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Phone: (843) 588-2001
Edgar Allan Poe/Sullivan's Island Library
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Phone: (843) 883-3914
West Ashley Library
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Phone: (843) 766-6635
Wando Mount Pleasant Library
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Phone: (843) 805-6888
Village Library
9 a.m. - 6 p.m.
Phone: (843) 884-9741
St. Paul's/Hollywood Library
9 a.m. - 6 p.m.
Phone: (843) 889-3300
Otranto Road Library
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Mt. Pleasant Library
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McClellanville Library
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Keith Summey North Charleston Library
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John's Island Library
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Hurd/St. Andrews Library
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Miss Jane's Building (Edisto Library Temporary Location)
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Phone: (843) 805-6930
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The Relationship Between Sexual Assault History and Cervical Cancer Screening Completion Among Women Veterans in the Veterans Health Administration.
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- Author(s): Danan, Elisheva R.; Brunner, Julian; Bergman, Alicia; Spoont, Michele; Chanfreau, Catherine; Canelo, Ismelda; Krebs, Erin E.; Yano, Elizabeth M.
- Source:
Journal of Women's Health (15409996); Jul2022, Vol. 31 Issue 7, p1040-1047, 8p- Subject Terms:
VETERANS' hospitals; CONFIDENCE intervals; SCIENTIFIC observation; EARLY detection of cancer; ACQUISITION of data; GYNECOLOGIC examination; RETROSPECTIVE studies; PSYCHOLOGY of veterans; PRIMARY health care; COMPARATIVE studies; SEX crimes; HEALTH behavior; MEDICAL records; DESCRIPTIVE statistics; CERVIX uteri tumors; LOGISTIC regression analysis; ODDS ratio; MEDICAL care of veterans; WOMEN'S health services; PSYCHOLOGICAL distress; LONGITUDINAL method - Source:
- Additional Information
- Abstract: Background: Sexual assault affects one in three U.S. women and may have lifelong consequences for women's health, including potential barriers to completing cervical cancer screening and more than twofold higher cervical cancer risk. The objective of this study was to determine whether a history of sexual assault is associated with reduced cervical cancer screening completion among women Veterans. Materials and Methods: We analyzed data from a 2015 survey of women Veterans who use primary care or women's health services at 12 Veterans Health Administration facilities (VA's) in nine states. We linked survey responses with VA electronic health record data and used logistic regression to examine the association of lifetime sexual assault with cervical cancer screening completion within a guideline-concordant interval. Results: The sample included 1049 women, of whom 616 (58.7%) reported lifetime sexual assault. Women with a history of sexual assault were more likely to report a high level of distress related to pelvic examinations, and to report ever delaying a gynecologic examination due to distress. However, in the final adjusted model, lifetime sexual assault was not significantly associated with reduced odds of cervical cancer screening completion (OR 1.35, 95% CI 0.93–1.97). Conclusions: Contrary to our expectations, sexual assault was not significantly associated with gaps in cervical cancer screening completion. Three- to five-year screening intervals may provide sufficient time to complete screening, despite barriers. Trauma-sensitive care practices promoted in the VA may allow women to overcome the distress and discomfort of pelvic examinations to complete needed screening. ClinicalTrials.gov (#NCT02039856). [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Women's Health (15409996) is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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