title: Opting off the New South Wales Pap Test Register in a sexual health setting.
abstract: OBJECTIVE
  To determine the proportion of women having a Pap smear at Sydney Sexual Health Centre (SSHC) who opted off the NSW Pap Test Register (PTR) and to establish the characteristics of these women.
  
  
  METHODS
  Retrospective cross sectional study involving three time periods during 1996 and 1997.
  
  
  METHODS
  A public sexual health centre in Sydney.
  
  
  METHODS
  985 women who had a Pap smear at SSHC.
  
  
  METHODS
  The participant's decision to opt on or off, and the demographic and behavioural characteristics associated with opting off the PTR.
  
  
  RESULTS
  590 (59.9%) women opted off the PTR. Using logistic regression, young age (p=0.005), birth outside Australia and New Zealand (p=0.0001), not speaking English at home (p=0.005) and being a commercial sex worker (CSW) (p=0.0001) were variables associated with opting off the PTR. Women from countries outside of Australia and New Zealand were more likely to opt off, whether or not they were a CSW and CSWs were more likely to opt off the PTR irrespective of their country of birth (p=0.013).
  
  
  CONCLUSIONS
  The majority of women (60%) attending the SSHC opted off the PTR. Studies to evaluate culturally appropriate health promotion material particularly for CSWs and women with poor English skills living in Australia are needed and if successful may improve uptake on the PTR.
authors.affiliation: Sexually Transmitted Infections Research Centre, Marion Villa, Westmead Hospital, Sydney, New South Wales.
authors.forename: R L
authors.initials: RL
authors.lastname: Tideman
authors.forename: C
authors.initials: C
authors.lastname: Marks
authors.forename: V M
authors.initials: VM
authors.lastname: Knight
authors.forename: G
authors.initials: G
authors.lastname: Berry
authors.forename: K
authors.initials: K
authors.lastname: Fethers
authors.forename: A
authors.initials: A
authors.lastname: Mindel
mesh_terms: D000293:Adolescent; D000328:Adult; D003151:Community Health Centers / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D003627:Data Interpretation, Statistical; D005260:Female; D006801:Humans; D016015:Logistic Models; D009517:New South Wales / Q000453:epidemiology; D065006:Papanicolaou Test; D010358:Patient Participation / Q000706:statistics & numerical data*; D012042:Registries; D012189:Retrospective Studies; D019529:Sexuality; D014505:Urban Population; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology / Q000517:prevention & control; D014626:Vaginal Smears / Q000706:statistics & numerical data*; D014930:Women / Q000523:psychology*