Cervical cancer screening: a comparison of recruitment strategies among older women

Med J Aust. 1991 Jul 15;155(2):79-82. doi: 10.5694/j.1326-5377.1991.tb142130.x.


Objective: To compare the effectiveness of different recruitment strategies in encouraging older women to have a Papanicolaou (Pap) test.

Design: A 2 x 2 factorial study.

Setting: Two rural areas of Victoria, Australia.

Participants: A total of 10,620 persons aged between 40 and 69 years and designated as female on electoral lists.

Interventions: A personal letter of invitation and a community-based campaign of 4 weeks' duration alone and in combination. A control group received no active intervention.

Outcome measure: The proportion of eligible women having a Pap test report issued by the Victorian Cytology Service during the 12 weeks after the intervention compared with the 12 weeks before the intervention, with an intervening two-week washout period.

Results: The odds ratio of an eligible woman being screened during the intervention period relative to the pre-intervention period was 3.00 for women who were exposed to the campaign and sent the letter of invitation (95% confidence interval, 2.38-3.77, P less than 0.001), 1.86 for women who were exposed to the campaign (95% confidence interval, 1.49-2.33, P less than 0.001), 1.61 for women who were sent the letter of invitation (95% confidence interval, 1.34-1.92, P less than 0.001). The baseline was a control group who received no active intervention.

Conclusions: Both personal invitation letters and community-based campaigns are effective in recruiting women for Pap test screening. Combined strategies are more effective than single strategies.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Community Health Services*
  • Evaluation Studies as Topic
  • Female
  • Humans
  • Mass Screening / methods*
  • Middle Aged
  • Odds Ratio
  • Papanicolaou Test*
  • Rural Health
  • Sampling Studies
  • Uterine Cervical Neoplasms / prevention & control*
  • Vaginal Smears / statistics & numerical data*
  • Vaginal Smears / trends
  • Victoria