Predictors of cervical cancer screening for rarely or never screened rural appalachian women

Jennifer Hatcher, Christina R. Studts, Mark B. Dignan, Lisa M. Turner, Nancy E. Schoenberg

Research output: Contribution to journalArticlepeer-review

30 Scopus citations


Background and Purpose. Women who have not had a Papanicolaou test in five years or more have increased risk of developing invasive cervical cancer. This study compares Appalachian women whose last screening was more than one year ago but less than five years ago with those not screened for the previous five years or more. Methods. Using PRECEDE/PROCEED as a guide, factors related to obtaining Pap tests were examined using cross-sectional data from 345 Appalachian Kentucky women. Bivariate and multivariate analyses were conducted to identify predictors of screening. Results. Thirty-four percent of participants were rarely- or never-screened. In multiple logistic regression analyses, several factors increased those odds, including belief that cervical cancer has symptoms, and not having a regular source of medical care. Conclusion. The findings from this study may lead to the development of effective intervention and policies that increase cervical cancer screening in this population.

Original languageEnglish (US)
Pages (from-to)176-193
Number of pages18
JournalJournal of health care for the poor and underserved
Issue number1
StatePublished - Feb 2011


  • Access
  • Appalachian women
  • Cervical cancer screening
  • Predictors

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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