{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T04:19:12Z","timestamp":1792642752223,"version":"4.5.0"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Midwife Womens Health"],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n Introduction<\/jats:title>\n Delays to colposcopy increase the risk for cervical cancer development. Our study sought to understand the barriers and facilitators to follow\u2010up after an abnormal cervical cancer screening test result.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n English\u2010speaking adult patients who did not attend at least one of their scheduled appointments at an urban academic colposcopy clinic between June 2021 and June 2023 were eligible. Semistructured interviews were conducted, and thematic analyses using inductive and deductive coding were completed.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Twenty women were interviewed. The mean (SD) age was 34 (10) years, and participants mainly identified as non\u2010Hispanic Black (60%). The mean (SD) time to colposcopy was 12.5 (11.9) months. Seven participants did not have a follow\u2010up colposcopy at the time of the interview. Five categories of themes emerged at the individual, interpersonal, clinic, and system level, including (1) fear of pain and\/or pelvic examinations, (2) patient\u2010provider communication (including result communication), (3) clinic interactions (including presence of trainees and lack of continuity), (4) scheduling difficulties, and (5) system\u2010level barriers such as loss of insurance coverage.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Barriers to follow\u2010up care exist across multiple levels. A one\u2010size\u2010fits\u2010all approach may be ineffective for facilitating follow\u2010up; rather, a multipronged approach may be needed to improve adherence and reduce delays to follow\u2010up care after an abnormal cervical cancer screening test result.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jmwh.70041","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T15:35:57Z","timestamp":1761752157000},"page":"39-45","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Barriers and Facilitators to Colposcopy Follow\u2010up After Abnormal Cervical Cancer Screening: Qualitative Insights From an Urban Health Care Setting"],"prefix":"10.1111","volume":"71","author":[{"given":"Jaqueline Serrano","family":"Aguilar","sequence":"first","affiliation":[{"name":"College of Medicine University of Illinois Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hunter K.","family":"Holt","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine University of Illinois Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Beshers","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine University of Illinois Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelley","family":"Baumann","sequence":"additional","affiliation":[{"name":"College of Medicine University of Illinois Peoria Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Valle","family":"Coto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Reproductive Sciences Yale School of Medicine New Haven Connecticut"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7186-9828","authenticated-orcid":false,"given":"Gelila","family":"Goba","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology & Reproductive Sciences University of Miami Miller School of Medicine Miami Florida"},{"name":"Department of Obstetrics and Gynecology University of Illinois Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyanka","family":"Gokhale","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Illinois Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21834"},{"key":"e_1_2_6_3_1","unstructured":"Cancer Stat Facts: cervical cancer.National Cancer Institute website. Accessed August 11 2025.https:\/\/seer.cancer.gov\/statfacts\/html\/cervix.html."},{"key":"e_1_2_6_4_1","unstructured":"FDA Roundup: May 17 2024. US Food & Drug Administration website. Accessed August 18 2025.https:\/\/www.fda.gov\/news\u2010events\/press\u2010announcements\/fda\u2010roundup\u2010may\u201017\u20102024."},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0000000000005313"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.5226"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905\u2010022\u201001851\u20106"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2025.2971"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/lgt.0000000000000525"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/pts.0000000000000718"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_6_12_1","volume-title":"Thematic Analysis: A Practical Guide","author":"Braun V","year":"2021"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198111418634"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/lgt.0000000000000700"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.114523"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874\u2010018\u20100594\u201070"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.4236\/ojpm.2014.43017"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/20009666.2020.1796903"}],"container-title":["Journal of Midwifery & Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.70041","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jmwh.70041","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jmwh.70041","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T02:53:31Z","timestamp":1773024811000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jmwh.70041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,29]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/jmwh.70041"],"URL":"https:\/\/doi.org\/10.1111\/jmwh.70041","archive":["Portico"],"relation":{},"ISSN":["1526-9523","1542-2011"],"issn-type":[{"value":"1526-9523","type":"print"},{"value":"1542-2011","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,29]]},"assertion":[{"value":"2025-10-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}