Evidence map›Paper›PMID 30118364›Full record

ArticleJournal of women's health (2002)2019

Association of Pregnancy History and Cervical Cancer Screening in a Community Sample of Sexual Minority Women.

Madelyne Z Greene, Tonda L Hughes, Marilyn S Sommers, Alexandra Hanlon, Salimah H Meghani

Abstract read
In one paragraph

Article in Journal of women's health (2002), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Madelyne Z Greene1 Department of Obstetrics and Gynecology, University of Wisconsin-Madison, Madison, Wisconsin.
Tonda L Hughes2 School of Nursing, Columbia University, New York, New York.
Marilyn S Sommers3 School of Nursing, University of Pennsylvania, Philadephia, Pennsylvania.
Alexandra Hanlon3 School of Nursing, University of Pennsylvania, Philadephia, Pennsylvania.
Salimah H Meghani3 School of Nursing, University of Pennsylvania, Philadephia, Pennsylvania.

Funding

Impact of supportive policies on minority stress, drinking and health among womenR01AA013328 · NIAAA · UNIVERSITY OF ILLINOIS AT CHICAGO · PI HUGHES, TONDA L, MATTHEWS, ALICIA K · 2002 to 2021
$8.0M
RESEARCH ON VULNERABLE WOMEN CHILDREN AND FAMILIEST32NR007100 · NINR · UNIVERSITY OF PENNSYLVANIA · PI MEDOFF-COOPER, BARBARA S · 1998 to 2018
$7.2M
Health Disparities Research Scholars Training Program-RenewalT32HD049302 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI Maureen S Durkin · 2007 to 2026
$5.6M
NIAAA NIH HHS R01 AA013328NICHD NIH HHS T32 HD049302NINR NIH HHS T32 NR007100
6 · The paper itself

Abstract

backgroundSexual minority women (SMW) face barriers to healthcare that may result in lower utilization of cervical cancer screening. Previous experiences with the healthcare system-specifically reproductive health-related encounters-have the potential to affect future use of screening services. This study aimed to examine the association between pregnancy history and cervical cancer screening in a diverse sample of SMW. Anderson's Behavioral Model of Health Services Use guided the selection of variables included in the study.

methodsWe performed a secondary analysis of cross-sectional data from the third wave of the Chicago Health and Life Experiences of Women (CHLEW) Study, a longitudinal study of SMW in the Midwestern United States. We performed multivariable logistic regression to address the study aims, restricting the sample to women ages 21-45 (n = 430).

resultsReporting a previous pregnancy was consistently positively associated with past-year Pap testing. In the multivariable model, bisexual identity and disclosing one's sexual orientation to healthcare providers were also positively associated with past-year Pap test.

conclusionsThis analysis provides preliminary evidence that SMW who have been pregnant are more likely to receive Pap testing and that multiple sociodemographic factors are likely to impact screening in this population. Clinicians should screen all patients with a cervix for cervical cancer and should encourage screening for all SMW. Future studies should prioritize longitudinal analyses to examine the temporality of reproductive history and healthcare seeking, focus on where SMW seek care, and understand how intersecting components of identity may shape the healthcare utilization of this population.

Indexed as

AdultBisexualityChicagoCross-Sectional StudiesEarly Detection of CancerFemaleHealth Services AccessibilityHomosexuality, FemaleHumansMass ScreeningMiddle AgedPapanicolaou TestReproductive HistorySexual and Gender MinoritiesUterine Cervical NeoplasmsYoung Adultcervical cancer screeninghealth disparitiesLGBT healthpregnancy

Identifiers

PMID30118364
PMCPMC6482891

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.