{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T06:13:24Z","timestamp":1782972804937,"version":"3.54.5"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2011,3,2]],"date-time":"2011-03-02T00:00:00Z","timestamp":1299024000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cytopathology"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p>L. Sharp, S. Cotton, A. Thornton, N. Gray, D. Whynes, L. Smart, N. Waugh, I. Duncan, M. Cruickshank and J. Little, on behalf of the TOMBOLA Group<\/jats:p><jats:p><jats:bold>Which women default from follow\u2010up cervical cytology tests? A cohort study within the TOMBOLA trial<\/jats:bold><\/jats:p><jats:p><jats:bold>Objective:\u2002<\/jats:bold> To identify factors associated with default from follow\u2010up cervical cytology tests.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> A cohort study was conducted involving 2166 women, aged 20\u201359, with recent low\u2010grade cervical cytology taken within the NHS Cervical Screening Programmes in Scotland and England, and managed by 6\u2010monthly cytology in primary care. For the first (6\u2010month) and second (12\u2010month) surveillance cytology tests separately, women were categorized as \u2018on\u2010time attendees\u2019 (attended \u22646\u2003months of test being due), \u2018late attendees\u2019 (attended greater than 6\u2003months after test was due) or \u2018non\u2010attendees\u2019 (failed to attend). Multivariate odds ratios (ORs) were computed for factors associated with late and non\u2010attendance.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> For the first surveillance test, risk of non\u2010attendance was significantly higher in younger women, those without post\u2010secondary education, and non\u2010users of prescribed contraception. Factors significantly associated with late attendance for the first test were the same as for non\u2010attendance, plus current smoking and having children. The most important predictor of non\u2010attendance for the second surveillance test was late attendance for the first test (OR\u2003=\u20039.65; 95% CI, 6.60\u201316.62). Non\u2010attendance for the second test was also significantly higher among women who were younger, smokers and had negative cytology on the first surveillance test. Late attendance for the second surveillance test was higher in women who were younger, smokers, had children and attended late for the first test.<\/jats:p><jats:p><jats:bold>Conclusions:\u2002<\/jats:bold> Women at highest risk of default from follow\u2010up cytology tend to be young, smoke, lack post\u2010secondary education, and have defaulted from a previous surveillance appointment. Tackling default will require development of targeted strategies to encourage attendance and research to better understand the reasons underpinning default.<\/jats:p>","DOI":"10.1111\/j.1365-2303.2011.00848.x","type":"journal-article","created":{"date-parts":[[2011,3,4]],"date-time":"2011-03-04T05:50:10Z","timestamp":1299217810000},"page":"150-160","source":"Crossref","is-referenced-by-count":11,"title":["Which women default from follow\u2010up cervical cytology tests? 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