scholarly journals Does the offer of cervical screening with breast screening encourage older women to have a cervical smear test?

1992 ◽  
Vol 46 (5) ◽  
pp. 523-527 ◽  
Author(s):  
G Lancaster ◽  
P Elton
Keyword(s):  
Older Women ◽  
Breast Screening ◽  
Cervical Screening ◽  
Cervical Smear ◽  
Smear Test

scholarly journals P63 Improving cervical smear uptake through an Automated Voice Messages Reminder

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Francesca Bladt ◽  
Felyx Wong ◽  
Francesca Bladt
Keyword(s):  
Cervical Cancer ◽  
Low Cost ◽  
Cervical Screening ◽  
Telephone Triage ◽  
Cervical Smear ◽  
Screening Programs ◽  
Smear Test ◽  
Voice Message ◽  
The Uk ◽  
Busy Schedule

Abstract National cervical screening programs have played a pivotal role in the prevention of cervical cancer. However, practices across the UK have reached an all-time low in cervical screening uptake. This study aimed to assess the efficacy of implementing an automated voice message reminder within the local general practice (GP) telephone triage system and explore the reasons which deter eligible patients away from cervical screening. A 20-second voice-message reminder in the telephone queue was played, addressing key risk factors along with a message from a child who lost his mother to cervical cancer. From the anonymised GP database, weekly new smear test bookings were monitored from 4 weeks prior until 2 weeks after the intervention was implemented. To qualitatively assess factors which deter patients away from screening, female patients were randomly sampled to fill in an anonymous questionnaire. The use of a low-cost 20 second voice message in the telephone queue across UK GP practices could be an effective method to increase cervical smear test coverage towards the national target of 80%. 35 questionnaire responses were received, main themes reported for not attending screening include embarrassment(37%), busy schedule(32%) and cultural differences(24%). In the week following the intervention, cervical smear tests increased more than 2-fold, from an average of 12 to 26 smears per week. This could be partly due to the convenient timing of voice recording, reminding them to book both appointments simultaneously and the child’s emotive message.

Information given to women invited for cervical screening: results of two postal surveys seven years apart

2005 ◽  
Vol 15 (2) ◽  
pp. 267-272
Author(s):  
H. V. Duggal ◽  
B. Olowokure ◽  
M. Caswell ◽  
S. A. Wardle
Keyword(s):  
Older Women ◽  
Random Sample ◽  
Screening Program ◽  
Cervical Screening ◽  
Information Provision ◽  
Bivariate Analysis ◽  
Cervical Smear ◽  
Age Related ◽  
To Receive ◽  
Women’S Views

In South Staffordshire, England, we compared women's views on information provided to them at different stages of the cervical screening program in 1994 with that provided in 2001. An age-stratified random sample of women aged 20–64 years who had a cervical smear taken between January and March 1994 (3856) or between January and March 2001 (4057) were sent postal questionnaires in June 1994 and July 2001, respectively. Response rates in 1994 (3124/3856, 81%) and 2001 (3288/4057, 81%) were similar. Compared to 1994, the proportion of women who thought the invitation letter was clear to read in 2001 increased (70% vs 98%, P < 0.0001); however, letters were thought to be less reassuring in 2001 compared to 1994 (P < 0.0001). In both study periods, 66% of women reported that the procedure was explained to them before the smear was taken. A greater proportion of women received their results by letter in 2001 compared to 1994 (57% vs 41%, P < 0.0001); however, 49% of women waited >4 weeks to receive their results in 2001 compared to 26% in 1994 (P < 0.0001). Bivariate analysis suggests that responses were age related, with older women (≥45 years) experiencing poorer information provision. The issues highlighted by this study deserve further investigation in other areas.

