Sarah C Olesen|Peter Butterworth|P. A. Jacomb|Robert J. Tait
Personal factors influence use of cervical cancer screening services: epidemiological survey and linked administrative data address the limitations of previous research
Australian National University|Australian National University|Australian National University|Australian National University
national screening programs reduced cervical cancer mortality however participation programs varies according womens personal social characteristics research inequalities limited reliance selfreported service use data potentially biased administrative data lacks personal detail address limitations extend existing research examining rates correlates cervical screening large epidemiological survey linked administrative datathe crosssectional sample included 1685 women aged 4448 6468 years australian capital territory queanbeyan australia relative risk assessed logistic regression models summary population attributable risk par used quantify effect inequalities rates cervical cancer screeningoverall 605 women participated screening twoyear period recommended australian guidelines screening participation associated children moderate high use health services employment reported lifetime history drug use better physical functioning conversely rates cervical screening lower amongst women older reliant welfare obese current smokers reported childhood sexual abuse anxiety symptoms summary par showed effective targeting women readily observable riskfactors children partner receiving income support payments working obese current smoker anxiety poor physical health low overall health service use could potentially reduce overall nonparticipation screening 74this study illustrates valuable method investigating personal determinants health service use combining representative survey data linked administrative records reliable knowledge characteristics predict uptake cervical cancer screening services inform targeted health promotion efforts