Reviewer’s report
Title: 
Determinants Factors to Pap smear Screening Among Married Women in
a City of Sout Iran: Applying the BASNEF Model
Version: 
1 
Date: 
22 Apr 2019
Reviewer's report:
This is an interesting study that proposes to identify attributes of a woman that
are associated with lack of cervical cancer screening in a city in Iran. 
Major comments are as follows:
1) It is unclear whether this is actually based on an interview of women or is
indeed based on abstracting data from medical records. If the latter, there is no
information on missing data or how abstraction of charts and data in the charts
was used to classify women.
2) In the background section, lines 24-27 include a list of purported risk factors
but there are no citations.
3) In the Methods section, detail needs to be added re: time frame for the
surveys/analysis of medical record data, total sample size of eligible women,
total number of health centers available for sampling. A flow chart would be
helpful.
4) If this is indeed a survey of women, how many were approached? Was the
sampling random or a convenience sample?
5) Please consider including a copy of the survey so that readers can assess
whether the questions are consistent with the attribute being measured,
especially since this appears to be a newly developed survey.
6) Unclear why someone who is illiterate was enrolled in this study? 
The barriers
to screening for someone who is illiterate could be quite different from those
who have some education.
7) There is no mention of the role of the health system or providers and/or
whether in Iran, cervical cancer screening is provided for free. Details about the
screening program and current recommendations and how women know about
the program should be added to the background and then discussed in the
discussion section.
Minor comments:
1) The tables are interspersed throughout the manuscript and then presented
again at the end. 
2) The manuscript needs some minor editing. Some sentences start with lower
case letters. Some are missing terms.
Are the methods appropriate and well described?
If not, please specify what is required in your comments to the authors.
No
Does the work include the necessary controls?
If not, please specify which controls are required in your comments to the
authors.
Unable to assess
Are the conclusions drawn adequately supported by the data shown?
If not, please explain in your comments to the authors.
No
Are you able to assess any statistics in the manuscript or would you
recommend an additional statistical review?
If an additional statistical review is recommended, please specify what aspects
require further assessment in your comments to the editors.
I am able to assess the statistics
Quality of written English
Please indicate the quality of language in the manuscript:
Needs some language corrections before being published
Declaration of competing interests
Please complete a declaration of competing interests, considering the following
questions:
1
. 
Have you in the past five years received reimbursements, fees, funding, or
salary from an organisation that may in any way gain or lose financially
from the publication of this manuscript, either now or in the future?
2
. 
Do you hold any stocks or shares in an organisation that may in any way
gain or lose financially from the publication of this manuscript, either now
or in the future?
3
. 
Do you hold or are you currently applying for any patents relating to the
content of the manuscript?
4
. 
Have you received reimbursements, fees, funding, or salary from an
organization that holds or has applied for patents relating to the content of
the manuscript?
5
. 
Do you have any other financial competing interests?
6
. 
Do you have any non-financial competing interests in relation to this
paper?
If you can answer no to all of the above, write 'I declare that I have no competing
interests' below. If your reply is yes to any, please give details below.
I declare I have no competing interests
I agree to the open peer review policy of the journal. I understand that my name
will be included on my report to the authors and, if the manuscript is accepted
for publication, my named report including any attachments I upload will be
posted on the website along with the authors' responses. I agree for my report to
be made available under an Open Access Creative Commons CC-BY license
(
http://creativecommons.org/licenses/by/4.0/
). I understand that any comments
which I do not wish to be included in my named report can be included as
confidential comments to the editors, which will not be published.
I agree to the open peer review policy of the journal