Table 2.

Barriers and Enablers to Pap Test Screening Identified by Focus Group Participants

Barriers	Enablers
Economic, insurance	Physician-based
Patient factors	Female
Low personal priority	Generalist
Fear	Specialist
Embarrassment and discomfort (the “yucky” factor)	Good skill in communication and listening
Fatalism	Reminder systems
Time/scheduling	Insurance
Confidentiality	Office-based
Prior sexual abuse	Patient
Physician and staff factors	Free clinics, health department
Reluctance/not approachable	Contraception prescribing
Scheduling	Parent encouragement
Time constraints	Public education
Lack of continuity	Books
	Media

Note: the items in this table are presented in no particular order.