title: Intimate Partner Violence and Barriers to Cervical Cancer Screening: A Gynecologic Oncology Fellow Research Network Study.
abstract: OBJECTIVE
  The aims of the study were to examine barriers to cervical cancer screening among women who have experienced intimate partner violence (IPV) and accessed domestic violence shelters, to compare barriers among those up-to-date (UTD) and not UTD on screening, and to evaluate acceptability of human papillomavirus self-sampling.
  
  
  METHODS
  This is a cross-sectional survey in which domestic violence shelters in Ohio were identified and women completed an anonymous survey assessing UTD screening status, barriers related to screening, history of IPV, intention to follow up on abnormal screening, and acceptability of self-sampling. Characteristics of UTD and not UTD women were compared using Mann-Whitney U tests.
  
  
  RESULTS
  A total of 142 women from 11 shelters completed the survey. Twenty-three percent of women were not UTD. Women who were not UTD reported more access-related barriers (mean = 2.2 vs 1.8; p = .006). There was no difference in reported IPV-related barriers between women who were not UTD and those who are UTD (mean = 2.51 in not UTD vs 2.24 in UTD; p = .13). Regarding future screening, of the women who expressed a preference, more women not UTD preferred self-sampling than UTD women (32% vs 14%; p = .05).
  
  
  CONCLUSIONS
  In this study, access-related barriers were more commonly reported among women not UTD with screening. Addressing these barriers at domestic violence shelters may improve screening among not UTD women. Self-sampling may also be one feasible approach to support screening in this population.
authors.affiliation: 1The Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins Hospital, Baltimore, MD; 2Divsion of Gynecologic Oncology, Women's Health Institute, The Cleveland Clinic, Cleveland, OH; 3Department of Family Medicine and Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH; 4Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Columbia University Medical Center, New York, NY; 5Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Oklahoma, Oklahoma City, OK; 6Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Alabama at Birmingham, Birmingham, AL; 7Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Washington University, St. Louis, MO; and 8Preventive Oncology International, Cleveland, OH.
authors.forename: Kimberly L
authors.initials: KL
authors.lastname: Levinson
authors.forename: Amelia M
authors.initials: AM
authors.lastname: Jernigan
authors.forename: Susan A
authors.initials: SA
authors.lastname: Flocke
authors.forename: Ana I
authors.initials: AI
authors.lastname: Tergas
authors.forename: Camille C
authors.initials: CC
authors.lastname: Gunderson
authors.forename: Warner K
authors.initials: WK
authors.lastname: Huh
authors.forename: Ivy
authors.initials: I
authors.lastname: Wilkinson-Ryan
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Lawson
authors.forename: Amanda N
authors.initials: AN
authors.lastname: Fader
authors.forename: Jerome L
authors.initials: JL
authors.lastname: Belinson
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D000066511:Intimate Partner Violence; D008875:Middle Aged; D009820:Ohio; D010342:Patient Acceptance of Health Care; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*