{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T04:18:00Z","timestamp":1747196280185,"version":"3.40.5"},"reference-count":89,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T00:00:00Z","timestamp":1658448000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Instituto Colombiano de Cr\u00e9dito Educativo y Estudios T\u00e9cnicos en el Exterior, ICETEX","award":["3929446"],"award-info":[{"award-number":["3929446"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>The global burden of cervical cancer remains a concern and higher early mortality rates are associated with poverty and limited health education. However, screening programs continue to face implementation challenges, especially in developing country contexts. In this study, we use a mixed-methods approach to understand the reasons for no-show behaviour for cervical cancer screening appointments among hard-to-reach low-income women in Bogot\u00e1, Colombia. In the quantitative phase, individual attendance probabilities are predicted using administrative records from an outreach program (N = 23384) using both LASSO regression and Random Forest methods. In the qualitative phase, semi-structured interviews are analysed to understand patient perspectives (N = 60). Both inductive and deductive coding are used to identify first-order categories and content analysis is facilitated using the Framework method. Quantitative analysis shows that younger patients and those living in zones of poverty are more likely to miss their appointments. Likewise, appointments scheduled on Saturdays, during the school vacation periods or with lead times longer than 10 days have higher no-show risk. Qualitative data shows that patients find it hard to navigate the service delivery process, face barriers accessing the health system and hold negative beliefs about cervical cytology.<\/jats:p>","DOI":"10.1371\/journal.pone.0271874","type":"journal-article","created":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T17:36:29Z","timestamp":1658511389000},"page":"e0271874","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":1,"title":["Understanding no-show behaviour for cervical cancer screening appointments among hard-to-reach women in Bogot\u00e1, Colombia: A mixed-methods approach"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9168-9103","authenticated-orcid":true,"given":"David","family":"Barrera Ferro","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steffen","family":"Bayer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Bocanegra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sally","family":"Brailsford","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriana","family":"D\u00edaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena Valentina","family":"Guti\u00e9rrez-Guti\u00e9rrez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Honora","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2022,7,22]]},"reference":[{"key":"pone.0271874.ref001","doi-asserted-by":"crossref","first-page":"209","DOI":"10.3322\/caac.21660","article-title":"Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries","volume":"71","author":"H Sung","year":"2021","journal-title":"CA Cancer J Clin"},{"key":"pone.0271874.ref002","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12905-019-0809-z","article-title":"Barriers and facilitators to uptake of cervical cancer screening among women in Uganda: A systematic review","volume":"19","author":"E Black","year":"2019","journal-title":"BMC Womens Health"},{"key":"pone.0271874.ref003","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1371\/journal.pone.0216522","article-title":"Cervical cancer screening knowledge and barriers among women in Addis Ababa, Ethiopia","volume":"14","author":"S Getachew","year":"2019","journal-title":"PLoS One"},{"key":"pone.0271874.ref004","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12889-018-6333-5","article-title":"Women\u2019s knowledge, attitudes and practices (KAP) relating to breast and cervical cancers in rural Zimbabwe: A cross sectional study in Mudzi District, Mashonaland East Province","volume":"19","author":"L Makurirofa","year":"2019","journal-title":"BMC Public Health"},{"key":"pone.0271874.ref005","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.socscimed.2017.12.013","article-title":"The next Sub Saharan African epidemic? 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