Predictors of Cervical Cancer Screening Among Infrequently Screened Women Completing Human Papillomavirus Self-Collection: My Body My Test-1
Predictors of Cervical Cancer Screening Among Infrequently Screened Women Completing Human Papillomavirus Self-Collection: My Body My Test-1
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DOI：
10.1089/jwh.2018.7141
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发表时间：
2019-08-01
影响因子：
3.5
通讯作者：
Smith, Jennifer S.
中科院分区：
文献类型：
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作者：
Lea, Cary Suzanne;Perez-Heydrich, Carolina;Smith, Jennifer S.
背景：在美国，大约一半的宫颈癌病例发生在未接受筛查或从未接受过筛查的妇女中。我们研究了完成巴氏涂片检测的预测因素，以及人类乳头瘤病毒（HPV）自我采集阳性结果是否会影响未筛查妇女的巴氏涂片检测依从性。材料和方法：在北卡罗莱纳州招募年龄在30-65岁的低收入妇女，她们在bb0 = 4年内没有做过巴氏涂片检查。通过电话问卷对宫颈癌和巴氏涂片检查的知识、态度和障碍进行评估。我们邮寄了HPV检测的自我收集包，并提供了在哪里可以获得负担得起的巴氏试验的信息。参与者完成所有活动后可获得45美元。我们使用多变量逻辑回归来评估自上次Pap （>= 10 vs. 4-9年）报告时间较长的预测因子和研究入组后完成Pap检查（随访Pap）的预测因子。结果：参与者（n = 230）主要是黑人（55%），无保险（64%），有
Background: Approximately one-half of cervical cancer cases in the United States occur in underscreened or never-screened women. We examined predictors to completing Papanicolaou (Pap) testing and whether a positive human papillomavirus (HPV) self-collection result affects Pap testing adherence among underscreened women. Materials and Methods: Low-income women aged 30-65 years who reported no Pap testing in >= 4 years were recruited in North Carolina. Knowledge, attitudes, and barriers regarding cervical cancer and Pap testing were assessed by telephone questionnaires. We mailed self-collection kits for HPV testing and provided information regarding where to obtain affordable Pap testing. Participants received $45 for completing all activities. We used multivariable logistic regression to assess the predictors of longer reported time since last Pap (>= 10 vs. 4-9 years) and of completion of Pap testing following study enrollment (follow-up Pap). Results: Participants (n = 230) were primarily black (55%), uninsured (64%), and with