Factors Associated with the Use of Pap Test in a Rural Area

일부 농촌 지역 여성의 자궁경부암 조기검진에 영향을 미치는 요인

  • Koo, Hye-Won (Department of Preventive Medicine, Seoul National University College of Medicine) ;
  • Lee, Won-Jin (Department of Preventive Medicine, College of Medicine, Kon-Kuk University) ;
  • Chang, Soung-Hoon (Department of Preventive Medicine, College of Medicine, Kon-Kuk University) ;
  • Yoo, Keun-Young (Department of Preventive Medicine, Seoul National University College of Medicine) ;
  • Lee, Kun-Sei (Department of Preventive Medicine, College of Medicine, Kon-Kuk University)
  • 구혜원 (서울대학교 의과대학 예방의학교실) ;
  • 이원진 (건국대학교 의과대학 예방의학교실) ;
  • 장성훈 (건국대학교 의과대학 예방의학교실) ;
  • 유근영 (서울대학교 의과대학 예방의학교실) ;
  • 이건세 (건국대학교 의과대학 예방의학교실)
  • Published : 1999.06.01

Abstract

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<0,051, more educated (Ptrend<0.001), non-smoker (aOR of smoker=0.25, 95% CI=0.12-0.55), women of ever having Hepatitis test(aOR=2.60, 95% CI=1.73-3.88) in multiple lineal logistic analysis. Conclusions : This study suggests 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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