Norman S A, Talbott E O, Kuller L H, Krampe B R, Stolley P D
Clinical Epidemiology Unit, University of Pennsylvania School of Medicine, Philadelphia.
Am J Prev Med. 1991 Jul-Aug;7(4):219-26.
The approaches used to ensure regular Pap testing must be tailored to sociodemographic, psychosocial, medical, and motivational factors that may change over a woman's life. Careful descriptions of the determinants of Pap testing at different stages are needed; the success of Pap-emphasizing programs designed without this information may be severely limited. We review the literature on demographic and psychosocial correlates of Pap testing and on the relationship of Pap smear frequency to contact with the medical care system and to preventive health behaviors. We include a discussion of factors related to preventive health behavior in general, so that the Pap test can be viewed against a range of behaviors. Pap program efforts must focus more precisely; our review of the available literature provides recommendations for improving Pap screening programs.
用于确保定期进行巴氏试验的方法必须根据社会人口统计学、心理社会、医学和动机因素进行调整，这些因素可能会在女性一生中发生变化。需要对不同阶段巴氏试验的决定因素进行细致描述；在没有这些信息的情况下设计的强调巴氏试验的项目，其成功可能会受到严重限制。我们回顾了关于巴氏试验的人口统计学和心理社会相关性，以及巴氏涂片检查频率与医疗保健系统接触和预防性健康行为之间关系的文献。我们还讨论了一般与预防性健康行为相关的因素，以便能够从一系列行为的角度看待巴氏试验。巴氏试验项目的工作必须更精准地聚焦；我们对现有文献的回顾为改进巴氏涂片筛查项目提供了建议。
