Table 3.

Ranking of Enabling Factor Barriers to Cervical Cancer Screening (N = 345)

Overall Ranka	Barrier	% Agreeing
2	I cannot use public transport to get to my medical appointments	71
4	I would be more likely to screen if I could use a home kit	66
5	I would be more likely to have a Pap test if the procedure was completely paid for by my insurance company	65
6	I would be more likely to get tested if I could choose whether the doctor doing the test is a man or woman	62
10	The screening tests are too expensive for me	49
13	My financial situation makes it hard for me to get health care	41
14	Pap tests are too expensive for me	41
16	I would have to pay out of pocket for a Pap test	40
19	I don’t/can’t use the public health department	37
20	I would be more likely to have a Pap test if I could schedule one during the weekend	36
21	I don’t have health insurance	36
24	I would have to take time off work to have a cancer screening	32
25	I have had no medical visits in the past year	30
27	Pap tests are too time consuming	29
30	I have concerns about the privacy of my care at the local clinic	28
31	I am too busy to schedule an appointment for a screening	26
32	I don’t have a regular doctor	26
34	Making medical appointments is hard for me	24
35	My family situation makes it hard for me to get health care	23
40	The roads make traveling to my medical appointments hard at times	21
42	I do not believe health insurance would pay for the test	20
43	Not having a car makes it hard to get to medical appointments	20
44	It’s hard for me to get transportation to my medical appointments	18
49	I am afraid that if they find that I have cancer, it could cause problems with my job or insurance	16
59	I don’t have a telephone	6
60	I do not know where to get a Pap test	4

^aOverall ranking is within all 60 predisposing, enabling, and reinforcing factor barriers.