A review of the literature: interventions to maximize capacity to consent and reduce anxiety of women with learning disabilities preparing for a cervical smear test

2002 ◽  
Vol 15 (3) ◽  
pp. 173-185 ◽  
Author(s):  
Sallyanne Broughton
Keyword(s):  
Learning Disabilities ◽  
Learning Disability ◽  
Cervical Screening ◽  
Complex Nature ◽  
Relaxation Techniques ◽  
Cervical Smear ◽  
Capacity To Consent ◽  
Smear Test ◽  
Key Issues ◽  
Screening Services

Due to the complex nature of the cervical screening for women with learning disabilities, this literature review has several different strands. The aim of which is to give a general overview of the literature available about women with learning disabilities and cervical screening. Discussing key issues in relation to uptake, access and risk factors associated with cervical screening. The role of the learning disability nurse in supporting access to cervical screening services within primary care will be explored. The notion that anxiety and a woman's capacity to consent impacts on her accessing cervical screening services and ultimately undergoing a cervical smear test, will be examined. Relaxation techniques with regard to ascertaining which techniques are more effective when used with individuals with a learning disability will also be discussed.

scholarly journals Cervical Screening of Arabic-Speaking Women in Australian General Practice

1997 ◽  
Vol 4 (2) ◽  
pp. 107-111 ◽  
Author(s):  
Margaret Lesjak ◽  
Jeanette Ward ◽  
Chris Rissel
Keyword(s):  
Cervical Cancer ◽  
At Risk ◽  
Older Women ◽  
Smoking Status ◽  
Cervical Screening ◽  
Cervical Smear ◽  
Women Studies ◽  
Australian General Practice ◽  
Arabic Speaking ◽  
Sydney Australia

Abstract Objective— To determine recency and predictors of cervical screening among Arabic-speaking women in Sydney, Australia. Method— A consecutive sample of Arabic-speaking women, attending 20 Arabic-speaking general practitioners, was asked to complete a self administered health risk questionnaire available in Arabic or English which included three questions about cervical screening knowledge and behaviour. Results— Of 756 eligible women, 526 (70%) returned completed questionnaires. Of these, 69 (13%) did not know what a cervical smear was. Sixteen per cent of overseas-born compared with 2% of Australian-born women at risk had not heard of a cervical smear. Women were defined as being at risk of cervical cancer if they had both been married and not had a hysterectomy. Of 318 women at risk for cervical cancer who knew what a cervical smear was, 66% had had a smear in the last two years, a further 7% were attending for one that day while 11% had not had a smear for at least two years, 9% had never had one and 7% did not answer/could not remember. Religion, age, and residence in Australia for more than 10 years were significant and independent predictors of screening after adjustment for other variables in a simultaneous logistic regression model (P = 0.002, P = 0.002, and P = 0.040 respectively). Muslim women and older women were more likely to be under-screened, and women with more than 10 years' residence in Australia were more likely to have been screened in the last two years. Acculturation, smoking status, health status, duration of relationship with participating doctor, and chronic disease were not significant predictors of a recent smear. Conclusion— As only 73% of women at risk had been screened in the last two years, including women attending on the day, and 9% had never been screened, Arabic-speaking women should be a priority for public campaigns, particularly Muslim and older women. Studies to evaluate the effectiveness and acceptability of reminders by ethnic general pratitioners are recommended.

Self-Esteem, Compliance, and Cervical Screening

1995 ◽  
Vol 77 (3) ◽  
pp. 891-898 ◽  
Author(s):  
J. R. Wilson ◽  
J. A. Fazey
Keyword(s):  
Cervical Screening ◽  
Semantic Differential ◽  
Self Esteem ◽  
Cervical Smear ◽  
Smear Test ◽  
Health Related ◽  
Personal Questionnaire

A computerized version of the semantic differential was administered to 57 respondents and 43 nonrespondents to invitations for a cervical smear test. 26 concepts pertaining to emotional, social, parental, and health-related domains were tested. The semantic differential was followed by a personal questionnaire. Analysis indicated that fear, worry, and embarrassment were negatively correlated with the decision to have a cervical smear test. Respondents seemed to have higher self-esteem and better relationships with their husbands than nonrespondents.

scholarly journals Smoking cessation advice after cervical screening: a qualitative interview study of acceptability in Dutch primary care

