caa a22 4500 469048867 CHVBK 20180323132824.0 cr unu---uuuuu 170328e19920401xx s 000 0 eng 10.1007/BF01321578 doi (NATIONALLICENCE)springer-10.1007/BF01321578 Age and Pap smear history as a basis for intervention strategy [Elektronische Daten] [Carl Spurlock, Marion Nadel, Edward McManmon] As a means of developing effective intervention strategies for promoting Pap smear screening, we analyzed data from a population-based women's health survey (N=603) in a 36-county area in southeastern Kentucky. The cervical cancer mortality rate for white women in this area is one of the highest in the United States. By using selected sociodemographic, health-care utilization, health knowledge, and health behavior variables in age-specific logistic regression models, we discriminated between women who had had a Pap smear within 3.5 years and those who had not. Several variables predicted Pap screening status regardless of the woman's age. Women of all age groups who had not been recently screened had encounters with the medical-care system. A key variable that affected use of screening services was ever use of birth control pills. The main differences between the three age groups were as follows: the 18-44 age group was less likely to see a private physician and less likely to seek medical care of any type, except for care related to pregnancy; only the 45-59 age group believed that cost of medical care was a problem; and only for the 60 or older age group were socioeconomic variables associated with not having recently had a Pap test. Human Sciences Press, Inc., 1992 Spurlock Carl Division of Epidemiology, Department for Health Services, 275 East Main Street, 40621, Frankfort, Kentucky aut Nadel Marion aut McManmon Edward aut Journal of Community Health Kluwer Academic Publishers-Human Sciences Press 17/2(1992-04-01), 97-107 0094-5145 17:2<97 1992 17 10900 https://doi.org/10.1007/BF01321578 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01321578 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Spurlock Carl Division of Epidemiology, Department for Health Services, 275 East Main Street, 40621, Frankfort, Kentucky aut NATIONALLICENCE 700 1- Nadel Marion aut NATIONALLICENCE 700 1- McManmon Edward aut NATIONALLICENCE 773 0- Journal of Community Health Kluwer Academic Publishers-Human Sciences Press 17/2(1992-04-01), 97-107 0094-5145 17:2<97 1992 17 10900 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer