کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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2109278 | 1083867 | 2011 | 6 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Determinants of adequate follow-up of an abnormal Papanicolaou result among Jamaican women in Portland, Jamaica Determinants of adequate follow-up of an abnormal Papanicolaou result among Jamaican women in Portland, Jamaica](/preview/png/2109278.png)
Background: Among Jamaican women, cervical cancer is the second leading cause of cancer mortality but factors that facilitate follow-up of women receiving abnormal Pap smear results are not known. We examined whether socio-demographic factors, factors reported by the women, and assistance received for follow-up facilitate adequate follow-up of abnormal Pap smears. Methods: One hundred and twenty-one women who had abnormal Pap results during June 1998–September 2005 in Portland, Jamaica were interviewed to identify determinants of adequate follow-up. Chi-square, t-test and multivariable logistic regression analysis were used to identify determinants. Results: Only half of the women in this sample sought adequate follow-up. These women had a lower number of surviving children, higher monthly income, and perceived the cost of services to be inexpensive. Advice about the timing of the follow-up activity and the next step to take by the healthcare workers were significant determinants of adequate follow-up. Women who received advice on the timing of follow-up were almost six times (adjusted OR: 5.99, 95% CI: 1.17, 30.66, p < 0.05) more likely to seek adequate follow-up after adjusting for other factors. Conclusions: Perceived low cost of services as well as assistance provided by healthcare workers regarding follow-up action helps to facilitate adequate follow-up of abnormal Pap smear results.
Journal: Cancer Epidemiology - Volume 35, Issue 2, April 2011, Pages 211–216