Cochrane Summaries

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Invitations and probably educational interventions increase the uptake of Pap smears

Everett T, Bryant A, Griffin MF, Martin-Hirsch PPL, Forbes CA, Jepson RG
Published Online: 
11 May 2011

Cervical cancer is the second most common cancer world-wide. Increasing the uptake of screening is of great importance in controlling this disease through early detection and treatment of pre-cancerous changes before malignancy evolves. Methods of encouraging women to undergo cervical screening include invitations, reminders, education, message framing, counselling, risk factor assessment, procedures and economic interventions. These were all examined in this review. Evidence supports the use of invitations, and to a lesser extent, educational materials. It is likely other methods are advantageous, but the evidence is not as strong. Further research is required.