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Cervical cancer screening: women's knowledge, attitudes and preferences
P M Nicoll1, K V Narayan, J G Paterson
1Department of Public Health Medicine, Grampian Health Board, Aberdeen.
Health Bulletin
|May 1, 1991
Summary
Most women aged 20-64 are willing to undergo cervical cancer screening (Pap smear). Implementing a call/recall system and improving health education can increase screening uptake.
Area of Science:
- Public Health
- Gynecology
- Preventive Medicine
Background:
- Cervical cancer screening, specifically the Pap smear, is crucial for early detection.
- Understanding factors influencing screening participation is vital for public health initiatives.
Purpose of the Study:
- To determine the screening status of women aged 20-64 within a large group practice.
- To identify demographic and social factors associated with cervical smear uptake.
- To assess women's knowledge, attitudes, and preferences regarding cervical screening.
Main Methods:
- Utilized laboratory and general practice records to ascertain screening status.
- Conducted a postal survey of 1,416 women categorized as non-attenders, defaulters, or attenders.
- Analyzed screening status in relation to social class, education, marital status, and parity.
Main Results:
- Single and nulliparous women showed lower screening rates.
- Knowledge about the Pap smear test was inadequate across all groups.
- The majority of women expressed willingness to have a Pap smear, with general practitioners being the preferred healthcare provider for the procedure.
Conclusions:
- An organized call/recall system and enhanced primary care-based smear taking can improve cervical screening participation.
- Improved health education is essential to address knowledge gaps and encourage regular screening.
- Addressing barriers related to social factors and provider preference is key to increasing screening uptake.