Motives for abandoning the healthcare process for precancerous lesions of the uterine cervix
To determine factors associated with medical care abandon of women with CIN. A nested case-control study in a cohort was done. Patients referred to clinical Dysplasia of Gyneco-Obstetrician Services in third level Hospitals were considered. Patients who abandoned medical care. women who attend their...
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| Veröffentlicht in: | Revista de investigacion clinica 2006-05, Vol.58 (3), p.217-227 |
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| creator | Hernández-Alemán, Francisco R Ornelas-Bernal, Laura A Apresa-García, Teresa Sánchez-Garduño, Sandra Martínez-Rodríguez, Oscar A Hernández-Hernández, Dulce Maria |
| description | To determine factors associated with medical care abandon of women with CIN.
A nested case-control study in a cohort was done. Patients referred to clinical Dysplasia of Gyneco-Obstetrician Services in third level Hospitals were considered.
Patients who abandoned medical care.
women who attend their medical appointments during follow-up. All subjects underwent structured interviews focused on social, clinical and health services factors in two different times, applied at the beginning of study and the end of follow-up. Clinical records were reviewed to obtain clinical information.
Descriptive and inferential statistical was done. Non conditional Logistic Regression analysis was done to obtain adjusted association.
Abandon cumulative incidence rate was 108/525 = 20.7% (I.C. 95% = 17.2-24.3); 60.2% happened in diagnosis phase, 17.7% ocured during therapeutic phase and 23.1% happened in surveillance phase. We studied 108 cases and 417 controls to analysis. Next adjusted risk factors were obtained: Afraid to death (ORa = 4.2, IC.95% = 1.8-9.5), long appointments (ORa = 6.6, I.C.95% = 3.4-13.0), lack of privacity (ORa = 12.5, I.C.95% = 2.6-59.8), reject to treatment (ORa = 40.4, I.C.95% = 2.1-785.4), lack of information (ORa = 41.9, I.C.95% =14.2-124.1) and other factors.
Patient perception, access and barriers in health services were the most important factors associated with medical care abandon. |
| format | Article |
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A nested case-control study in a cohort was done. Patients referred to clinical Dysplasia of Gyneco-Obstetrician Services in third level Hospitals were considered.
Patients who abandoned medical care.
women who attend their medical appointments during follow-up. All subjects underwent structured interviews focused on social, clinical and health services factors in two different times, applied at the beginning of study and the end of follow-up. Clinical records were reviewed to obtain clinical information.
Descriptive and inferential statistical was done. Non conditional Logistic Regression analysis was done to obtain adjusted association.
Abandon cumulative incidence rate was 108/525 = 20.7% (I.C. 95% = 17.2-24.3); 60.2% happened in diagnosis phase, 17.7% ocured during therapeutic phase and 23.1% happened in surveillance phase. We studied 108 cases and 417 controls to analysis. Next adjusted risk factors were obtained: Afraid to death (ORa = 4.2, IC.95% = 1.8-9.5), long appointments (ORa = 6.6, I.C.95% = 3.4-13.0), lack of privacity (ORa = 12.5, I.C.95% = 2.6-59.8), reject to treatment (ORa = 40.4, I.C.95% = 2.1-785.4), lack of information (ORa = 41.9, I.C.95% =14.2-124.1) and other factors.
Patient perception, access and barriers in health services were the most important factors associated with medical care abandon.</description><identifier>ISSN: 0034-8376</identifier><identifier>PMID: 16958297</identifier><language>spa</language><publisher>Mexico</publisher><subject>Adult ; Attitude to Health ; Case-Control Studies ; Cervical Intraepithelial Neoplasia - psychology ; Cervical Intraepithelial Neoplasia - therapy ; Cohort Studies ; Fear ; Female ; Follow-Up Studies ; Health Knowledge, Attitudes, Practice ; Health Services Accessibility ; Humans ; Interview, Psychological ; Mexico ; Middle Aged ; Motivation ; Patient Dropouts - psychology ; Patient Dropouts - statistics & numerical data ; Patient Education as Topic ; Patient Selection ; Precancerous Conditions - psychology ; Precancerous Conditions - therapy ; Risk Factors ; Time Factors ; Uterine Cervical Neoplasms - parasitology ; Uterine Cervical Neoplasms - therapy</subject><ispartof>Revista de investigacion clinica, 2006-05, Vol.58 (3), p.217-227</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16958297$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hernández-Alemán, Francisco R</creatorcontrib><creatorcontrib>Ornelas-Bernal, Laura A</creatorcontrib><creatorcontrib>Apresa-García, Teresa</creatorcontrib><creatorcontrib>Sánchez-Garduño, Sandra</creatorcontrib><creatorcontrib>Martínez-Rodríguez, Oscar A</creatorcontrib><creatorcontrib>Hernández-Hernández, Dulce Maria</creatorcontrib><title>Motives for abandoning the healthcare process for precancerous lesions of the uterine cervix</title><title>Revista de investigacion clinica</title><addtitle>Rev Invest Clin</addtitle><description>To determine factors associated with medical care abandon of women with CIN.
