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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
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