“I Feel Like It’s One of Those Things that Everyone Feels the Same Way About, No One Wants to Discuss It”: A Qualitative Examination of Female College Students’ Pap Smear Experience

The purpose of this study was to examine female college students’ Pap smear experience and communication with their provider before, during, and after the exam. In fall 2019, 158 female college students completed an online survey with closed and open-ended questions. Open-ended responses from participants reporting a previous Pap smear (n=36) were qualitatively analyzed to generate themes to explain female college students’ Pap smear experience and communication behavior with their provider before, during, and after the exam. The main themes identified included: Uncomfortable, Low Patient Engagement, Provider Support, and Provider Trust. Female college students overwhelmingly reported discomfort around the exam and were unaware of how to communicate with their provider; however, participants reported satisfaction with their care when the provider offered support and guidance. Findings suggest a need to develop strategies to address discomfort and enhance female college students’ communication skills with providers concerning the Pap smear exam.