Utilization of obstetrician-gynecologists and prevention of cervical cancer

C. S. Weisman, D. D. Celentano, A. C. Klassen, N. B. Rosenshein

Research output: Contribution to journalArticle

Abstract

In a case-control study, we examined health care utilization histories to determine whether Papanicolaou tests provided by an obstetrician-gynecologist, as opposed to other providers, are more protective of cervical cancer. Women with cervical cancer were less likely than matched controls to have had regular Papanicolaou test within the last five years, or to have obtained a Papanicolaou test from an obstetrician-gynecologist. After controlling for traditional risk factors, we found that receiving any Papanicolaou tests within the last five years from an obstetrician-gynecologist was more protective than receiving Papanicolaou tests from other providers, although the difference did not attain statistical significance. Among both cases and controls, younger women and women who had used prescription contraceptives were more likely to have had a recent Papanicolaou test by an obstetrician-gynecologist. The results support the importance of regular Papanicolaou test screening among older women and suggest that the obstetrician-gynecologist helps prevent cervical cancer by providing continuity of screening services.

Original languageEnglish (US)
Pages (from-to)373-377
Number of pages5
JournalObstetrics and gynecology
Volume70
Issue number3 PART I
StatePublished - Jan 1 1987

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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    Weisman, C. S., Celentano, D. D., Klassen, A. C., & Rosenshein, N. B. (1987). Utilization of obstetrician-gynecologists and prevention of cervical cancer. Obstetrics and gynecology, 70(3 PART I), 373-377.