title: [Factors affecting compliance with pap smear screening].
abstract: BACKGROUND
  Pap smear coverage in Chile has gradually decreased in the last years, from 67% to 59%, making it necessary to determine the causes of this decline.
  
  
  OBJECTIVE
  To analyze the relationship between the characteristics of the cervical cancer screening target population in the public health care system and the percentage of PAP coverage.
  
  
  METHODS
  This study was carried out in women aged between 25 and 64 years, belonging to a public health care system and registered in any of the eight primary healthcare centers of a Metropolitan Santiago low income community. The analysis considered information from the recruitment database (n = 6,058) and interviewed women database (n = 1,042).
  
  
  RESULTS
  In 52% of cases there were difficulties in recruiting women, mainly due to wrong addresses. Among contacted women, 4.1% had a hysterectomy or had cervical cancer and 1.4% were dead. When analyzing the variable "adherence to cervical cancer screening" in the interviewed women, 76.8% reported to comply with the ministerial guidelines. From that group, 20.5% reported to attend screening at the private health care system. Seventy seven percent of women who had timely screening visits, reported attending screening periodically every 3 years or less.
  
  
  CONCLUSIONS
  Pap smear coverage must be analyzed considering the different factors that affect it. Among the latter, the exclusion of some women from the target population and performing the screening in private clinics stand out.
authors.affiliation: Facultad de Enfermería, Universidad Andrés Bello, Santiago, Chile, maria.urrutia@unab.cl.
authors.forename: María Teresa
authors.initials: MT
authors.lastname: Urrutia
authors.affiliation: Facultad de Medicina, Universidad de Chile, Santiago, Chile.
authors.forename: Macarena
authors.initials: M
authors.lastname: Gajardo
mesh_terms: D000328:Adult; D002677:Chile; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D065006:Papanicolaou Test / Q000706:statistics & numerical data*; D010349:Patient Compliance / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014505:Urban Population