PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of hsresearchLink to Publisher's site
 
Health Serv Res. 1991 April; 26(1): 97–107.
PMCID: PMC1069812

The accuracy of Pap smear utilization self-report: a methodological consideration in cervical screening research.

Abstract

One method used to determine utilization rates of cervical screening is women's self-report. Few studies have assessed the accuracy of this measure--none has been conducted in Australia--although there are a number of reasons for suspecting its validity. This study examined and quantified the accuracy of self-report of Pap smear use among a randomly selected sample of women from an Australian community. Accuracy of Pap smear utilization self-report within a three-year period was assessed by comparison with pathology records. Results indicated that almost half of the women who have not had Pap smears within three years will be missed by a self-report measure of utilization. Some implications for the measurement and use of self-report data are discussed.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (969K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Armstrong BK, Rouse IL, Butler TL. Cervical cytology in Western Australia. Frequency, geographical and socioeconomic distributions and providers of the service. Med J Aust. 1986 Mar 3;144(5):239–247. [PubMed]
  • Dickinson JA, Leeder SR, Sanson-Fisher RW. Frequency of cervical smear-tests among patients of general practitioners. Med J Aust. 1988 Feb 1;148(3):128–131. [PubMed]
  • Hendershot GE. Screening for cervical cancer, 1973-1976. Am J Public Health. 1981 Aug;71(8):851–852. [PubMed]
  • Howe HL, Bzduch H. Recency of Pap smear screening: a multivariate model. Public Health Rep. 1987 May-Jun;102(3):295–301. [PMC free article] [PubMed]
  • Kegeles SS. Attitudes and behavior of the public regarding cervical cytology: current findings and new directions for research. J Chronic Dis. 1967 Nov-Dec;20(11):911–922. [PubMed]
  • Kegeles SS, Kirscht JP, Haefner DP, Rosenstock IM. Survey of beliefs about cancer detection and taking Papanicolaou tests. Public Health Rep. 1965 Sep;80(9):815–823. [PMC free article] [PubMed]
  • Kleinman JC, Kopstein A. Who is being screened for cervical cancer? Am J Public Health. 1981 Jan;71(1):73–76. [PubMed]
  • Misczynski M, Stern E. Detection of cervical and breast cancer: a community-based pilot study. Med Care. 1979 Mar;17(3):304–313. [PubMed]
  • Mitchell H, Medley G. Age trends in Pap smear usage, 1971-1986. Community Health Stud. 1987;11(3):183–185. [PubMed]
  • Parkin DM, Collins W, Clayden AD. Cervical cytology screening in two Yorkshire areas: pattern of service. Public Health. 1981 Nov;95(6):311–321. [PubMed]
  • Teitelbaum MA, Weisman CS, Klassen AC, Celentano D. Pap testing intervals. Specialty differences in physicians' recommendations in relation to women's pap testing behavior. Med Care. 1988 Jun;26(6):607–618. [PubMed]
  • Walter SD, Clarke EA, Hatcher J, Stitt LW. A comparison of physician and patient reports of Pap smear histories. J Clin Epidemiol. 1988;41(4):401–410. [PubMed]
  • Warnecke RB, Graham S. Characteristics of blacks obtaining Papanicolaou smears. Cancer. 1976 Apr;37(4):2015–2025. [PubMed]
  • Webb GR, Bowman JA, Sanson-Fisher RW. Studies of child safety restraint use in motor vehicles--some methodological considerations. Accid Anal Prev. 1988 Apr;20(2):109–115. [PubMed]

Articles from Health Services Research are provided here courtesy of Health Research & Educational Trust