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Abnormal Pap Follow-Up among Criminal-Legal Involved Women in Three U.S. Cities

Author

Listed:
  • Chelsea Salyer

    (Division of Gynecologic Oncology, University of Kansas, Kansas City, KS 66160, USA)

  • Ashlyn Lipnicky

    (Department of Population Health, University of Kansas, Kansas City, KS 66160, USA)

  • Meredith Bagwell-Gray

    (School of Social Welfare, University of Kansas, Lawrence, KS 66045, USA)

  • Jennifer Lorvick

    (RTI International Community Health and Implementation Research Program, Berkeley, CA 94704, USA)

  • Karen Cropsey

    (Department of Psychiatry, University of Alabama, Birmingham, AL 35294, USA)

  • Megha Ramaswamy

    (Department of Population Health, University of Kansas, Kansas City, KS 66160, USA)

Abstract

Criminal-legal involved women experience significant barriers to preventive cervical care, and consequently there is a higher incidence of cervical cancer in this population. The purpose of this study is to identify variables that may facilitate abnormal Pap follow-up among criminal-legal involved women living in community settings. The study included n = 510 women with criminal-legal histories, from three U.S. cities—Birmingham, AL; Kansas City, KS/MO; Oakland, CA. Participants completed a 288-item survey, with questions related to demographics, social advantages, provider communication, and reasons for missing follow-up care. There were n = 58 women who reported abnormal Pap testing, and n = 40 (69%) received follow-up care. Most women received either repeat Pap/HPV testing ( n = 15, 38%), or colposcopy and/or biopsy ( n = 14, 35%). Women who did not follow-up ( n = 15, 26%) cited that they forgot ( n = 8, 53%), were uninsured ( n = 3, 20%), or were reincarcerated ( n = 3, 20%). In a multivariate analysis, both having a primary care provider (OR 4.6, 95% CI 1.3–16.0) and receiving specific provider communication about follow-up (OR 3.8, 95% CI 1.1–13.2) were independent predictors for abnormal Pap follow-up. Interventions that offer linkages to providers in the community or ensure abnormal Pap care plans are communicated effectively may mitigate the disparate incidence of cervical cancer among criminal-legal involved women.

Suggested Citation

  • Chelsea Salyer & Ashlyn Lipnicky & Meredith Bagwell-Gray & Jennifer Lorvick & Karen Cropsey & Megha Ramaswamy, 2021. "Abnormal Pap Follow-Up among Criminal-Legal Involved Women in Three U.S. Cities," IJERPH, MDPI, vol. 18(12), pages 1-11, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:12:p:6556-:d:577122
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    References listed on IDEAS

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    1. Fernández, M.E. & Gonzales, A. & Tortolero-Luna, G. & Williams, J. & Saavedra-Embesi, M. & Chan, W. & Vernon, S.W., 2009. "Effectiveness of Cultivando la Salud: A breast and cervical cancer screening promotion program for low-income hispanic women," American Journal of Public Health, American Public Health Association, vol. 99(5), pages 936-943.
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    Cited by:

    1. Hall, Bianca & Atrio, Jessica & Moore, Shawana & Lorvick, Jennifer & Cropsey, Karen & Ramaswamy, Megha, 2022. "Perceived healthcare quality and contraception utilization among persons recently incarcerated," Journal of Criminal Justice, Elsevier, vol. 83(C).

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