자궁경부 비정상 세포진 여성의 추후검진 예측요인
Predictors of Follow-up Screening in Women with Abnormal Pap Smears
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Purpose: This descriptive study was to identify predictors of follow-up screening among Korean women with low-grade abnormal Papanicolaousmears. 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 academichospital. 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 abnormalPap smear results, 60.8% completed the recommended follow-up within 6months, and 39.2% did not. In multivariate analysis, attendanceof 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 decreasingperceived barriers (OR=1.41, 95% C I=1.13-1.74). Conclusion: Despite increasing rates of cervical cancer screening, pervasiveproblems in the adherence of follow-up of abnormal findings continue. We suggest more intensive interventions including good explanationsby health care providers, educational programs for follow-up care and individualized implementations depending on barriers.
Abstract
Purpose: This descriptive study was to identify predictors of follow-up screening among Korean women with low-grade abnormal Papanicolaousmears. 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 academichospital. 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 abnormalPap smear results, 60.8% completed the recommended follow-up within 6months, and 39.2% did not. In multivariate analysis, attendanceof 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 decreasingperceived barriers (OR=1.41, 95% C I=1.13-1.74). Conclusion: Despite increasing rates of cervical cancer screening, pervasiveproblems in the adherence of follow-up of abnormal findings continue. We suggest more intensive interventions including good explanationsby health care providers, educational programs for follow-up care and individualized implementations depending on barriers.
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