title: [Determinant factors for the use of screening for cervical cancer in Friuli Venezia Giulia].
abstract: BACKGROUND
  To describe the determinants of missed or irregular Pap-test.
  
  
  METHODS
  
  
  
  METHODS
  cross-sectional descriptive study.
  
  
  METHODS
  Trieste province (urban) and San Daniele district (mostly rural).
  
  
  METHODS
  294 (89%) out of 332 (83%) women interviewed from a simple random sample of 400 women 25 to 64 years of age.
  
  
  METHODS
  none.
  
  
  METHODS
  planned telephone interview with a pre-tested questionnaire.
  
  
  RESULTS
  256 (87%) women had a Pap-test at least once in their life, 169 (57%) in the last two years. The 222 (76%) women with a Pap-test in the last five years know where and when, but not how often. The gynaecologist recommended the test in 63% of cases; only 23 women were informed by their general practitioner and only 8 decided the Pap-test based on this information. Fifty-three percent had the Pap-test always in the same health facility; the decision to change was related mainly with long waiting lists (18%) and distance (16%). In San Daniele district private health facilities were preferred to public ones more than in Trieste (48% vs 20%; p < 0.0005). Among women with regular Pap-test, 36% had higher education vs 23% among women with missed or irregular test (p = 0.05). The main reported reason for missed or irregular Pap test was inadequate information, followed by deficiencies in the quality of services.
  
  
  CONCLUSIONS
  The Pap-test rate was higher than expected. The small number of women with missed or irregular Pap-test (66/294; 22%) does not allow to draw firm conclusions about the reasons for non use, though these seem to be similar to those already reported in the literature, i.e. lack of adequate information. A regional programme, including standard methods of assessment of coverage, would lead to increased regular use of this screening.
authors.affiliation: Unità per la Ricerca sui Servizi Sanitari e la Cooperazione Internazionale, IRCCS Burlo Garofolo, Trieste. bih@burlo.trieste.it
authors.forename: R
authors.initials: R
authors.lastname: Abrami
authors.forename: A
authors.initials: A
authors.lastname: Cattaneo
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D007558:Italy / Q000453:epidemiology; D008403:Mass Screening; D008875:Middle Aged; D012494:Sampling Studies; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control; D014626:Vaginal Smears
vernacular_title: Fattori determinanti l'uso dello screening per il carcinoma della cervice uterina in Friuli Venezia Giulia.