{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T02:58:03Z","timestamp":1777517883629,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2015,8,17]],"date-time":"2015-08-17T00:00:00Z","timestamp":1439769600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"SWSLHD Division of Community Health"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2015,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To compare rates of late\u2010 screening, abnormal Pap smears and prevalence of psychosocial factors for cervical cancer between women in the community and women attending a residential drug and alcohol facility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Women with drug and alcohol addiction experience higher rates of abnormal Pap smears, late\u2010 or under\u2010 screening and psychosocial risk factors including domestic violence and sexual assault.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A descriptive cross\u2010sectional study of women attending publically funded women's health clinics in the community or in a live\u2010in residential drug and alcohol rehabilitation facility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was approved in May 2012. Data were collected between October 2012\u2013December 2013 using standardized women's health questionnaires, domestic violence screening tools and Pap smear tests.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Women attending the rehabilitation facility had higher rates of abnormal Pap smears (16\u00b77% vs. 1\u00b76%) and self\u2010reported history of abnormal Pap smears (44\u00b74% vs. 20\u00b76%). They also reported higher rates of smoking (72\u00b72% vs. 29\u00b72%), experience of sexual assault (44\u00b71% vs. 16\u00b79%), experience of domestic violence (65\u00b77% vs. 10\u00b79%) and other psychosocial risk factors, than women living in the general community. Unexpectedly, women in the rehabilitation facility reported similar levels of late screening as women in the community (52\u00b78% vs. 55\u00b74%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Women with drug and alcohol addiction have significantly higher incidence of risk factors for cervical cancer and abnormal Pap smears. Provision of opportunistic cervical cancer screening during residential treatment appears to reduce incidence of late\u2010screening. Roles of Women's Health Nurses in providing services to vulnerable women should be explored further.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.12745","type":"journal-article","created":{"date-parts":[[2015,8,17]],"date-time":"2015-08-17T08:15:53Z","timestamp":1439799353000},"page":"2858-2866","source":"Crossref","is-referenced-by-count":16,"title":["Pap smear screening, pap smear abnormalities and psychosocial risk factors among women in a residential alcohol and drug rehabilitation facility"],"prefix":"10.1111","volume":"71","author":[{"given":"Jacqui","family":"Soccio","sequence":"first","affiliation":[{"name":"Women's Health Unit Rosemeadow Community Health Centre South Western Sydney Local Health District (SWSLHD) New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Brown","sequence":"additional","affiliation":[{"name":"Community Paediatrics Liverpool Hospital SWSLHD New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Comino","sequence":"additional","affiliation":[{"name":"Primary and Community Health Research Unit (PCHRU) Division of Community Health South Western Sydney Local Health District Liverpool New South Wales Australia"},{"name":"Centre for Primary Health Care and Equity School of Public Health and Community Medicine University of New South Wales Australia Liverpool New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6969-8230","authenticated-orcid":false,"given":"Emma","family":"Friesen","sequence":"additional","affiliation":[{"name":"Primary and Community Health Research Unit (PCHRU) Division of Community Health South Western Sydney Local Health District Liverpool New South Wales Australia"},{"name":"School of Health and Rehabilitation Sciences The University of Queensland Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,8,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2012.08.009"},{"key":"e_1_2_11_3_1","volume-title":"Personal Safety Survey Australia: Demographics of those Who have Experienced Sexual Assault","author":"Australian Bureau of Statistics","year":"2012"},{"key":"e_1_2_11_4_1","volume-title":"Tobacco Smoking. 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