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Advisor(s)
Abstract(s)
Understanding the overuse and underuse of
cervical cancer (CC) screening plays a role in preventing
such behaviours, allowing to maximize the CC screening uptake.
Aim: To assess the predictors of being over-screened
and never/under-screened in CC screening in Northeast
Portugal. Methods: This is a part of a larger cross-sectional
survey carried out in two public health centres in Northeast
Portugal (October 2017 to June 2018). Data collection was
based on a face-to-face interview. This analysis included 764
women (aged 25–60 years) classified according to the use
of CC screening into guideline-consistent screened, overscreened
and unscreened/under-screened. Multivariate logistic
regression models were conducted to assess predictors
of being over-screened and never/under-screened. Adjusted
odds ratio (OR) and respective 95% confidence
interval (95% CI) were obtained. Results: One-fourth (n =
197) of participants were unscreened/under-screened and
50.0% (n = 382) of them were classified as over-screened.
Regular visits with primary care physicians (OR = 0.44; 95%
CI: 0.26–0.76) and higher age (OR = 0.98; 95% CI: 0.96–1.00)
reduced the odds of being unscreened/under-screened.
Women who received prescription/recommendation for CC
screening from primary care physician (OR = 1.89; 95% CI:
1.09–3.29) or both primary care physician and nurse (OR =
2.62; 95% CI: 1.10–6.22) were more likely to be over-screened.
Higher level of CC health literacy decreases the odds of being
over-screened (OR = 0.95; 95% CI: 0.90–1.00) and unscreened/
under-screened (OR = 0.87; 95% CI: 0.82–0.92).
The majority of over-screened (52.2%) and of underscreened
(44.2%) women reported that their screening frequency
was based on healthcare provider prescription.
Among never-screened women, 60.2% reported that no
one prescribed screening. Conclusion: The increase in CC
health literacy can maximize CC screening uptake. Primary
healthcare providers could play a role in preventing the
overuse and underuse of CC screening.
Description
Keywords
Cervical cancer Mass screening Secondary prevention Early diagnosis of disease Women’s health Health literacy
Pedagogical Context
Citation
Teixeira, Cristina; Antão, Celeste; Anes, Eugénia; Gomes, Maria José; Versos, Ana; Tomé, Conceição (2022). Use of cervical cancer screening among patients of primary healthcare services: Northeast Portugal. Portuguese Journal of Public Health. ISSN 2504-3145. p. 1-8
Publisher
S. Karger AG