A nested case-control study in a cohort was done. Patients referred to clinical Dysplasia of Gyneco-Obstetrician Services in third level Hospitals were considered.
Patients who abandoned medical care.
women who attend their medical appointments during follow-up. All subjects underwent structured interviews focused on social, clinical and health services factors in two different times, applied at the beginning of study and the end of follow-up. Clinical records were reviewed to obtain clinical information.
Descriptive and inferential statistical was done. Non conditional Logistic Regression analysis was done to obtain adjusted association.
Abandon cumulative incidence rate was 108/525 = 20.7% (I.C. 95% = 17.2-24.3); 60.2% happened in diagnosis phase, 17.7% ocured during therapeutic phase and 23.1% happened in surveillance phase. We studied 108 cases and 417 controls to analysis. Next adjusted risk factors were obtained: Afraid to death (ORa = 4.2, IC.95% = 1.8-9.5), long appointments (ORa = 6.6, I.C.95% = 3.4-13.0), lack of privacity (ORa = 12.5, I.C.95% = 2.6-59.8), reject to treatment (ORa = 40.4, I.C.95% = 2.1-785.4), lack of information (ORa = 41.9, I.C.95% =14.2-124.1) and other factors.
Patient perception, access and barriers in health services were the most important factors associated with medical care abandon.</description><subject>Adult</subject><subject>Attitude to Health</subject><subject>Case-Control Studies</subject><subject>Cervical Intraepithelial Neoplasia - psychology</subject><subject>Cervical Intraepithelial Neoplasia - therapy</subject><subject>Cohort Studies</subject><subject>Fear</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Interview, Psychological</subject><subject>Mexico</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Patient Dropouts - psychology</subject><subject>Patient Dropouts - statistics & numerical data</subject><subject>Patient Education as Topic</subject><subject>Patient Selection</subject><subject>Precancerous Conditions - psychology</subject><subject>Precancerous Conditions - therapy</subject><subject>Risk Factors</subject><subject>Time Factors</subject><subject>Uterine Cervical Neoplasms - parasitology</subject><subject>Uterine Cervical Neoplasms - therapy</subject><issn>0034-8376</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kDtPwzAcxD2AaCl8BeSJLZJjx7EzooqXVMTSESny429ilNrBTir49oQ-phvud6fTXaAlIawqJBP1Al3n_EUIpZSLK7Qo64ZL2ogl-niLo99Dxi4mrLQKNgYfPvHYAe5A9WNnVAI8pGggH6khgVHBQIpTxj1kH0PG0R0i0wjJB8Czu_c_N-jSqT7D7UlXaPv0uF2_FJv359f1w6YYeCUKppUFy7gyIDUtawINSEOt4lrpioP-V00acvCYdbx2lSbGGatFowlboftj7bzye4I8tjufDfS9CjBvbGspGSmFmMG7EzjpHdh2SH6n0m97voP9Aa7VXgM</recordid><startdate>200605</startdate><enddate>200605</enddate><creator>Hernández-Alemán, Francisco R</creator><creator>Ornelas-Bernal, Laura A</creator><creator>Apresa-García, Teresa</creator><creator>Sánchez-Garduño, Sandra</creator><creator>Martínez-Rodríguez, Oscar A</creator><creator>Hernández-Hernández, Dulce Maria</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200605</creationdate><title>Motives for abandoning the healthcare process for precancerous lesions of the uterine cervix</title><author>Hernández-Alemán, Francisco R ; Ornelas-Bernal, Laura A ; Apresa-García, Teresa ; Sánchez-Garduño, Sandra ; Martínez-Rodríguez, Oscar A ; Hernández-Hernández, Dulce Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p547-3baded35ace8b2160e9e8c2da5bab45eb5babb0902160e3df56f4b0cfcdb79b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Attitude to Health</topic><topic>Case-Control Studies</topic><topic>Cervical Intraepithelial Neoplasia - psychology</topic><topic>Cervical Intraepithelial Neoplasia - therapy</topic><topic>Cohort Studies</topic><topic>Fear</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Services Accessibility</topic><topic>Humans</topic><topic>Interview, Psychological</topic><topic>Mexico</topic><topic>Middle