Daungporn Rattanalappaiboon1, Chumnan Kietpeerakool2, Pilaiwan Kleebkaow1, Bandit Chumworathayi1, Sanguanchoke Launratanakorn1, Tassanee Santipongsupakorn3. 1. Department of Obstetrics and Gynecology, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. 2. Department of Obstetrics and Gynecology, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. Electronic address: kiet_ji@hotmail.com. 3. Outpatient Department of Gynecology Service, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Abstract
OBJECTIVE: To assess postcolposcopy compliance among women with abnormal cervical screening results and to identify factors associated with noncompliance for postcolposcopy follow-up. METHODS: In a retrospective study, the records of women who underwent colposcopy at Srinagarind Hospital, Thailand, between January and December 2010 were reviewed. Women were considered to be noncompliant if their total follow-up time after colposcopy was less than 12months. Univariate and multivariate logistic regression methods were used to determine factors significantly predicting noncompliance. RESULTS: Among 548 women who underwent colposcopy, the percentage of noncompliance was 49.5% (95% confidence interval [CI], 45.1%-53.7%). The risk for noncompliance rose significantly among those without intraepithelial lesions (OR, 2.19; 95% CI, 1.53-3.13), younger age (OR, 1.79; 95% CI, 1.19-2.67), and low education level (OR, 1.58; 95% CI, 1.11-2.24). Risk for noncompliance was significantly lower among those with a previous history of abnormal smear (OR, 0.39; 95% CI, 0.24-0.64). CONCLUSION: The percentage of noncompliance with postcolposcopy follow-up was high among the study women. The significant independent factors predicting noncompliance were previous history of abnormal smear, severity of cervical histopathology, age, and education level.
OBJECTIVE: To assess postcolposcopy compliance among women with abnormal cervical screening results and to identify factors associated with noncompliance for postcolposcopy follow-up. METHODS: In a retrospective study, the records of women who underwent colposcopy at Srinagarind Hospital, Thailand, between January and December 2010 were reviewed. Women were considered to be noncompliant if their total follow-up time after colposcopy was less than 12months. Univariate and multivariate logistic regression methods were used to determine factors significantly predicting noncompliance. RESULTS: Among 548 women who underwent colposcopy, the percentage of noncompliance was 49.5% (95% confidence interval [CI], 45.1%-53.7%). The risk for noncompliance rose significantly among those without intraepithelial lesions (OR, 2.19; 95% CI, 1.53-3.13), younger age (OR, 1.79; 95% CI, 1.19-2.67), and low education level (OR, 1.58; 95% CI, 1.11-2.24). Risk for noncompliance was significantly lower among those with a previous history of abnormal smear (OR, 0.39; 95% CI, 0.24-0.64). CONCLUSION: The percentage of noncompliance with postcolposcopy follow-up was high among the study women. The significant independent factors predicting noncompliance were previous history of abnormal smear, severity of cervical histopathology, age, and education level.
Authors: Manuela Viviano; Phuong Lien Tran; Bruno Kenfack; Rosa Catarino; Mohamed Akaaboune; Liliane Temogne; Eveline Tincho Foguem; Pierre Vassilakos; Patrick Petignat Journal: Int J Womens Health Date: 2018-04-11