Michielutte R, Diseker R A, Young L D, May W J
Prev Med. 1985 Mar;14(2):248-58. doi: 10.1016/0091-7435(85)90040-4.
This investigation estimated the extent of noncompliance with follow-up to screening for cervical dysplasia at a public health family planning clinic. Available data also permitted examination of the relationship between selected background characteristics and compliance with follow-up. Noncompliance was defined as failure to respond to notification of an abnormal cervical smear (Class III, IV, or V) by failing either to make a follow-up appointment or to keep such an appointment after it was made. The sample consisted of 177 women with abnormal cervical smears who were screened at the Forsyth County Family Planning Clinic between January 1, 1980, and June 30, 1981. Information on the women's compliance with the request for follow-up was obtained from a file specifically kept for this purpose by the clinic nurse. Background characteristics were obtained by reviewing clinic records. Results indicated that approximately 17% of the sample was noncompliant. Noncompliant patients were more likely to be unmarried, less educated, younger, and to have fewer total health problems than women who returned for follow-up. Logistic regression analysis revealed that the number of health problems and educational attainment were the most important predictors of noncompliance.
本调查评估了一家公共卫生计划生育诊所对宫颈发育异常筛查后续跟进的不依从程度。现有数据还允许考察选定的背景特征与后续跟进依从性之间的关系。不依从被定义为未能对异常宫颈涂片（III、IV或V级）通知做出回应，即要么未能预约后续检查，要么在预约后未赴约。样本包括1980年1月1日至1981年6月30日期间在福赛思县计划生育诊所接受筛查的177名宫颈涂片异常的女性。关于这些女性对后续跟进请求的依从性信息，是从诊所护士专门为此目的保存的一份档案中获取的。背景特征是通过查阅诊所记录获得的。结果表明，样本中约17%的人不依从。与前来接受后续检查的女性相比，不依从的患者更可能未婚、受教育程度较低、年龄较小且总体健康问题较少。逻辑回归分析显示，健康问题的数量和教育程度是不依从的最重要预测因素。
