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    Does the offer of cervical screening with breast screening encourage older women to have a cervical smear test?

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    Authors
    Lancaster, Gillian
    Elton, Peter
    Affiliation
    Centre for Cancer Epidemiology, Christie Hospital NHS Trust, Withington, Manchester, United Kingdom.
    Issue Date
    1992-10
    
    Metadata
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    Abstract
    OBJECTIVE: The aim was to determine what effect the offer of a cervical smear test when attending for breast screening has on the uptake of cervical and breast screening. DESIGN: The study involved randomisation to compare uptake in those women invited for cervical screening in advance with their breast screening invitation (group 1) with those invited for breast screening only and then offered a smear test upon arrival for breast screening (group 2). The main outcome measure was improvement in the uptake of cervical screening among older women without detriment to the breast screening service. SETTING: The study took place at the Northern Hospital in North Manchester. PARTICIPANTS: Participants were 2131 women aged 50-64 years invited for breast screening at the Northern Hospital in the summer of 1990. MAIN RESULTS: Overall, 54% of the women who were eligible attended for breast screening, 52% attended from group 1 and 55% from group 2. Of those attending for breast screening, 957 were eligible for cervical screening and 193 (20%) had a smear test. There was a difference in the proportion tested from each group (p < 0.001), 28% had a smear test from group 1 and 13% from group 2. Forty five percent of the 193 had not had a cervical smear for at least five years. CONCLUSIONS: The cervical screening facility did attract some women who were overdue for a smear test and who might not normally have attended for cervical screening, and there was no evidence to suggest that it had a detrimental effect on the breast screening uptake. An advanced cervical screening invitation seemed preferable to an invitation upon arrival at the breast screening unit.
    Citation
    Does the offer of cervical screening with breast screening encourage older women to have a cervical smear test? 1992, 46 (5):523-7 J Epidemiol Community Health
    Journal
    Journal of Epidemiology and Community Health
    URI
    http://hdl.handle.net/10541/109493
    PubMed ID
    1479324
    Type
    Article
    Language
    en
    ISSN
    0143-005X
    Collections
    All Christie Publications

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