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KMID : 0384320120330030174
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Korean Journal of Family Medicine
2012 Volume.33 No. 3 p.174 ~ p.181
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Factors Associated with the Use of Uterine Cervical Cancer Screening Services in Korean Elderly Women
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Ko Ki-Dong
Park Sang-Min
Lee Ki-Heon
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Abstract
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Background: The Papanicolaou (Pap) smear test is an effective screening test for the early detection of uterine cervical cancer. The Pap test still plays an important role in Korean elderly women, as uterine cervical cancer remains a frequent form of cancer and an important cause of death. However, the participation rate and other factors related to the Pap test in Korean elderly women have been studied insuffi ciently.
Methods: This study included 654 individuals aged 65 and over who completed a cervical cancer screening questionnaire from the Third Korean National Health and Nutrition Examination Survey 2005. Using multiple logistic regression, odds ratios and confi dence intervals for the association between attendance of the Pap test and sociodemographic or healthrelated factors were calculated.
Results: One hundred and eleven individuals (17.0%) of the study population showed compliance with Pap testing within the previous 2 years. We recognized that the most elderly women (75 years and over) or those with lower levels of education were less likely to have had the test.
Conclusion: Primary health care providers need to make efforts to improve attendance rates of Pap smear screening in Korean elderly women, individually taking into account previous Pap results, life expectancy, risk factors for cervical cancer, and preferences. More attention will especially be needed among the eldest elderly or less educated elderly women.
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KEYWORD
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Uterine Cervical Neoplasms, Vaginal Smears, Health Services for the Aged
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