Falling short of Pap test guidelines

Health Rep. 1998 Summer;10(1):9-19(ENG); 9-21(FRE).
[Article in English, French]

Abstract

Objectives: This article examines the associations between women's characteristics and getting or not getting a Pap test.

Data source: The data are from the 1994/95 National Population Health Survey (NPHS) conducted by Statistics Canada.

Analytical techniques: Multivariate logistic regressions were used to determine the odds of women not complying with Pap test guidelines, that is, of never having had a Pap test, and among women who had had one, of not having done so in the last three years.

Main results: One in four women aged 18 to 69 had either never had a Pap test or had not had one in the three years before the NPHS. Notably, older women--who are at the greatest risk for cervical cancer--are less compliant with screening guidelines than younger women. Other characteristics of women with high odds of never having had a Pap test are: being single, being a resident of Quebec, having immigrated to Canada, having less than a secondary school education, not being in the highest income group and having had no sex partners in the previous year.

MeSH terms

  • Adult
  • Age Distribution
  • Aged
  • Canada / epidemiology
  • Female
  • Guidelines as Topic
  • Humans
  • Incidence
  • Logistic Models
  • Middle Aged
  • Odds Ratio
  • Patient Compliance*
  • Uterine Cervical Neoplasms / epidemiology*
  • Uterine Cervical Neoplasms / mortality
  • Uterine Cervical Neoplasms / prevention & control*
  • Vaginal Smears*
  • Women's Health*