Aged</topic><topic>Motivation</topic><topic>Patient Dropouts - psychology</topic><topic>Patient Dropouts - statistics & numerical data</topic><topic>Patient Education as Topic</topic><topic>Patient Selection</topic><topic>Precancerous Conditions - psychology</topic><topic>Precancerous Conditions - therapy</topic><topic>Risk Factors</topic><topic>Time Factors</topic><topic>Uterine Cervical Neoplasms - parasitology</topic><topic>Uterine Cervical Neoplasms - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hernández-Alemán, Francisco R</creatorcontrib><creatorcontrib>Ornelas-Bernal, Laura A</creatorcontrib><creatorcontrib>Apresa-García, Teresa</creatorcontrib><creatorcontrib>Sánchez-Garduño, Sandra</creatorcontrib><creatorcontrib>Martínez-Rodríguez, Oscar A</creatorcontrib><creatorcontrib>Hernández-Hernández, Dulce Maria</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Revista de investigacion clinica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hernández-Alemán, Francisco R</au><au>Ornelas-Bernal, Laura A</au><au>Apresa-García, Teresa</au><au>Sánchez-Garduño, Sandra</au><au>Martínez-Rodríguez, Oscar A</au><au>Hernández-Hernández, Dulce Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Motives for abandoning the healthcare process for precancerous lesions of the uterine cervix</atitle><jtitle>Revista de investigacion clinica</jtitle><addtitle>Rev Invest Clin</addtitle><date>2006-05</date><risdate>2006</risdate><volume>58</volume><issue>3</issue><spage>217</spage><epage>227</epage><pages>217-227</pages><issn>0034-8376</issn><abstract>To determine factors associated with medical care abandon of women with CIN.
A nested case-control study in a cohort was done. Patients referred to clinical Dysplasia of Gyneco-Obstetrician Services in third level Hospitals were considered.
Patients who abandoned medical care.
women who attend their medical appointments during follow-up. All subjects underwent structured interviews focused on social, clinical and health services factors in two different times, applied at the beginning of study and the end of follow-up. Clinical records were reviewed to obtain clinical information.
Descriptive and inferential statistical was done. Non conditional Logistic Regression analysis was done to obtain adjusted association.
Abandon cumulative incidence rate was 108/525 = 20.7% (I.C. 95% = 17.2-24.3); 60.2% happened in diagnosis phase, 17.7% ocured during therapeutic phase and 23.1% happened in surveillance phase. We studied 108 cases and 417 controls to analysis. Next adjusted risk factors were obtained: Afraid to death (ORa = 4.2, IC.95% = 1.8-9.5), long appointments (ORa = 6.6, I.C.95% = 3.4-13.0), lack of privacity (ORa = 12.5, I.C.95% = 2.6-59.8), reject to treatment (ORa = 40.4, I.C.95% = 2.1-785.4), lack of information (ORa = 41.9, I.C.95% =14.2-124.1) and other factors.
Patient perception, access and barriers in health services were the most important factors associated with medical care abandon.</abstract><cop>Mexico</cop><pmid>16958297</pmid><tpages>11</tpages></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adult Attitude to Health Case-Control Studies Cervical Intraepithelial Neoplasia - psychology Cervical Intraepithelial Neoplasia - therapy Cohort Studies Fear Female Follow-Up Studies Health Knowledge, Attitudes, Practice Health Services Accessibility Humans Interview, Psychological Mexico Middle Aged Motivation Patient Dropouts - psychology Patient Dropouts - statistics & numerical data Patient Education as Topic Patient Selection Precancerous Conditions - psychology Precancerous Conditions - therapy Risk Factors Time Factors Uterine Cervical Neoplasms - parasitology Uterine Cervical Neoplasms - therapy |
| title | Motives for abandoning the healthcare process for precancerous lesions of the uterine cervix |
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