2018 ◽  
Vol 69 (678) ◽  
pp. e15-e23
Author(s):  
Marthe BL Mansour ◽  
Mathilde R Crone ◽  
Henk C van Weert ◽  
Niels H Chavannes ◽  
Kristel M van Asselt
Keyword(s):  
Smoking Cessation ◽  
Cervical Screening ◽  
Qualitative Interview ◽  
Smoking Behaviour ◽  
Interview Study ◽  
Interactive Approach ◽  
Smear Test ◽  
Stop Smoking ◽  
Qualitative Interview Study ◽  
Practice Assistant

BackgroundCervical cancer screening in general practice could be a routine and opportune moment to advise females who smoke to stop smoking.AimThe aims of this study were to investigate the attitudes of females who smoke to receiving advice about stopping smoking after cervical screening and to identify factors associated with the acceptability of this advice.Design and settingThis qualitative interview study was conducted with Dutch females who smoked, had undergone cervical screening, and were aged 30 to 60 years. Interviews were performed between December 2016 and September 2017.MethodIn this study 15 participants were interviewed and transcripts were analysed using thematic analysis.ResultsFemales who smoke were ambivalent (positive or sceptical) about being advised to stop smoking after they had undergone cervical screening. An explanation of why smoking behaviour is addressed by the practice assistant performing the smear, and making females feel at ease during the smear test, were found to be factors that might influence acceptability of such advice. Although a personal and non-judgemental approach to discussing smoking was considered essential, participants expressed different preferences regarding the form and content of cessation support. This was reflected by the variations in knowledge about smoking cessation support, previous experiences of cessation attempts, and received cessation advice or support.ConclusionStudy participants had mixed opinions about being given advice about smoking cessation after their cervical smear test and differed in their preferences for the type of support for smoking cessation. An interactive approach might improve how well a smoking cessation intervention is received by females who smoke and cater to their individual needs and preferences.

scholarly journals Cross-sectional analyses of participation in cancer screening and use of hormone replacement therapy and medications in meat eaters and vegetarians: the EPIC-Oxford study

BMJ Open ◽  
2017 ◽  
Vol 7 (12) ◽  
pp. e018245 ◽  
Author(s):  
Tammy Y N Tong ◽  
Paul N Appleby ◽  
Kathryn E Bradbury ◽  
Timothy J Key
Keyword(s):  
Hormone Replacement Therapy ◽  
Replacement Therapy ◽  
Breast Screening ◽  
Reference Group ◽  
Hormone Replacement ◽  
Cervical Screening ◽  
Specific Antigen ◽  
Blood Cholesterol ◽  
Meat Eating ◽  
Psa Testing

ObjectivesTo examine differences in health-related behaviours such as screening or testing for cancer, use of hormone replacement therapy (HRT) and use of other medications in different diet groups.DesignWe studied 31 260 participants across four diet groups (18 155 meat eaters, 5012 fish eaters, 7179 vegetarians, 914 vegans) in the UK EPIC-Oxford cohort. Information was collected in 5-year (around 2000–2003) or 10-year (around 2007) follow-up questionnaires regarding participation in breast screening, cervical screening, prostate-specific antigen (PSA) testing, use of HRT and use of medications for the past 4 weeks. Using Poisson regression, we estimated the prevalence ratios (PR) for each behaviour across people of different diet groups, using meat eaters as the reference group.ResultsCompared with meat eaters, vegetarian (PR: 0.94, 95% CI 0.89 to 0.98) and vegan (PR: 0.82, 95% CI 0.71 to 0.95) women reported lower participation in breast screening, and vegetarian men were less likely to report PSA testing (PR: 0.82, 95% CI 0.71 to 0.96). No differences were observed among women for cervical screening. In women, all non-meat-eating groups reported lower use of HRT compared with meat eaters (P heterogeneity <0.0001). Lower reported use of any medication was observed for participants in all non-meat-eating groups with no (P<0.0001) or one (P=0.0002) self-reported illness. No heterogeneity was observed across the diet groups for the reported use of specific medication for high blood pressure, high blood cholesterol, asthma, diabetes and thyroid disease.ConclusionsDifferences in self-reported breast screening, PSA testing, HRT use and overall medication use were observed across the diet groups. Whether such differences contribute to differential long-term disease risks requires further study.

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