Is a history of XXXX associated with a reduced likelihood of @entity5 screening?

@entity1 @entity5 @entity458 @entity1005 @entity130
OBJECTIVE: We tested the hypothesis that a history of @entity130 (especially sexual @entity130 ) was associated with a reduced likelihood of having had medically appropriate @entity5 screening. STUDY DESIGN: A case-control study using mailed self-report questionnaires. POPULATION: The questionnaires were completed by an age-stratified random sample of adult @entity1 members of a large health maintenance organization. The sample included 364 @entity1 who had received medically appropriate @entity5 screening and 372 who had not. OUTCOMES MEASURED: We defined cases as @entity1 who, according to their medical record, had not had @entity5 screening within 2 years before the study. Controls were defined as @entity1 who had been screened. We evaluated exposures to @entity130 that we hypothesized to be associated with the case/control state. RESULTS: @entity1 who had been sexually abused in childhood were less likely to have had a Pap smear within the past 2 years (36.0% vs. 50.4%, P =.050). Other traumatic events were associated with Pap testing in bivariate analyses but not when demographic characteristics and clinic location were controlled. Childhood @entity458 remained associated with reduced odds of Pap screening in logistic regression analyses that controlled for clinic location, demographics, attitudes about Pap screening, and @entity1005 (adjusted OR = 0.56, 95% CI 0.34 to 0.91). CONCLUSIONS: These findings suggest that childhood @entity458 may lead to decreased probability of screening for @entity5 , potentially contributing to the poorer health seen in other studies of @entity1 who have been sexually abused.
