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Analysis of Patterns of Patient Compliance After an Abnormal Pap Smear Result: The Influence of Demographic Characteristics on Patient Compliance

Rojas, Christine MD; Zhou, Ming K. MD; Khamis, Harry J. PhD, PStat; Amesse, Lawrence MD

Journal of Lower Genital Tract Disease: July 2013 - Volume 17 - Issue 3 - p 298–302
doi: 10.1097/LGT.0b013e31826b683e
Original Articles

Objective This study aimed to determine population characteristics that correlate to suboptimal follow-up after an abnormal cervical cytology result.

Materials and Methods Nonpregnant women, ages 21 to 65 years, with newly diagnosed abnormal cervical cytology result between January 2009 and January 2012 at an urban clinic were eligible for inclusion in this retrospective chart review. Cervical cytology data and demographic characteristics such as age, ethnicity, employment, marital and smoking status, health insurance and number of pregnancies were abstracted from electronic medical record. A log-linear model was used to determine which factors influenced patient compliance.

Results Of the total of 206 women, 78 (37.9%) had optimal follow-up and 128 (62.1%) had suboptimal follow-up. The 3 variables that were statistically significant in influencing patient follow-up after adjusted analyses included severity of cytology result (p = .0013), ethnicity (p = .02), and employment status (p = .0159). The risk ratio for optimal follow-up for those with severe cytology result was 1.81; for the non-whites, 1.77; and for the employed, 1.53.

Conclusions Ethnicity, severity of cervical cytology result, and employment status play an important role in patient follow-up after an abnormal cervical cytology result. Detecting trends in our patient population that influence adherence to follow-up will help health care providers formulate strategies that target this problem.

Demographic characteristics may play a role in patient compliance after an abnormal cervical cytology result.

Department of Obstetrics/Gynecology, Wright State University, Dayton, OH

Correspondence to: Christine Rojas, MD, 128 Apple St, Suite 3800 Weber CHE, Dayton, OH 45409. E-mail:

The authors have declared that there are no conflicts of interest.

Copyright © 2013 by the American Society for Colposcopy and Cervical Pathology