caa a22 4500 397577036 CHVBK 20180308164858.0 cr unu---uuuuu 161202e199603 xx s 000 0 eng 10.1093/oxfordjournals.pubmed.a024468 doi (NATIONALLICENCE)oxford-10.1093/oxfordjournals.pubmed.a024468 Promotion of cervical screening uptake by health visitor follow-up of women who repeatedly failed to attend [Elektronische Daten] [Harry Campbell, Sheena MacDonald, Morna McKiernan] Background It is important that if cervical screening programmes are to be successful coverage rates of the target population of women are high. In the context of a well-organized programme in Fife a project was carried out to assess the impact of health visitors following up women who had repeatedly failed to attend for screening. Methods Ten health visitors in Fife were randomly selected and were each asked to approach 20 women registered with the general practice to which they were attached who met the study criteria. Women were asked for their reasons for non-attendance. Subsequent attendance for cervical screening was identified through the on-line cervical cytology database. Results Two health visitors declined to participate in the project. One hundred and sixty-two women were offered a visit by a health visitor to discuss their reasons for nonattendance. Forty-two (28 per cent) of the women approached attended for a smear in the following three months. Of those visited by a health visitor 37 per cent attended for a smear. Conclusions In Fife, local beliefs and attitudes about cervical screening together with lack of knowledge of existing clinics with female staff operating outside working hours constitute the major reasons for non-attendance. In this situation, a personal approach based on providing information and individual counselling appears to be successful in encouraging non-attenders to reconsider their decision and participate in the cervical screening programme. © Oxford University Press Articles nationallicence health visiting nationallicence cervical cancer nationallicence cervical screening nationallicence disease prevention nationallicence Campbell Harry Department of Public Health Medicine, University of Edinburgh Teviot Place, Edinburgh EH8 9AG aut MacDonald Sheena Fife Health Research Glenrothes House, North Street, Glenrothes KY7 5PB aut McKiernan Morna Fife Healthcare NHS Trust Glenrothes House, North Street, Glenrothes KY7 5PB aut Journal of Public Health Oxford University Press 18/1(1996-03), 94-97 1741-3842 18:1<94 1996 18 pubmed https://doi.org/10.1093/oxfordjournals.pubmed.a024468 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/oxfordjournals.pubmed.a024468 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Campbell Harry Department of Public Health Medicine, University of Edinburgh Teviot Place, Edinburgh EH8 9AG aut NATIONALLICENCE 700 1- MacDonald Sheena Fife Health Research Glenrothes House, North Street, Glenrothes KY7 5PB aut NATIONALLICENCE 700 1- McKiernan Morna Fife Healthcare NHS Trust Glenrothes House, North Street, Glenrothes KY7 5PB aut NATIONALLICENCE 773 0- Journal of Public Health Oxford University Press 18/1(1996-03), 94-97 1741-3842 18:1<94 1996 18 pubmed Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford