Cervical cancer screening: who is not screened and why?

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Title: Cervical cancer screening: who is not screened and why?
Authors: Harlan LC (AUTHOR), Bernstein AM (AUTHOR), Kessler LG (AUTHOR)
Source: American Journal of Public Health. Jul1991, Vol. 81 Issue 7, p885-890. 6p.
Subjects: Cervical cancer, Pap test, Women's health services, Cancer diagnosis, Death rate, Medical care, Medical screening, Diagnosis
Geographic Terms: United States
Abstract: Background: The decline in death rates from cervical cancer in the United States has been widely attributed to the use of Papanicolaou (Pap) smears for early detection of cervical cancer. Methods: Pap smear screening rates, beliefs about appropriate screening intervals and factors affecting screening were examined using 1987 National Health Interview Survey data. Results: Results indicate that through age 69, Blacks are screened at similar or higher rates that Whites. Hispanics, particularly those speaking only or mostly Spanish, are least likely to have received a Pap smear within the last three years. Of women who had never heard of or never had a Pap smear, nearly 80 percent reported contact with a medical practitioner in the past two years, while more than 90 percent reported a contact in the past five years. Overall, the most frequently reported reason for not having a recent Pap smear was procrastinating or not believing it was necessary. Conclusions: Thus, in developing screening programs, Hispanics, particularly Spanish speakers, must be targeted. In addition, educational programs should target unscreened women who forego the test due to underestimating its importance, procrastination, or because their medical care provider did not suggest the procedure. Women must be intensively educated that Pap smears should be scheduled routinely to detect asymptomatic cervical cancer. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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DbLabel: Psychology and Behavioral Sciences Collection
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  Data: Cervical cancer screening: who is not screened and why?
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  Data: <searchLink fieldCode="AR" term="%22Harlan+LC%22">Harlan LC</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bernstein+AM%22">Bernstein AM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kessler+LG%22">Kessler LG</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Jul1991, Vol. 81 Issue 7, p885-890. 6p.
– Name: Subject
  Label: Subjects
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  Data: <searchLink fieldCode="DE" term="%22Cervical+cancer%22">Cervical cancer</searchLink><br /><searchLink fieldCode="DE" term="%22Pap+test%22">Pap test</searchLink><br /><searchLink fieldCode="DE" term="%22Women's+health+services%22">Women's health services</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+diagnosis%22">Cancer diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Death+rate%22">Death rate</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+screening%22">Medical screening</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: The decline in death rates from cervical cancer in the United States has been widely attributed to the use of Papanicolaou (Pap) smears for early detection of cervical cancer. Methods: Pap smear screening rates, beliefs about appropriate screening intervals and factors affecting screening were examined using 1987 National Health Interview Survey data. Results: Results indicate that through age 69, Blacks are screened at similar or higher rates that Whites. Hispanics, particularly those speaking only or mostly Spanish, are least likely to have received a Pap smear within the last three years. Of women who had never heard of or never had a Pap smear, nearly 80 percent reported contact with a medical practitioner in the past two years, while more than 90 percent reported a contact in the past five years. Overall, the most frequently reported reason for not having a recent Pap smear was procrastinating or not believing it was necessary. Conclusions: Thus, in developing screening programs, Hispanics, particularly Spanish speakers, must be targeted. In addition, educational programs should target unscreened women who forego the test due to underestimating its importance, procrastination, or because their medical care provider did not suggest the procedure. Women must be intensively educated that Pap smears should be scheduled routinely to detect asymptomatic cervical cancer. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.2105/AJPH.81.7.885
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      – Code: eng
        Text: English
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        PageCount: 6
        StartPage: 885
    Subjects:
      – SubjectFull: Cervical cancer
        Type: general
      – SubjectFull: Pap test
        Type: general
      – SubjectFull: Women's health services
        Type: general
      – SubjectFull: Cancer diagnosis
        Type: general
      – SubjectFull: Death rate
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Medical screening
        Type: general
      – SubjectFull: Diagnosis
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Cervical cancer screening: who is not screened and why?
        Type: main
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            NameFull: Harlan LC
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            NameFull: Bernstein AM
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            NameFull: Kessler LG
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            – D: 01
              M: 07
              Text: Jul1991
              Type: published
              Y: 1991
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