title: Using genital self-image, body image, and sexual behaviors to predict gynecological exam behaviors of college women.
abstract: BACKGROUND
  Despite the benefits of gynecological exams, they continue to be underused. A woman's decision to seek gynecological care may be influenced by a number of factors including genital image, body image, and sexual behaviors.
  
  
  OBJECTIVE
  The purpose of this study was to assess if genital self-image, body image, and sexual behaviors predict gynecological exam behaviors among a convenience sample of college women.
  
  
  METHODS
  Data were collected from female students enrolled in health-related courses at a large southern university. A total of 450 completed surveys were collected.
  
  
  METHODS
  Descriptive statistics were utilized to analyze participant characteristics. Reliability analyses were conducted to assess internal consistency of scales used within the study, using Cronbach's alpha coefficient as an indicator of this reliability. Predictive discriminant analysis (PDA) was used to indicate the predictor, or group of predictors, best suited to predict gynecological exam behaviors of college women.
  
  
  RESULTS
  Hit rates yielded from the PDA indicate the number of cases correctly predicted by the classification functions, with higher hit rates being indicative of better predictive capabilities. The following variables were found to be most predictive of gynecological exam behaviors: (i) having had a vaginal intercourse (VI) partner during the past 3 months (68.2%); (ii) genital self-image paired with having had a VI partner (68.2%); (iii) having had a VI partner paired with having had an anal intercourse (AI) partner during the past 3 months (68.2%); and (iv) genital self-image, VI, and AI combined (68.2%).
  
  
  CONCLUSIONS
  VI behavior was found to be the primary predictor of gynecological exam behavior in the current study. Understanding the factors influencing a woman's decision to engage in regular gynecological exams is important in order for health and medical professionals to address the limiting factors in this preventive health measure.
authors: Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, Galveston, TX 77555, USA. andemari@utmb.edu
authors: Andrea L
authors: AL
authors: DeMaria
authors: Ariane V
authors: AV
authors: Hollub
authors: Debby
authors: D
authors: Herbenick
mesh_terms: D000293:Adolescent; D001828:Body Image; D005260:Female; D005836:Genitalia, Female; D058869:Gynecological Examination / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D011581:Psychological Tests; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D055815:Young Adult