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KMID : 0371019990320020147
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Journal of Preventive Medicine and Public Health
1999 Volume.32 No. 2 p.147 ~ p.154
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Factors Associated with the Use of Pap Test in a Rural Area
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Lee Kun-Sei
Koo Hye-Won
Lee Won-Jin
Chang Soung-Hoon
Yoo Keun-Young
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Abstract
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Objectives: To construct basic data to develop strategies for achieving higher Pap test coverage rate by evaluating factors associated with the use of Pap test through population-based survey.
Methods: 16.4%(671) of the 4,090 women, who were eligible population for this study, in 3 Myens of Chung-ju City participated in this study voluntarily from July 21 to 26, 1997. After basic physical examination by trained doctors they were interviewed with structured questionnaire by well-educated interviewers.
Results: It shows that only 54.3% of study participants experienced Pap test. The strongest factor which is related with the use of Pap test was the history of having breast screening tests(aOR=8.71, 95% CI=4.25-17.84). Probability of ever having Pap test was also higher in married women(aOR of single=0.46, 95% CI=0.29-0.72), younger(Ptrend<0.05), more educated(Ptrend<0.001), non-smoker(aOR of smoker=0.26, 95% CI=0.12-0.55), women of ever having hepatitis test(aOR=2.60, 95% CI=1.73-3.88) in multiple linear logistic analysis.
Conclusions: This study suggest that several factors significantly associated with the use of Pap test, and especially, high-risk population for cervical cancer such as women of older ages, less educated, living alone are less likely to have the Pap test. We should concentrate on encouraging high-risk women in the use of Pap test to improve Pap test coverage rate.
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KEYWORD
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Cervix cancer, Pap test, Screening rate, Cancer screening behavior
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