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KMID : 1035120140140020084
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Asian Oncology Nursing
2014 Volume.14 No. 2 p.84 ~ p.92
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Predictors of Follow-up Screening in Women with Abnormal Pap Smears
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Park Young-Suk
Park Jeong-Sook
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Abstract
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Purpose:This descriptive study was to identify predictors of follow-up screening among Korean women with low-grade abnormal Papanicolaou smears.
Methods:This study was conducted among 158 eligible women with atypical squamous cells of undetermined significance (ASC-US) or low-grade squamous intraepithelial lesion (LSIL) on Pap smear tests from the out-patient department at an academic hospital. Data were collected on self-report questionnaires including demographics, beliefs, knowledge and psychosocial distress. Multivariate logistic regression was used to identify independent factors association with follow-up.
Results:Of the 158 women with abnormal Pap smear results, 60.8% completed the recommended follow-up within 6months, and 39.2% did not. In multivariate analysis, attendance of follow-up was significantly increased with good explanation from health care providers (OR=4.89, 95% CI=1.96-12.13), having intention to follow-up (OR=7.96, 95% CI=1.88-33.65), increasing perceived benefit (OR=1.91, 95% CI=1.21-2.99) and decreasing perceived barriers (OR=1.41, 95% C I=1.13-1.74).
Conclusion:Despite increasing rates of cervical cancer screening, pervasive problems in the adherence of follow-up of abnormal findings continue. We suggest more intensive interventions including good explanations by health care providers, educational programs for follow-up care and individualized implementations depending on barriers.
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KEYWORD
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Uterine Cervical Neoplasms, Uterine Cervical Dysplasia, Vaginal Smears, Early Detection of Cancer
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