Warnecke R B, Graham S
Cancer. 1976 Apr;37(4):2015-25. doi: 10.1002/1097-0142(197604)37:4<2015::aid-cncr2820370453>3.0.co;2-x.
An understanding of the characteristics of women who do not obtain cervical cytology may shed light on procedures which can be instituted by physicians and public health workers to increase use of screening. Of particular interest are women at high risk of cervical cancer. We interviewed a random sample of about 700 blacks living in central Buffalo census tracts in regard to their past use of pelvic examinations as well as circumstances surrounding such use or non-use. We employed only data on screening which was verified in records. We found that there was decreasing use with increasing age and lack of contact with physicians, clinics, or hospitals. The relationship between increasing use and increasing education was found to be a function of the fact that women with more education are likely to be younger. There was clear evidence that making such examinations part of the contact women have with physicians or hospitals for any purpose, including childbirth, would increase the proportions screened.
了解未进行宫颈细胞学检查的女性的特征，可能有助于医生和公共卫生工作者采取措施，以增加筛查的使用率。宫颈癌高危女性尤其值得关注。我们随机抽取了约700名居住在布法罗市中心人口普查区的黑人，询问她们过去进行盆腔检查的情况以及进行或未进行此类检查的相关情况。我们仅采用记录中核实的筛查数据。我们发现，随着年龄增长以及与医生、诊所或医院接触减少，筛查使用率呈下降趋势。筛查使用率与受教育程度提高之间的关系，实际上是因为受教育程度较高的女性可能更年轻。有明确证据表明，将此类检查纳入女性因任何目的（包括分娩）与医生或医院的接触中，会提高接受筛查的比例。
