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    Women Wary of Less Frequent Pap Smears

    New Recommendations Call for Cervical Cancer Screening Every 3 Years
    WebMD Health News

    Nov. 25, 2003 -- Despite new recommendations that call for less frequent cervical cancer screening among low-risk women, new research shows many women are reluctant to give up their annual Pap smears.

    Several health organizations, including the U.S. Preventive Services Task Force, the American Cancer Society, and the American College of Obstetricians and Gynecologists, now recommend that women at low-risk for cervical cancer only need Pap smears every two to three years after three consecutive normal Pap smear results.

    In the past, annual Pap smears were recommended for these women for cervical cancer screening. But recent studies have shown little evidence that women who receive annual testing are at significantly lower risk for invasive cervical cancer than women who are tested every three to five years.

    Women Question New Pap Smear Recommendations

    In the study, researchers asked a group of 673 women from a health maintenance organization how they felt about the new guidelines in a series of focus groups, and women expressed strong opposition to reducing the frequency of the tests.

    "Most of the women we interviewed were firmly set against reducing the frequency of Pap tests," says researcher Mindy Smith, MD, MS, of the department of family practice at Michigan State University, in a news release.

    Among the reasons cited for believing yearly Pap smears are preferable was the belief that Pap tests are successful in reducing cervical cancer deaths and that some Pap tests are inaccurate and therefore need to be repeated.

    Researchers say the women were also distrustful of the rationale for the suggested changes. Many of them said they were suspicious that reducing frequency of testing is motivated by concerns over cost rather than quality of care.

    In addition, the study also showed that more than half of the women did not know that the recommendations for cervical cancer screening had changed. Of these women, 20% were skeptical and 50% made negative comments about the changes.

    "Women need reasurrance," says Smith. "The habit of having an annual visit to a clinician for a Pap smear appears to be firmly entrenched and viewed as an integral part of a woman's health care. It is a habit that has been socialized over many years and will likely be difficult to change."

    The results appear in the November/December issue of the Annals of Family Medicine.

    "We hope that the findings from our study will help enlighten the current debate over the frequency and timing of Pap tests based upon risk of cervical cancer," says Smith. "As this study makes clear, health-care providers face significant barriers to putting risk-based screening recommendations into practice."

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