{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T01:24:27Z","timestamp":1776216267825,"version":"3.50.1"},"reference-count":17,"publisher":"S. Karger AG","issue":"2","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Port J Public Health"],"published-print":{"date-parts":[[2022]]},"abstract":"<b><i>Background:<\/i><\/b> Understanding the overuse and underuse of cervical cancer (CC) screening plays a role in preventing such behaviours, allowing to maximize the CC screening uptake. <b><i>Aim:<\/i><\/b> To assess the predictors of being over-screened and never\/under-screened in CC screening in Northeast Portugal. <b><i>Methods:<\/i><\/b> This is a part of a larger cross-sectional survey carried out in two public health centres in Northeast Portugal (October 2017 to June 2018). Data collection was based on a face-to-face interview. This analysis included 764 women (aged 25\u201360 years) classified according to the use of CC screening into guideline-consistent screened, over-screened and unscreened\/under-screened. Multivariate logistic regression models were conducted to assess predictors of being over-screened and never\/under-screened. Adjusted odds ratio (OR) and respective 95% confidence interval (95% CI) were obtained. <b><i>Results:<\/i><\/b> One-fourth (<i>n<\/i> = 197) of participants were unscreened\/under-screened and 50.0% (<i>n<\/i> = 382) of them were classified as over-screened. Regular visits with primary care physicians (OR = 0.44; 95% CI: 0.26\u20130.76) and higher age (OR = 0.98; 95% CI: 0.96\u20131.00) reduced the odds of being unscreened\/under-screened. Women who received prescription\/recommendation for CC screening from primary care physician (OR = 1.89; 95% CI: 1.09\u20133.29) or both primary care physician and nurse (OR = 2.62; 95% CI: 1.10\u20136.22) were more likely to be over-screened. Higher level of CC health literacy decreases the odds of being over-screened (OR = 0.95; 95% CI: 0.90\u20131.00) and unscreened\/under-screened (OR = 0.87; 95% CI: 0.82\u20130.92). The majority of over-screened (52.2%) and of under-screened (44.2%) women reported that their screening frequency was based on healthcare provider prescription. Among never-screened women, 60.2% reported that no one prescribed screening. <b><i>Conclusion:<\/i><\/b> The increase in CC health literacy can maximize CC screening uptake. Primary healthcare providers could play a role in preventing the overuse and underuse of CC screening. <\/jats:p>","DOI":"10.1159\/000522666","type":"journal-article","created":{"date-parts":[[2022,4,22]],"date-time":"2022-04-22T21:00:37Z","timestamp":1650661237000},"page":"61-68","source":"Crossref","is-referenced-by-count":2,"title":["Use of Cervical Cancer Screening among Patients of Primary Healthcare Services: Northeast Portugal"],"prefix":"10.1159","volume":"40","author":[{"given":"Cristina","family":"Teixeira","sequence":"first","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1721-5836","authenticated-orcid":false,"given":"Celeste","family":"Ant\u00e3o","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8474-3474","authenticated-orcid":false,"given":"Eug\u00e9nia","family":"Anes","sequence":"additional","affiliation":[]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9825-8293","authenticated-orcid":false,"given":"Maria Jos\u00e9","family":"Gomes","sequence":"additional","affiliation":[]},{"given":"Ana","family":"Versos","sequence":"additional","affiliation":[]},{"given":"Concei\u00e7\u00e3o","family":"Tom\u00e9","sequence":"additional","affiliation":[]}],"member":"127","published-online":{"date-parts":[[2022,4,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.20344\/amp.8921"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.3802\/jgo.2016.27.e43"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0000000000000207"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.3747\/co.23.2598"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1186\/2046-4053-2-35"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2016.290"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2018.02.037"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.respe.2013.04.009"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-264"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1080\/03630242.2010.542547"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.31557\/APJCP.2020.21.7.2021"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.1903"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1177\/0969141316664757"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-013-0549-y"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v6.i11.406"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2016.8254"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2016.11.028"}],"container-title":["Portuguese Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/522666","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/522666","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:53:09Z","timestamp":1745423589000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000522666"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":17,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2022,9,20]]},"published-print":{"date-parts":[[2022,9,27]]}},"URL":"https:\/\/doi.org\/10.1159\/000522666","archive":["Portico"],"relation":{},"ISSN":["2504-3137","2504-3145"],"issn-type":[{"value":"2504-3137","type":"print"},{"value":"2504-3145","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022]]}}}