Queensland health and wellness Promotion Council, GPO crate 48, Brisbane, Qld 4001. Fax (07) 3234 0008.Search for an ext papers by this author


You are watching: Can i refuse a pap smear

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Epidemiology and also Health details Branch, Queensland Health

Queensland health and wellness Promotion Council, GPO box 48, Brisbane, Qld 4001. Fax (07) 3234 0008.Search for an ext papers by this author
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Abstract: This research ascertained the relationship of patient, practitioner and consultation determinants with: 1. Taking a Pap smear or referral come a specialist in the consultation; and 2. One unsuccessful market to take a Pap smear or make an appointment for a smear. In a cross-sectional research of 3478 females presenting to 230 randomly selected general practitioners in Brisbane and Toowoomba, information around most recent Pap smear, screening in the consultation, and independent variables were accumulated from patients and also doctors. Relationships between three levels of outcome variable (no action, Pap smear bring away or referral, appointment or refusal), and independent variables (practitioner variables, consultation variables, patient variables) to be modelled making use of polytomous logistic regression. Presenting for a regimen checkup and also breast cancer screening were linked with all types of action. Younger age, much longer consultations and consultations through a woman practitioner were associated with Pap smear taking and referrals, and not appointments or refusals. Being due because that a Pap smear, having actually blood push measured, consulting a younger general practitioner and also one who ascribed to present guidelines ~ above screening were connected with an meeting or a refusal, when contrasted with no action. Results identify different profiles that those who get a Pap smear and also those who execute not, the former indicating a more proactive patience group, while the last suggest much more active general practitioners who attempted opportunistic screening the passive patients, or ladies who do not specifically look for Pap smears. We have actually identified components that have actually significance for arising public wellness programs concentrated on consumers and providers.