Factors associated with receiving results and attending colposcopy in patients with positive HPV screens in Mexico City.
Factors associated with receiving results and attending colposcopy in patients with positive HPV screens in Mexico City.
复制标题
DOI：
10.1016/j.pmedr.2023.102347
复制
发表时间：
2023-10
影响因子：
2.8
通讯作者：
Salmeron, Jorge
中科院分区：
文献类型：
--
作者：
Leon-Maldonado, Leith;Hernandez-Ramirez, Raul U.;Torres-Ibarra, Leticia;Spiegelman, Donna;Sheth, Sangini S.;Lazcano, Eduardo;Cadena-Fiscal, Jose D.;Salmeron, Jorge
我们在墨西哥墨西哥城的一项宫颈癌筛查项目中，确定了与筛查结果阳性患者收到筛查结果和接受阴道镜检查相关的患者和医疗保健系统因素。我们分析了2017年至2018年进行的两项筛查示范研究中1，351例高危人乳头瘤病毒（HPV）阳性患者的数据。使用多变量逻辑回归分析确定与接受筛查结果和坚持阴道镜检查预约相关的因素。参与者的中位年龄为40岁（IQR = 32-48），60%的受教育程度低于高中，74%的人在过去5年中曾接受过巴氏筛查。55%的参与者在没有任何提醒的情况下在医疗机构（HCF）检索了他们的筛查结果。提供联系信息的电子邮件地址，参加家庭医学的HCF，并接受有经验的护士的护理与更大的坚持获得筛选测试结果相关。57%的参与者参加了他们的第一次阴道镜预约。提供电话号码可以提高阴道镜检查的依从性，而HCF和阴道镜诊所之间的较长旅行时间与阴道镜检查依从性的降低相关。在过去5年中进行巴氏试验与两种结果的依从性呈正相关。获取联系信息可能有助于克服今后后续行动的障碍。有必要对获得筛查测试结果和安排预约的战略进行更多的研究，这可能有助于解决获得服务的障碍，例如工作人员有限，距离诊所和旅行费用。
We identified patient and healthcare system factors related to receipt of screening results and attendance to colposcopy among patients with positive screening results in a cervical cancer screening program in Mexico City, Mexico. We analyzed data from 1,351 patients with high-risk human papillomavirus (HPV)-positive results from two screening demonstration studies conducted between 2017 and 2018. Factors associated with receipt of screening results and with adherence to a colposcopy appointment were identified using multivariable logistic regression. Participants had a median age of 40 years (IQR = 32–48), 60% had less than high school education, and 74% had a previous Pap screening in the last 5 years. Fifty-five percent of participants retrieved their screening results at the healthcare facility (HCF) without any reminder. Providing an email address for contact information, attending a HCF with family medicine, and receiving care from experienced nurses were associated with greater adherence to obtaining screening test results. Fifty-seven percent of participants attended their first scheduled colposcopy appointment. Providing a phone number improved adherence to colposcopy, whereas longer travel times between the HCF and the colposcopy clinic was associated with a decrease in colposcopy adherence. Having a Pap test in the last 5 years was positively associated with better compliance with both outcomes. Securing contact information may help to overcome barriers to future follow-up. Additional research is necessary on strategies for obtaining screening test results and scheduling appointments, which may help address barriers to access, such as limited staff availability, distance from the clinic, and travel costs.
登录
查看更多内容
DOI：
10.1186/1472-6874-8-2
发表时间：
2008-01-14
期刊：
BMC women's health
影响因子：
--
作者：
Swancutt DR;Greenfield SM;Wilson S
通讯作者：
Wilson S
DOI：
10.21149/9891
发表时间：
2018-12-01
期刊：
Salud Pública de México
影响因子：
--
作者：
Hurtado-Salgado, Erika;Ortiz-Panozo, Eduardo;Lazcano-Ponce, Eduardo
通讯作者：
Lazcano-Ponce, Eduardo
影响因子：
45.3
作者：
Ferreira, MR;Dolan, NC;Bennett, CL
通讯作者：
Bennett, CL
影响因子：
24.5
作者：
Lo, Siu Hing;Halloran, Stephen;von Wagner, Christian
通讯作者：
von Wagner, Christian
影响因子：
3.7
作者：
Brooks, Sandra E;Gordon, Nancy J;Moses, Gloria
通讯作者：
Moses, Gloria