title: Factors affecting compliance in the first year of postcolposcopy surveillance among women with a high incidence of cervical cancer.
abstract: OBJECTIVE
  To assess postcolposcopy compliance among women with abnormal cervical screening results and to identify factors associated with noncompliance for postcolposcopy follow-up.
  
  
  METHODS
  In a retrospective study, the records of women who underwent colposcopy at Srinagarind Hospital, Thailand, between January and December 2010 were reviewed. Women were considered to be noncompliant if their total follow-up time after colposcopy was less than 12months. Univariate and multivariate logistic regression methods were used to determine factors significantly predicting noncompliance.
  
  
  RESULTS
  Among 548 women who underwent colposcopy, the percentage of noncompliance was 49.5% (95% confidence interval [CI], 45.1%-53.7%). The risk for noncompliance rose significantly among those without intraepithelial lesions (OR, 2.19; 95% CI, 1.53-3.13), younger age (OR, 1.79; 95% CI, 1.19-2.67), and low education level (OR, 1.58; 95% CI, 1.11-2.24). Risk for noncompliance was significantly lower among those with a previous history of abnormal smear (OR, 0.39; 95% CI, 0.24-0.64).
  
  
  CONCLUSIONS
  The percentage of noncompliance with postcolposcopy follow-up was high among the study women. The significant independent factors predicting noncompliance were previous history of abnormal smear, severity of cervical histopathology, age, and education level.
authors.affiliation: Department of Obstetrics and Gynecology, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
authors.forename: Daungporn
authors.initials: D
authors.lastname: Rattanalappaiboon
authors.affiliation: Department of Obstetrics and Gynecology, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. Electronic address: kiet_ji@hotmail.com.
authors.forename: Chumnan
authors.initials: C
authors.lastname: Kietpeerakool
authors.affiliation: Department of Obstetrics and Gynecology, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
authors.forename: Pilaiwan
authors.initials: P
authors.lastname: Kleebkaow
authors.affiliation: Department of Obstetrics and Gynecology, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
authors.forename: Bandit
authors.initials: B
authors.lastname: Chumworathayi
authors.affiliation: Department of Obstetrics and Gynecology, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
authors.forename: Sanguanchoke
authors.initials: S
authors.lastname: Launratanakorn
authors.affiliation: Outpatient Department of Gynecology Service, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
authors.forename: Tassanee
authors.initials: T
authors.lastname: Santipongsupakorn
mesh_terms: D000328:Adult; D000367:Age Factors; D003127:Colposcopy; D055088:Early Detection of Cancer; D004522:Educational Status; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D010349:Patient Compliance; D012189:Retrospective Studies; D002583:Uterine Cervical Neoplasms / Q000473:pathology*; D014626:Vaginal Smears; D002578:Uterine Cervical Dysplasia / Q000473:pathology*
keywords: Cervical intraepithelial neoplasia; Colposcopy; Compliance; Pap smear; Predictor