{"title":"Conventional cytology scheme: adherence and associated factors","authors":"","doi":"10.1016/j.puhe.2024.08.025","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>This study analyzed adherence rates to conventional cytology and associated factors in a cohort of women at a health service provider institution in Medellin, Colombia.</div></div><div><h3>Study design</h3><div>Observational cohort study with repeated measures.</div></div><div><h3>Methods</h3><div>Clinical and sociodemographic data were obtained from databases for screenings between January 2018 and December 2022. Adherence, defined as undergoing 1, 2, or 3 cytology tests according to national guidelines, was the outcome. Statistical analysis involved a Poisson model with robust errors to identify factors associated with adherence.</div></div><div><h3>Results</h3><div>In total, 26,445 women were included, with a median age of 25 years (IQR: 22–27). Adherence rate was 20.4%. Having just high school education (RR = 0.51; 95% CI: 0.49–0.55), a history of pregnancy (RR = 0.63; 95% CI: 0.54–0.75), and a history of sexually transmitted infections (RR = 0.88; 95% CI: 0.78–0.99) decreased adherence. Conversely, the human papillomavirus (HPV) vaccination history increased adherence (RR = 2.11; 95% CI: 1.60–2.80).</div></div><div><h3>Conclusion</h3><div>It is vital to monitor cytology programs to improve demand-induced and spontaneous consultations. Diligent follow-up, focusing on patients with factors linked to low adherence, along with appointment reminders, can enhance adherence to the screening protocol.</div></div>","PeriodicalId":49651,"journal":{"name":"Public Health","volume":null,"pages":null},"PeriodicalIF":3.9000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0033350624003718","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives
This study analyzed adherence rates to conventional cytology and associated factors in a cohort of women at a health service provider institution in Medellin, Colombia.
Study design
Observational cohort study with repeated measures.
Methods
Clinical and sociodemographic data were obtained from databases for screenings between January 2018 and December 2022. Adherence, defined as undergoing 1, 2, or 3 cytology tests according to national guidelines, was the outcome. Statistical analysis involved a Poisson model with robust errors to identify factors associated with adherence.
Results
In total, 26,445 women were included, with a median age of 25 years (IQR: 22–27). Adherence rate was 20.4%. Having just high school education (RR = 0.51; 95% CI: 0.49–0.55), a history of pregnancy (RR = 0.63; 95% CI: 0.54–0.75), and a history of sexually transmitted infections (RR = 0.88; 95% CI: 0.78–0.99) decreased adherence. Conversely, the human papillomavirus (HPV) vaccination history increased adherence (RR = 2.11; 95% CI: 1.60–2.80).
Conclusion
It is vital to monitor cytology programs to improve demand-induced and spontaneous consultations. Diligent follow-up, focusing on patients with factors linked to low adherence, along with appointment reminders, can enhance adherence to the screening protocol.
期刊介绍:
Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.