title: Addressing Taiwan's high incidence of cervical cancer: factors associated with the Nation's low compliance with Papanicolaou screening in Taiwan.
abstract: BACKGROUND
  Despite cervical cancer being the leading female cancer, women in Taiwan have received fewer screening examinations for this disease than populations in Western countries.
  
  
  METHODS
  Randomly selected telephone questionnaire interviews with women aged 20 years and over were conducted to investigate the factors associated with the subject's cancer screening practices.
  
  
  RESULTS
  Among 1021 respondents, 51.6% self-reported no Papanicolaou (Pap) examination received within their lifetime. The multivariate logistic regression analysis revealed that, in addition to marital status, cancer knowledge was the most significant factor associated with screening practice compliance. Compared with women with correct answers for 22-28 cancer knowledge questions, the odds ratios (OR) for non-compliance were 1.4 (95% confidence interval (CI)=1.0-2.0) for women with 17-21 correct answers and 2.3 (95% CI=1.6-3.4) for women with less than 17 correct answers. Women aged 40-49 years had the best cancer knowledge scores. Unmarried women were at an elevated risk for no Pap examination (OR=7.6, 95% CI=5.2-11.3).
  
  
  CONCLUSIONS
  Women in Taiwan should be targeted for intervention to promote cancer knowledge and screening compliance.
authors.affiliation: Institute of Environmental Health, China Medical University College of Public Health, 91 Hsueh-Shih Road, 15F, Taichung 404, Taiwan.
authors.forename: C-C
authors.initials: CC
authors.lastname: Liao
authors.forename: H Y
authors.initials: HY
authors.lastname: Wang
authors.forename: R S
authors.initials: RS
authors.lastname: Lin
authors.forename: C-Y
authors.initials: CY
authors.lastname: Hsieh
authors.forename: F-C
authors.initials: FC
authors.lastname: Sung
mesh_terms: D000328:Adult; D000368:Aged; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D015994:Incidence; D017533:Marital Status; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D016017:Odds Ratio; D065006:Papanicolaou Test; D010349:Patient Compliance / Q000208:ethnology / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D013624:Taiwan / Q000453:epidemiology; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000453:epidemiology* / Q000208:ethnology; D014626:Vaginal Smears / Q000706:statistics & numerical data*; D014932:Women's Health Services / Q000706:statistics & numerical data*