Table 4.
Cervical cancer screening initiation and frequency by demographic and practice characteristics
| Total | Main parameter for initiating cervical cancer screening | If responded time since first sexual activity. How long after first sexual activity do you start screening? | How often do you recommend routine cervical cancer screening? | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
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| N (%) | Age n (%) | Time since first sexual activity n (%) | Patient request n (%) | p value3 | N (%) | < 1 year n (%) | 1 year n (%) | > 1 year n (%) | p value | Every 6 months | Annually | 1 year | p value | |
| Age | 0.17 | 0.75 | 0.26 | |||||||||||
| <40 | 96 (47.5) | 11 (11.5) | 81 (84.4) | 4 (4.2) | 81 (46.3) | 41 (50.6) | 35 (43.2) | 5 (6.2) | 31 (32.3) | 59 (61.5) | 6 (6.3) | |||
| >40 | 106 (52.5) | 5 (4.7) | 7 (6.6) | 94 (88.7) | 94 (53.7) | 52 (55.3) | 38 (40.4) | 4 (4.3) | 39 (36.8) | 65 (61.3) | 2 (1.9) | |||
| Sex | p = 0.20 | 0.09 | 0.24 | |||||||||||
| Male | 66 (32.7) | 8 (12.1) | 56 (84.8) | 2 (3.0) | 56 (32.0) | 23 (41.1) | 29 (51.8) | 4 (7.1) | 18 (27.3) | 46 (69.7) | 2(3) | |||
| Female | 136 (67.3) | 8 (5.9) | 119 (87.5) | 9 (6.6) | 119 (68.0) | 70 (58.8) | 44 (37.0) | 5 (4.2) | 52 (38.2) | 78 (57.4) | 6 (4.4) | |||
| Years in practice | 0.04 | 0.86 | 0.06 | |||||||||||
| <10 years | 78 (38.6) | 11 (14.1) | 63 (80.8) | 4 (5.1) | 63 (36.0) | 32 (50.8) | 28 (44.4) | 3 (4.8) | 23 (29.5) | 49 (62.8) | 6 (7.7) | |||
| >10 years | 124 (61.4) | 5 (4.0) | 112 (90.3) | 7 (5.6) | 112 (64.0) | 61 (54.5) | 45 (40.2) | 6 (5.4) | 47 (37.9) | 75 (60.5) | 2 (1.6%) | |||
| Practice setting | 0.35 | 0.46 | 0.75 | |||||||||||
| Public | 154 (76.2) | 14 (9.1) | 133 (86.4) | 7 (4.5) | 133 (76.0) | 74 (55.6) | 52 (39.1) | 7 (5.3) | 53 (34.4) | 94 (61.0) | 7 (4.5) | |||
| Private | 48 (23.8) | 2 (4.2) | 42 (87.5) | 4 (8.3) | 42 (24.0) | 19 (45.2) | 21 (50.0) | 2 (4.8) | 17 (35.4) | 30 (62.5) | 1 (2.1) | |||
| Medical specialty | 0.01 | 0.03 | 0.48 | |||||||||||
| GYN specialist | 101 (50.0) | 5 (5.0) | 90 (89.1) | 6 (5.9) | 90 (51.4) | 44 (48.9) | 41 (45.6) | 5 (5.6) | 36 (35.6) | 60 (59.4) | 5 (5.0) | |||
| Non-specialist | 50 (24.8) | 1 (2.0) | 47 (94.0) | 2 (4.0) | 47 (26.9) | 34 (72.3) | 12 (25.5) | 1 (2.1) | 19 (38.0) | 31 (62.0) | 0 (0.0) | |||
| Ob/gyn resident | 51 (25.2) | 10 (19.6) | 38 (74.5) | 3 (5.9) | 38 (21.7) | 15 (39.5) | 20 (52.6) | 3 (7.9) | 15 (29.4) | 33 (64.7) | 3 (5.9) | |||
| Practice location | 0.22 | 0.03 | 0.36 | |||||||||||
| Santo Domingo | 172 (85.1) | 16 (9.3) | 147 (85.5) | 9 (5.2) | 147 (84.0) | 72 (49.0) | 66 (44.9) | 9 (6.1) | 56 (32.6) | 109 (63.4) | 7 (4.1) | |||
| Monte Plata | 30 (14.9) | 0 (0.0) | 28 (93.3) | 2 (6.7) | 28 (16.0) | 21 (75.0) | 7 (25.0) | 0 (0.0) | 14 (46.7) | 15 (50.0) | 1 (3.3) | |||
| Patients come from... | 0.60 | 0.54 | 0.53 | |||||||||||
| Rural areas | 16 (7.9) | 0 (0.0) | 15 (93.8) | 1 (6.3) | 15 (8.6) | 11 (73.3) | 4 (26.7) | 0 (0.0) | 8 (50.0) | 8 (50.0) | 0 (0.0) | |||
| Urban areas | 98 (48.5) | 8 (8.2) | 83 (84.7) | 7 (7.1) | 83 (47.4) | 43 (51.8) | 35 (42.2) | 5 (6.0) | 32 (32.7) | 63 (64.3) | 3 (3.1) | |||
| Both | 88 (43.6) | 8 (9.1) | 77 (87.5) | 3 (3.4) | 77 (44.0) | 39 (50.6) | 34 (44.2) | 4 (5.2) | 30 (34.1) | 53 (60.2) | 5 (5.7) | |||
| GUIDELINES | ||||||||||||||
| Follow WHO | 0.67 | 0.80 | 0.18 | |||||||||||
| WHO no | 75 (37.1) | 5 (6.7) | 67 (89.3) | 3 (4.0) | 67 (38.3) | 34 (50.7) | 30 (44.8) | 3 (4.5) | 20 (26.7) | 52 (69.3) | 3 (4.0) | |||
| WHO yes | 127(62.9) | 11 (8.7) | 108 (85.0) | 8(6.3) | 108 (61.7) | 59 (54.6) | 43 (39.8) | 6 (5.6) | 50 (39.4) | 72 (56.7) | 5(3.9) | |||
| Follow DR norms | 0.64 | 0.49 | 0.67 | |||||||||||
| DR norms no | 81 (40.1) | 8 (9.9) | 68 (84.0) | 5 (6.2) | 68 (38.9) | 37 (54.4) | 26 (38.2) | 5 (7.4) | 30 (37.0) | 47 (58.0) | 4 (4.9) | |||
| DR norms yes | 121 (59.9) | 8 (6.6) | 107 (88.4) | 6 (5.0) | 107 (61.1) | 56 (52.3) | 47 (43.9) | 4 (3.7) | 40 (33.1) | 77 (63.6) | 4 (3.3) | |||
| Follow ASCCP | 0.01 | 0.50 | 0.54 | |||||||||||
| ASCCP no | 174 (86.1) | 10 (5.7) | 155 (89.1) | 10 (5.7) | 155 (88.0) | 84 (54.2) | 64 (41.3) | 7 (4.5) | 62 (35.6) | 106 (60.9) | 6 (3.4) | |||
| ASCCP yes | 28 (13.9) | 6 (21.4) | 20 (71.4) | 2 (7.1) | 20 (11.4) | 9 (45.0) | 9 (45.0) | 2 (10.0) | 8 (28.6) | 18 (64.3) | 2 (7.1) | |||
3
Pearson’s χ2 unless otherwise indicated