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Accuracy of women's self-report of their last Pap smear.

J A Sawyer, J A Earp, R H Fletcher, F F Daye and T M Wynn

Department of Medicine, University of North Carolina, Chapel Hill.

We compared interview data and physician records on when women last had a Pap smear in a sample of 98 rural Black women. We found 20 per cent of women could not accurately report on whether a Pap smear had been done within three years (sensitivity = 0.95, specificity = 0.47). Source of gynecological care and perceived barriers to obtaining a Pap smear but not education were associated with inaccurate reports. Self-report may be a misleading measure of Pap smear screening in comparable groups of women.

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