Estimation of Pap-test coverage in an area with an organised screening program: challenges for survey methods View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2006-12

AUTHORS

Paolo Giorgi Rossi, Gennaro Esposito, Silvia Brezzi, Angela Brachini, Patrizio Raggi, Antonio Federici

ABSTRACT

BACKGROUND: The cytological screening programme of Viterbo has completed the second round of invitations to the entire target population (age 25-64). From a public health perspective, it is important to know the Pap-test coverage rate and the use of opportunistic screening. The most commonly used study design is the survey, but the validity of self-reports and the assumptions made about non respondents are often questioned. METHODS: From the target population, 940 women were sampled, and responded to a telephone interview about Pap-test utilisation. The answers were compared with the screening program registry; comparing the dates of Pap-tests reported by both sources. Sensitivity analyses were performed for coverage over a 36-month period, according to various assumptions regarding non respondents. RESULTS: The response rate was 68%. The coverage over 36 months was 86.4% if we assume that non respondents had the same coverage as respondents, 66% if we assume they were not covered at all, and 74.6% if we adjust for screening compliance in the non respondents. The sensitivity and specificity of the question, "have you ever had a Pap test with the screening programme" were 84.5% and 82.2% respectively. The test dates reported in the interview tended to be more recent than those reported in the registry, but 68% were within 12 months of each other. CONCLUSION: Surveys are useful tools to understand the effectiveness of a screening programme and women's self-report was sufficiently reliable in our setting, but the coverage estimates were strongly influenced by the assumptions we made regarding non respondents. More... »

PAGES

36

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1472-6963-6-36

DOI

http://dx.doi.org/10.1186/1472-6963-6-36

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1036777903

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/16545125


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