RT Journal Article SR Electronic T1 Factors Associated With Inadequate Cervical Cancer Screening Among Lower Income Primary Care Patients JF The Journal of the American Board of Family Practice JO J Am Board Fam Med FD American Board of Family Medicine SP 151 OP 156 DO 10.3122/jabfm.3.3.151 VO 3 IS 3 A1 Lerman, Caryn A1 Caputo, Craig A1 Brody, David YR 1990 UL http://www.jabfm.org/content/3/3/151.abstract AB This study identified factors associated with cervical cancer screening patterns among lower income primary care patients. One hundred forty-one women completed a self-administered questionnaire before their medical visit. The results indicated that 71 percent had a Papanicolaou (Pap) test in the past year, 14 percent had one between 1 and 3 years ago, and 15 percent had not had a Pap test for 3 or more years. Advanced age was associated with a reduced likelihood of adequate screening; 21 percent of women aged 50–64 years and 39 percent of those aged 65 years and older had not had a Pap test in the past 3 years. Factors positively associated with screening included perceived susceptibility to cervical cancer and the belief in the efficacy of Pap tests and benefits of screening. Fear of finding cancer was a significant barrier to cervical screening in this population. Of those women who had not been screened adequately, 58 percent were interested in obtaining Pap tests in the primary care setting. The implications for promoting cervical cancer screening in primary care practices are discussed.