Table 2.
Multivariable Logistic Regression on the Association of Receiving a Repeat Pap Test Compared With Colposcopy Among Women Ages 18–20 With Minimally Abnormal Pap Tests (Low-Grade Squamous Intraepithelial Lesion and Atypical Squamous Cells of Undetermined Significance Human Papillomavirus +) (n=206*
| Characteristic | Preguideline | Postguideline |
Univariable, Unadjusted |
Multivariable, Adjusted† |
Multivariable, Adjusted |
||
|---|---|---|---|---|---|---|---|
| n=131 | n=75 | OR (95% CI) |
OR (95% CI) |
Wald Χ2P- value |
|||
|
Total n |
Percent Receiving Repeat Pap |
Total n |
Percent Receiving Repeat Pap |
||||
|
Date of Abnormal Pap Finding (LSIL/ ASC- US HPV+) |
|||||||
| Preguideline Date (ref) |
131 | 22% | 0 | 0% | - | - | - |
| Postguideline Date |
0 | 0% | 75 | 55% |
4.24 (2.30 -- 7.84) |
10.22 (4.37 -- 23.88) |
[lt].0001 |
| Site of care | |||||||
| A | 26 | 0% | 18 | 17% |
0.08 (0.02 -- 0.27) |
0.07 (0.01 -- 0.37) |
0.002 |
| B (ref) | 44 | 30% | 21 | 90% | - | - | - |
| C | 12 | 33% | 6 | 100% |
1.29 (0.45 -- 3.68) |
1.77 (0.48-- 6.50) |
0.39 |
| D | 13 | 8% | 10 | 20% |
0.16 (0.04 -- 0.57) |
0.07 (0.01 -- 0.33) |
[lt]0.01 |
| E | 13 | 23% | 10 | 60% |
0.66 (0.25 -- 1.75) |
0.77 (0.17 -- 3.56) |
0.74 |
| F | 23 | 35% | 10 | 50% |
0.67 (0.29 -- 1.57) |
1.02 (0.34 -- 3.11) |
0.97 |
|
Insurance status |
|||||||
| Uninsured | 40 | 23% | 19 | 53% |
0.80 (0.41 -- 1.58) |
1.54 (0.66 -- 3.60) |
0.32 |
| Public (ref) | 62 | 23% | 40 | 60% | - | - | - |
| Private | 29 | 21% | 16 | 44% |
0.68 (0.32 -- 1.46) |
0.57 (0.21 -- 1.56) |
0.28 |
| Language | |||||||
| English (ref) | 110 | 26% | 62 | 55% | - | - | - |
| Spanish Other | 14 | 7% | 7 | 14% |
0.18 (0.04 -- 0.80) |
0.60 (0.08 -- 4.58) |
0.63 |
| 7 | 0% | 6 | 100% |
0.98 (0.28 -- 3.49) |
0.97 (0.24 -- 4.01) |
0.97 | |
| Race or ethnicity | |||||||
| Hispanic | 32 | 13% | 18 | 28% |
0.28 (0.12 -- 0.63) |
0.34 (0.09 -- 1.25) |
0.10 |
| Black (ref) | 66 | 30% | 29 | 76% | - | - | - |
| White | 26 | 19% | 24 | 42% |
0.54 (0.26 -- 1.12) |
0.64 (0.18 -- 2.27) |
0.49 |
| Other | 7 | 0% | 4 | 100% |
0.72 (0.20 -- 2.63) |
1.36 (0.23 -- 7.93) |
0.73 |
LSIL, low-grade squamous intraepithelial lesions; ASC-US, atypical squamous cells of undetermined significance; HPV, human papillomavirus.
*
44 patients were excluded from analysis due to missing diagnostic data (eg, lost to follow-up), and 14 were excluded because their index Pap test was HSIL.
†
All variables are included in multivariable analysis: date of abnormal finding, site of care, insurance status, language and race or ethnicity.