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Self-reported Pap smear screening in Austria.

Gerald Haidinger¹, Thomas Waldhoer, Christian Vutuc

¹Department of Epidemiology, Centre of Public Health, Medical University of Vienna, Vienna, Austria. gerald.haidinger@meduniwien.ac.at

Wiener Medizinische Wochenschrift (1946)

|May 27, 2008

Summary

Cervical cancer screening participation in Austria significantly increased from 1995 to 2005. Future campaigns should target young and well-educated women for Pap smear screening.

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Area of Science:

Public Health
Gynecologic Oncology
Preventive Medicine

Background:

Opportunistic cervical cancer screening has been available in Austria since the late 1960s and is free of charge.
A nationwide population-based cross-sectional study was conducted in 2005 to assess screening status.

Purpose of the Study:

To evaluate knowledge, attitudes, and behaviors regarding cervical cancer screening among Austrian women.
To compare current screening data with a similar study conducted in 1995.

Main Methods:

A representative sample of Austrian women aged 20-69 years was surveyed.
Data on Pap smear screening knowledge and participation were collected and analyzed.
Results were compared to identical study data from 1995.

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Main Results:

Awareness of Pap smear screening was high (95.7% in 2005 vs. 94.0% in 1995).
Screening participation increased significantly (88.0% in 2005 vs. 76.2% in 1995), with 52.6% optimally screened.
Lower participation was observed in rural areas; higher education correlated with a greater proportion of never-screened women. Gynecologists performed more Pap smears in 2005 compared to 1995.

Conclusions:

Cervical cancer screening participation in Austria has shown a significant upward trend since 1995.
Targeted screening campaigns are recommended to reach young and well-educated women, as well as those in rural areas.