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Determinants of adequate follow-up of an abnormal Papanicolaou result among Jamaican women in Portland, Jamaica

2010; Elsevier BV; Volume: 35; Issue: 2 Linguagem: Inglês

10.1016/j.canep.2010.07.004

1877-783X

Su Jin Jeong, Ekta Saroha, Jeremy Knight, Michele Roofe, Pauline E. Jolly,

Global Cancer Incidence and Screening

Background: Among Jamaican women, cervical cancer is the second leading cause of cancer mortality but factors that facilitate follow-up of women receiving abnormal Pap smear results are not known. We examined whether socio-demographic factors, factors reported by the women, and assistance received for follow-up facilitate adequate follow-up of abnormal Pap smears. Methods: One hundred and twenty-one women who had abnormal Pap results during June 1998–September 2005 in Portland, Jamaica were interviewed to identify determinants of adequate follow-up. Chi-square, t-test and multivariable logistic regression analysis were used to identify determinants. Results: Only half of the women in this sample sought adequate follow-up. These women had a lower number of surviving children, higher monthly income, and perceived the cost of services to be inexpensive. Advice about the timing of the follow-up activity and the next step to take by the healthcare workers were significant determinants of adequate follow-up. Women who received advice on the timing of follow-up were almost six times (adjusted OR: 5.99, 95% CI: 1.17, 30.66, p < 0.05) more likely to seek adequate follow-up after adjusting for other factors. Conclusions: Perceived low cost of services as well as assistance provided by healthcare workers regarding follow-up action helps to facilitate adequate follow-up of abnormal Pap smear results.