Accuracy of Self-Report of Mammography and Pap Smear in a Low-Income Urban Population

作者: Paul G McGovern , Nicole Lurie , Karen L Margolis , Jonathan S Slater

DOI: 10.1016/S0749-3797(97)00076-7

关键词: MammographyMedical recordFamily medicineGynecologyTest (assessment)Telescoping seriesSelf-disclosurePopulationCancer screeningMedicineRecall

摘要: Abstract Background: Cancer screening history can often be obtained only by self-report, particularly for disadvantaged populations. We examined the accuracy of self-report mammography and Pap smear an urban, low-income population. Methods: Women attending non-primary care clinics (mostly surgery orthopedics) at a large public teaching hospital in Minneapolis between July 1992 May 1993 were queried about their (n = 477). The women interviewed trained peer-recruiter asked whether they had ever heard or mammogram, one, where it was done, when last one was. verified checking medical records test performed. Results: positive negative predictive value recall previous year 72.4% 90.6%, respectively. figures somewhat lower, 65.5% 85.9%, found record mammogram 88% able to year. Of these, slightly over two-thirds recalled same as indicated. Inaccurate recalls more commonly “telescoping” type, i.e., tests having occurred recently than case. Recall substantially better recent tests. Results broadly similar. Conclusions: is relatively poor practice but acceptable population surveys with appropriate correction overreporting.

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