title: Predictors of Follow-Up in Women with Cervical Intraepithelial Neoplasia 2-3.
abstract: OBJECTIVE
  To describe a cohort of women receiving care after abnormal Pap smears and to assess predictors of follow-up in a cohort of women with cervical intraepithelial neoplasia (CIN) 2-3.
  
  
  METHODS
  This was a retrospective cohort study of women attending a colposcopy clinic in 2011. Data was collected by chart review and a bivariate analysis was performed to identify predictors of follow-up.
  
  
  RESULTS
  In 2011, 21% (156/745) of women attending a colposcopy clinic at a tertiary medical center were diagnosed with CIN 2-3. Of those women 79% returned to the clinic for their recommended follow-up procedures within 8 months. Of the following factors-severity of diagnosis, age, race/ethnicity, health insurance status, language, distance to clinic, and tobacco/contraception! condom use-only young age (< 29 years) was associated with late or lack of follow-up in bivariate analysis (odds ratio 2.67, 95% confidence interval 1.10-6.83). When women under age 21 were excluded, this association was no longer observed (OR 2.31, 95% CI 0.92-6.06).
  
  
  CONCLUSIONS
  In this cohort of mostly uninsured women, overall follow-up for a CIN 2-3 diagnosis was high. No single factor predictive for follow-up was identified in appropriately screened women.
authors.forename: Weiya Z
authors.initials: WZ
authors.lastname: Wysham
authors.forename: Sara
authors.initials: S
authors.lastname: Campbell
authors.forename: Katelyn
authors.initials: K
authors.lastname: Garcia
authors.forename: Jennifer
authors.initials: J
authors.lastname: Smith
authors.forename: Lisa
authors.initials: L
authors.lastname: Rahangdale
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D015331:Cohort Studies; D003127:Colposcopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009657:North Carolina; D010342:Patient Acceptance of Health Care; D012189:Retrospective Studies; D002583:Uterine Cervical Neoplasms / Q000473:pathology*; D055815:Young Adult; D002578:Uterine Cervical Dysplasia / Q000473:pathology*