262132 Risk factors that Contribute to a Decreased Likelihood of Obtaining Pap Screening

Tuesday, October 30, 2012 : 12:50 PM - 1:10 PM

Tara Walhart, MSN, MPH, NP-C , Department of Community Health Sysytems, University of California, San Francisco School of Nursing, san Francisco, CA
E. Angel James, CNM, WHNP-C, MS , Department of Family Health, University of California, San Francisco School of Nursing, San Francisco, CA
Background: Cervical pap screening significantly decreases mortality from cervical cancer. Human papillomavirus (HPV) is responsible for the majority of diagnosed cases of cervical cancer. However, not all at risk women in the United States obtain pap screening. Previous research has suggested that knowledge regarding HPV may influence the likelihood of pap screening. More information is needed on risk factors that may prevent women from obtaining cervical pap screening, including knowledge of HPV. The purpose of this study was to identify risk factors that contribute to a decreased likelihood of obtaining pap screening. Methods: Data was obtained from the 2007 California Health Interview Survey (CHIS). Women, aged 18 to 80, who responded to questions related to the study objectives were included (N=1,666). Multivariate logistic regression was used to identify variables that significantly predicted pap screening. Variables examined included demographic variables, insurance status, health status, and HPV knowledge. Results: In the full model, significant risk factors of having never had cervical pap screening were self-identification as Asian (Adjusted Odds Ratio (AOR) 4.48, 95% CI, 2.95-6.80); lack of knowledge of HPV (AOR 2.93, 95% CI, 1.72-4.97), belief that HPV causes AIDS (AOR, 1.88, 95% CI, 1.280-2.751) being unmarried (AOR 13.932, 95% CI, 7.275-26.690), and uninsured status (AOR 1.62, 95% CI, 1.178-2.219). Conclusions: In this CHIS sample, we found that Asian women report obtaining pap screening less frequently than other women in the sample. We identified important predictors of not obtaining pap screening in California women, including a lack of awareness about HPV risk.

Learning Areas:
Assessment of individual and community needs for health education
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related laws, regulations, standards, or guidelines
Social and behavioral sciences

Learning Objectives:
1. Identify how cervical pap screening has decreased mortality related to cervical cancer. 2. List risk factors associated with a decreased likelihood of obtaining cervical pap screening in California women. 3. Describe the types of knowledge regarding HPV that, if lacking, may predict a woman’s decreased likelihood of obtaining cervical pap screening.

Keywords: Adolescent Health, Women's Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Ms. Walhart is a second year doctoral student at UCSF. While earning her Master of Science Nursing degree she conducted primary community based research. Her responsibilities included tool development, consenting of participants, tool administration, data entry, and statistical analysis. Additionally, she has international research experience conducting focus groups and collected biomarker specimens. Ms. Walhart has completed her CITI training as well course work in qualitative and quantitative research design methods and advanced quantitative statistical analysis.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.