title: Proximity of health care center and cervical cancer screening uptake in Thailand.
abstract: BACKGROUND
  Cervical cancer is one of the most common cancers among women worldwide, and in Thailand is the second most common cancer among women. In 2008, a national cervical cancer screening programme was implemented in Thailand, but coverage remains relatively low.
  
  
  OBJECTIVE
  The purpose of the study was to investigate whether cervical cancer screening uptake is associated with the area of residency in Thailand.
  
  
  METHODS
  A case-control study was carried out in women aged 30 to 60 year-old, who live in Sikhiu district, Nakhon Ratchasima province, Thailand. Structured-questionnaires were used to interview 226 women (cases) who had attended cervical cancer screening in the last five years and 226 women (controls) who had not. Multiple logistic regression was used to investigate the association between the area of residency and cervical cancer screening uptake.
  
  
  RESULTS
  After controlling for parity, marital status and duration of hormonal contraceptive use, an association between the area of residence and cervical cancer screening uptake could not demonstrated (ORadj 1.27, 95%CI: 0.79, 2.04).
  
  
  CONCLUSIONS
  We found no evidence to suggest remoteness to health care center led to lower cervical cancer screening uptake.
authors: Department of Epidemiology, Faculty of Public Health, Khon Kaen University, Khon Kaen, Thailand E-mail : supannee@kku.ac.th.
authors: Kornnika
authors: K
authors: Polrit
authors: Siriporn
authors: S
authors: Kamsa-ard
authors: Chananya
authors: C
authors: Jirapornkul
authors: Supannee
authors: S
authors: Promthet
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D055088:Early Detection of Cancer / Q000379:methods; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D065006:Papanicolaou Test / Q000379:methods; D011795:Surveys and Questionnaires; D013785:Thailand; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*; D014626:Vaginal Smears / Q000379:methods