title: Clinic visits and cervical cancer screening in accra.
abstract: OBJECTIVE
  To determine the factors that increase the chances of a woman in Accra having a Pap smear and whether women who have recently visited clinics have higher chances of having had Pap smears.
  
  
  METHODS
  A cross-sectional study
  
  
  METHODS
  A representative sample of women in Accra, Ghana was interviewed and the clinical and demographic factors influencing cervical cancer screening was assessed.
  
  
  RESULTS
  Out of 1193 women with complete data, only 25 (2.1%) had ever had a Pap smear performed though 171 (14.3%) had their last outpatient clinic visit for either a gynaecological consultation or a regular check up. Simple logistic regression showed that a high educational level, high socioeconomic status and a history over the past month of postmenopausal or intermenstrual bleeding significantly increased the odds of ever having a pap smear. Neither monthly income nor last clinic visit for a gynaecological consultation or regular check up increased the odds of having a pap smear. Multiple logistic regression showed that a high educational level and experiencing postmenopausal or intermenstrual bleeding were the most important determinants of ever having a Pap smear.
  
  
  CONCLUSIONS
  While we wait for a national program for cervical cancer screening, there is a need for clinicians to put more individual effort into ensuring that asymptomatic women are screened for cervical cancer.
authors.affiliation: Department of Obstetrics and Gynaecology, University of Ghana Medical School, PO Box 4236, Accra, Ghana.
authors.forename: R M K
authors.initials: RM
authors.lastname: Adanu
authors.forename: J D
authors.initials: JD
authors.lastname: Seffah
authors.forename: R
authors.initials: R
authors.lastname: Duda
authors.forename: R
authors.initials: R
authors.lastname: Darko
authors.forename: A
authors.initials: A
authors.lastname: Hill
authors.forename: John
authors.initials: J
authors.lastname: Anarfi