title: Predictors of cervical cancer screening for rarely or never screened rural Appalachian women.
abstract: OBJECTIVE
  Women who have not had a Papanicolaou test in five years or more have increased risk of developing invasive cervical cancer. This study compares Appalachian women whose last screening was more than one year ago but less than five years ago with those not screened for the previous five years or more.
  
  
  METHODS
  Using PRECEDE/PROCEED as a guide, factors related to obtaining Pap tests were examined using cross-sectional data from 345 Appalachian Kentucky women. Bivariate and multivariate analyses were conducted to identify predictors of screening.
  
  
  RESULTS
  Thirty-four percent of participants were rarely- or never-screened. In multiple logistic regression analyses, several factors increased those odds, including belief that cervical cancer has symptoms, and not having a regular source of medical care.
  
  
  CONCLUSIONS
  The findings from this study may lead to the development of effective intervention and policies that increase cervical cancer screening in this population.
authors.affiliation: College of Nursing, University of Kentucky, Lexington, KY 40536, USA. jhscot2@uky.edu
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hatcher
authors.forename: Christina R
authors.initials: CR
authors.lastname: Studts
authors.forename: Mark B
authors.initials: MB
authors.lastname: Dignan
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Turner
authors.forename: Nancy E
authors.initials: NE
authors.lastname: Schoenberg
mesh_terms: D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007629:Kentucky; D008875:Middle Aged; D065006:Papanicolaou Test; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data*; D013997:Time Factors; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*; D014626:Vaginal Smears / Q000706:statistics & numerical data*