OBJECTIVE: To determine the sociodemographic factors associated with @entity5 screening and follow-up of abnormal results. DESIGN: Population cohort study. SETTING: Ontario. @entity1 : @entity1 between the ages of 18 and 70 years who were eligible for Papanicolaou testing. MAIN OUTCOME MEASURES: Rates of @entity5 screening and follow-up of abnormal and inadequate Pap test results, and associated sociodemographic factors such as age, neighbourhood income level, and health region. Multivariate logistic regression was used to identify independent factors associated with screening and follow-up. RESULTS: Of the 3.7 million @entity1 eligible for screening, 69% had had Pap tests in the past 3 years. These rates varied by age, income, and region (P < .001). @entity1 residing in the lowest-income neighbourhoods were half as likely to be screened (odds ratio 0.56, 95% CI 0.55 to 0.56). Only 44% of those whose Pap test results revealed atypical squamous cells of uncertain significance or low-grade squamous @entity75 had repeat Pap tests or colposcopy within 6 months, and this varied by age, income, and region (P < .001). Among @entity1 with unsatisfactory Pap test results, only 35% were retested within 4 months, and this varied by age (P < .001). CONCLUSION: Despite universal health coverage, @entity5 screening rates are suboptimal among low-income @entity1 at greatest risk. Follow-up among @entity1 with inadequate or abnormal test results is often poor. Novel models of @entity5 screening are needed to address these inadequacies.

Sociodemographic factors associated with XXXX screening and follow-up of abnormal results.

@entity5 :: ('MESH:D009369', 'Disease') :: ['cervical cancer'] @entity1 :: ('9606', 'Species') :: ['women', 'Women', 'PARTICIPANTS'] @entity75 :: ('MESH:D001927', 'Disease') :: ['intraepithelial lesions']
@entity5 :: (MESH:D009369,Disease) :: ['cervical cancer']
