Details:

Alternative Title:
Prev Med Rep
Publisher's site:
http://dx.doi.org/10.1016/j.pmedr.2015.05.008
Personal Author:
Roland, Katherine B. ; Greek, April ; Hawkins, Nikki A. ; Lin, Lavinia ; Benard, Vicki B.
Roland, Katherine B. ; Greek, April ; Hawkins, Nikki A. ; Lin, Lavinia ; Benard, Vicki B. Less -
Description:
Background

Among providers who serve low-income and uninsured women, resistance to extending the cervical cancer screening interval following normal Pap and co-test results has been documented. Our objective was to examine provider characteristics and beliefs associated with guideline-consistent screening interval recommendations.

Method

We collected cross-sectional survey data between 2009 and 2010 from 82 primary care providers in six Federally Qualified Health Centers in Illinois, USA. The relationships between characteristics, beliefs, and screening interval recommendations (1 year vs. 3 years) were tested with Pearson chi-square, negative binomial and ordered logistic regression.

Results

Compared to providers who recommended annual intervals after a normal co-test, providers who recommended a guideline-consistent (i.e., 3 years) screening interval were significantly more likely to report the goodness, ease, and benefit of their recommendation and perceived encouragement for a 3-year interval from professional organizations and journals (p < .05). Providers who recommended a 3-year interval were also less likely to report that longer intervals increase patient risk for cervical cancer (p < .05). Interval recommendations were not associated with provider specialty, gender, or years in practice.

Conclusion

Messages that promote the benefits of longer screening intervals after a normal co-test, the natural history of human papillomavirus and cervical cancer, and low risk of developing cancer with a longer interval may be useful to promote evidence-based screening in this population of Federally Qualified Health Center providers. Dissemination of targeted messages through professional journals and specialty organizations should be considered.


Subject:
[+]
Article
Cervical Cancer Screening
FQHC
Medically Underserved
Provider Beliefs
Screening Intervals

Source:
Prev Med Rep. 2:444-447.
Pubmed ID:
26203428
Pubmed Central ID:
PMC4508246
Document Type:
Journal Article
Funding:
FSX3/Intramural CDC HHS/United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:e9f9b5457817b057ee36011f7a13e0c05c02c4e75351c4d62db4f10131c54128
File Type:

Supporting Files

• 	nihms706189.nxml	txt
  	nihms706189f1.gif	gif
  	nihms706189f1.jpg	jpeg

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