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Age related influence on screening coverage and satisfaction. with CervicalCheck.

P Fitzpatrick, S O'Neill, T Mooney

Irish Medical Journal

|September 18, 2014

Summary

Women attending CervicalCheck report high satisfaction and willingness to return. Knowledge of screening schedules and GP encouragement are key factors influencing attendance, especially for older women.

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Area of Science:

Public Health
Gynecologic Oncology
Health Services Research

Background:

Cervical cancer screening programs aim to reduce incidence and mortality through early detection.
Understanding patient satisfaction and factors influencing screening uptake is crucial for program optimization.
The CervicalCheck program in Ireland provides cervical screening services to women.

Purpose of the Study:

To assess satisfaction levels among women participating in the CervicalCheck program.
To identify reasons for the observed age-related differences in screening uptake.
To explore factors influencing women's willingness to return for future screenings and recommend the service.

Main Methods:

A questionnaire-based survey was administered to 5,000 women with normal Pap smear results.
Participants were randomly selected and stratified by age groups: 25-44 years (3,500) and 45-60 years (1,500).
Statistical analysis, including logistic regression, was used to identify predictors of satisfaction and return intention.

Main Results:

Over 98% of women in both age groups expressed willingness to return to CervicalCheck and recommend it to others.
Willingness to recommend the service was strongly predicted by willingness to return (OR = 31).
Predictors for returning for screening included knowledge of the next due date (OR = 2.5) and receiving an invitation (OR = 3.1).
Older women were less likely to know when they were due for their next screening (OR = 0.5), but willingness to return increased this knowledge (OR = 3.2).
General Practitioners (GPs) play a significant role in informing and encouraging older women to attend screening.

Conclusions:

The CervicalCheck program demonstrates high levels of participant satisfaction and positive word-of-mouth.
Knowledge about screening schedules and proactive invitations are vital for ensuring continued participation.
Targeted interventions, particularly involving GPs, may be necessary to address age-related disparities in screening uptake and knowledge.