Journal of Immigrant and Minority Health

, Volume 18, Issue 6, pp 1404–1412 | Cite as

Non-utilization of the Pap Test Among Women with Frequent Health System Contact

  • Abayomi N. Ogunwale
  • Haleh Sangi-Haghpeykar
  • Jane Montealegre
  • Yiwen Cui
  • Maria Jibaja-Weiss
  • Matthew L. Anderson
Original Paper


Despite improvements in health access, many underserved women abstain from cervical cancer screening. A self-administered questionnaire was used to identify factors determining whether medically underserved women attending a safety net health system regularly are screened for cervical cancer. Approximately 11 % of study subjects had never received a Pap test despite an average of nearly four clinic visits in the preceding 12 months. Never screeners were significantly younger, more likely to be Hispanic, non-U.S. born and less likely to have healthcare continuity. In multivariable analysis, odds for never screening were independently lower among women with male partner support (aOR 0.29) and physician’s recommendation for screening (aOR 0.34) and higher among women who believed screening visits are too long (aOR 2.53). Educating male partners of Hispanic and immigrant women in addition to addressing recognized situational barriers may help to improve cervical cancer screening rates.


Cervical cancer Pap test Non-utilization Never-screened Male-partner support 



The authors acknowledge the support of the Cancer Prevention and Research Institute of Texas (CPRIT PP120091 and PP100201).


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologyBaylor College of MedicineHoustonUSA
  2. 2.Department of Pediatrics-OncologyBaylor College of MedicineHoustonUSA
  3. 3.Dan L. Duncan Cancer CenterBaylor College of MedicineHoustonUSA
  4. 4.Department of Obstetrics and Gynecology, Pathology and Immunology, Dan L. Duncan Cancer Center, Center for Reproductive BiologyBaylor College of MedicineHoustonUSA

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