{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T13:58:05Z","timestamp":1792677485007,"version":"4.5.0"},"reference-count":45,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2022,7,1]],"date-time":"2022-07-01T00:00:00Z","timestamp":1656633600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>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\u20131.97).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                    <jats:p>\n                      <jats:uri xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/ClinicalTrials.gov\">ClinicalTrials.gov<\/jats:uri>\n                      (#NCT02039856).\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2021.0237","type":"journal-article","created":{"date-parts":[[2022,1,20]],"date-time":"2022-01-20T09:18:56Z","timestamp":1642670336000},"page":"1040-1047","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["The Relationship Between Sexual Assault History and Cervical Cancer Screening Completion Among Women Veterans in the Veterans Health Administration"],"prefix":"10.1177","volume":"31","author":[{"given":"Elisheva R.","family":"Danan","sequence":"first","affiliation":[{"name":"VA HSR&amp;D Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, Minnesota, USA."},{"name":"Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Brunner","sequence":"additional","affiliation":[{"name":"VA HSR&amp;D Center for the Study of Healthcare Innovation, Implementation &amp; Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Bergman","sequence":"additional","affiliation":[{"name":"VA HSR&amp;D Center for the Study of Healthcare Innovation, Implementation &amp; Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Spoont","sequence":"additional","affiliation":[{"name":"VA HSR&amp;D Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, Minnesota, USA."},{"name":"Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Chanfreau","sequence":"additional","affiliation":[{"name":"VA Informatics and Computing Infrastructure (VINCI), VA Salt Lake City Healthcare System, Salt Lake City, Utah, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismelda","family":"Canelo","sequence":"additional","affiliation":[{"name":"VA HSR&amp;D Center for the Study of Healthcare Innovation, Implementation &amp; Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin E.","family":"Krebs","sequence":"additional","affiliation":[{"name":"VA HSR&amp;D Center for Care Delivery and Outcomes Research, Minneapolis VA Health Care System, Minneapolis, Minnesota, USA."},{"name":"Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth M.","family":"Yano","sequence":"additional","affiliation":[{"name":"VA HSR&amp;D Center for the Study of Healthcare Innovation, Implementation &amp; Policy, VA Greater Los Angeles Healthcare System, Los Angeles, California, USA."},{"name":"Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California, USA."},{"name":"Department of Medicine, UCLA Geffen School of Medicine, Los Angeles, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,7,12]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"Smith SG Basile KC Gilbert LK Merrick MT Patel N Walling M Jain A. 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