Predictors of Pap Smear Screening in Socioeconomically Disadvantaged Elderly Women
OBJECTIVE: The objective for this study was to identify predictors for participation in Pap smear screening in a socioeconomically disadvantaged older population.
DESIGN AND SAMPLE: A cross-sectional survey design was used to examine data from 238 southern women 50 years of age and older who were recruited from 24 randomly selected congregate meal sites of the Council on Aging.
MEASUREMENTS: The 45-item questionnaire covered demographics, Pap smear screening history, and colorectal cancer screening history.
RESULTS: Among this older, very low income population, women who had never had Pap smears
(17.2%) were significantly more likely to have no phone or to be unable to use a phone (adjusted odds ratio (aOR) = 4.1; 95% confidence interval (CI) 1.6-10.6), to have annual incomes of less than $5,800
(aOR = 3.1; 95% CI 1.1-9.0), to be widowed (aOR = 2.8; 95% CI 1.1-7.3), to have no family history of cancer (aOR = 3.3, 95% CI 1.3-10.0), to report having never had a rectal examination (aOR = 5.4, 95% CI
1.8-16.0), and not to have participated in a free fecal occult blood testing program (aOR = 5.0, 95% CI 2.0-10.0).
CONCLUSIONS: These data, unique in including very low income (
Weinrich, Sally P.; Coker, Ann L.; Weinrich, Martin; Eleazer, G. Paul; and Greene, Frederick L., "Predictors of Pap Smear Screening in Socioeconomically Disadvantaged Elderly Women" (1995). CRVAW Faculty Journal Articles. 48.