{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T16:30:22Z","timestamp":1785774622191,"version":"3.56.0"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,2,15]],"date-time":"2020-02-15T00:00:00Z","timestamp":1581724800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001171","name":"Cancer Institute NSW","doi-asserted-by":"publisher","award":["Evidence to Practice Grant \u2010 Screening"],"award-info":[{"award-number":["Evidence to Practice Grant \u2010 Screening"]}],"id":[{"id":"10.13039\/501100001171","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Prom J of Aust"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Issue Addressed<\/jats:title><jats:p>Australia's national cervical screening program has reduced rates of cervical cancer morbidity and mortality. However, these benefits have not been experienced by all women. A Cervical Cancer Screening Project was implemented with lay health educators to address inequitable screening access by women experiencing socio\u2010economic disadvantage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Resources and a training program were developed and piloted with the specialist homelessness services workforce in Sydney, NSW. Data was collected to inform their development and evaluation through interviews, focus groups, self\u2010administered surveys and analysis of NSW Pap Test Register data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Women reported low familiarity with the term \u2018cervical screening\u2019. They identified a good patient\u2010doctor relationship, and seeing a female practitioner, as screening enablers. While the majority reported having cervical screening before, NSW Pap Test Register data showed only 74% had screened previously and of those, 69% were overdue. Homelessness service workers expressed interest in talking with clients about cervical screening, and reported increased knowledge and confidence following training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The homelessness sector is an appropriate venue to access women who are disadvantaged and under\u2010screened. However, increasing workforce capacity to discuss screening does not lead to increased screening for women accessing these services. Further efforts are required.<\/jats:p><\/jats:sec><jats:sec><jats:title>So What?<\/jats:title><jats:p>Access to cervical screening by women experiencing disadvantage remains a challenge. Sustained multi\u2010faceted health promotion efforts are required to increase access. These should be informed by additional research exploring barriers and enablers for this group of women.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpja.322","type":"journal-article","created":{"date-parts":[[2020,1,24]],"date-time":"2020-01-24T17:58:43Z","timestamp":1579888723000},"page":"357-368","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Promoting cervical screening among women experiencing homelessness and socio\u2010economic disadvantage in Sydney"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4921-7393","authenticated-orcid":false,"given":"Renee C.","family":"Lovell","sequence":"first","affiliation":[{"name":"Women\u2019s Health, Community Health Sydney Local Health District Camperdown NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6157-9739","authenticated-orcid":false,"given":"Jessica R.","family":"Botfield","sequence":"additional","affiliation":[{"name":"Family Planning NSW Ashfield NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Cheng","sequence":"additional","affiliation":[{"name":"Family Planning NSW Ashfield NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donna M.","family":"Tilley","sequence":"additional","affiliation":[{"name":"Women\u2019s Health, Community Health Sydney Local Health District Camperdown NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Fazio","sequence":"additional","affiliation":[{"name":"Family Planning NSW Ashfield NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Estoesta","sequence":"additional","affiliation":[{"name":"Family Planning NSW Ashfield NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,15]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Cancer in Australia: An overview, 2014","author":"Australian Institute of Health and Welfare","year":"2014"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja13.10999"},{"key":"e_1_2_9_4_1","unstructured":"Department of Health.National Cervical Screening Program: Department of Health Australian government.n.d. 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