack of Pap Smear Utilization in Women Exposed In Utero to Diethylstilbestrol

Factors Associated with a Lack of Pap Smear Utilization in Women Exposed In Utero to Diethylstilbestrol

Social capital and adherence to cervical and breast cancer screening guidelines: a cross-sectional study in rural Crete

Perceptions of One's Neighborhood and Mammogram Use among a Sample of Low-Income Women at Risk for Human Immunodeficiency Virus and Sexually Transmitted Infections

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