Adolescent and young adult women's misunderstanding of the term Pap smear.
OBJECTIVE
To learn more about young women's understanding of the term Pap smear.


METHODS
Self-administered survey.


METHODS
UMass Memorial Adolescent Clinic.


METHODS
Female patients 14 years or older (and their mothers when available) who visited the clinic between June 10 and August 9, 2002.


METHODS
Accuracy of participants' written definition for the term Pap smear and knowledge that a "Pap smear" is a test for cervical cancer and not synonymous with a pelvic examination, sexually transmitted disease test, pregnancy test, or checkup.


RESULTS
Three (2.7%) of the 111 adolescent participants provided an accurate definition of the term Pap smear. Sixty-eight percent mistakenly believed that a Pap smear was the same as a pelvic examination. Age, history of sexual intercourse, and having had a Pap smear correlated with a better Pap smear definition rating.


CONCLUSIONS
Remarkably few patients who participated in this study understood the meaning of the term Pap smear. Confusion about gynecologic terms may hinder efforts to enhance compliance with sexually transmitted disease and cervical cancer screening. Educational initiatives are needed to improve young people's comprehension and to prevent misunderstandings about gynecologic care and miscommunication between patients and their health care providers.
Departments of Pediatrics, University of Massachusetts Medical School, Worcester 01655, USA. Diane.Blake@umassmed.edu
Diane R
DR
Blake
Brittany M
BM
Weber
Kenneth E
KE
Fletcher
D000293:Adolescent; D000294:Adolescent Behavior; D000328:Adult; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016014:Linear Models; D008403:Mass Screening; D015999:Multivariate Analysis; D065006:Papanicolaou Test; D010349:Patient Compliance; D011159:Population Surveillance; D012680:Sensitivity and Specificity; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D011795:Surveys and Questionnaires; D009626:Terminology as Topic; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D014626:Vaginal Smears / Q000379:methods / Q000706:statistics & numerical data*; D002578:Uterine Cervical Dysplasia / Q000517:prevention & control*