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Cervical cancer screening in hospitals: the efficacy of legislation in Maryland
Journal article   Open access   Peer reviewed

Cervical cancer screening in hospitals: the efficacy of legislation in Maryland

A C Klassen, D D Celentano and C S Weisman
American journal of public health (1971), v 83(9), pp 1316-1320
Sep 1993
PMID: 8363009
url
https://doi.org/10.2105/AJPH.83.9.1316View
Published, Version of Record (VoR) Open

Abstract

OBJECTIVES. The purpose of the study was to examine the efficacy of a Maryland law requiring Pap testing to be offered during hospital admissions. "In-reach" strategies emphasize cancer screening within existing health care contacts (such as inpatient stays) rather than additional visits solely for screening. METHODS. Data from a 1986 telephone survey of Maryland women were used to examine the effect of hospitalization on self-reported Pap testing in a 3-year period. The effect of hospitalization on screening was examined by age and income to assess whether inpatient screening was more prevalent among certain subgroups of women. RESULTS. For the group as a whole, the odds of Pap screening did not vary with hospitalization. However, among women aged 45 to 54 years with annual household incomes over $20,000, hospitalized women were more likely than nonhospitalized women to report recent Pap tests. For low-income women aged 75 years and older, hospitalization actually decreased the likelihood of reporting Pap tests. CONCLUSIONS. Despite legislation, inpatient cervical cancer screening appears to mirror outpatient patterns, leaving elderly and low-income women unscreened. Methods for increasing inpatient Pap testing for underscreened women are discussed.

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#3 Good Health and Well-Being
#5 Gender Equality

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Public, Environmental & Occupational Health
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