{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T23:58:39Z","timestamp":1778630319115,"version":"3.51.4"},"reference-count":47,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T00:00:00Z","timestamp":1623974400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01CA226838"],"award-info":[{"award-number":["R01CA226838"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Criminal-legal involved women experience significant barriers to preventive cervical care, and consequently there is a higher incidence of cervical cancer in this population. The purpose of this study is to identify variables that may facilitate abnormal Pap follow-up among criminal-legal involved women living in community settings. The study included n = 510 women with criminal-legal histories, from three U.S. cities\u2014Birmingham, AL; Kansas City, KS\/MO; Oakland, CA. Participants completed a 288-item survey, with questions related to demographics, social advantages, provider communication, and reasons for missing follow-up care. There were n = 58 women who reported abnormal Pap testing, and n = 40 (69%) received follow-up care. Most women received either repeat Pap\/HPV testing (n = 15, 38%), or colposcopy and\/or biopsy (n = 14, 35%). Women who did not follow-up (n = 15, 26%) cited that they forgot (n = 8, 53%), were uninsured (n = 3, 20%), or were reincarcerated (n = 3, 20%). In a multivariate analysis, both having a primary care provider (OR 4.6, 95% CI 1.3\u201316.0) and receiving specific provider communication about follow-up (OR 3.8, 95% CI 1.1\u201313.2) were independent predictors for abnormal Pap follow-up. Interventions that offer linkages to providers in the community or ensure abnormal Pap care plans are communicated effectively may mitigate the disparate incidence of cervical cancer among criminal-legal involved women.<\/jats:p>","DOI":"10.3390\/ijerph18126556","type":"journal-article","created":{"date-parts":[[2021,6,18]],"date-time":"2021-06-18T04:10:47Z","timestamp":1623989447000},"page":"6556","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Abnormal Pap Follow-Up among Criminal-Legal Involved Women in Three U.S. Cities"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3086-577X","authenticated-orcid":false,"given":"Chelsea","family":"Salyer","sequence":"first","affiliation":[{"name":"Division of Gynecologic Oncology, University of Kansas, Kansas City, KS 66160, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashlyn","family":"Lipnicky","sequence":"additional","affiliation":[{"name":"Department of Population Health, University of Kansas, Kansas City, KS 66160, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meredith","family":"Bagwell-Gray","sequence":"additional","affiliation":[{"name":"School of Social Welfare, University of Kansas, Lawrence, KS 66045, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Lorvick","sequence":"additional","affiliation":[{"name":"RTI International Community Health and Implementation Research Program, Berkeley, CA 94704, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Cropsey","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Alabama, Birmingham, AL 35294, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megha","family":"Ramaswamy","sequence":"additional","affiliation":[{"name":"Department of Population Health, University of Kansas, Kansas City, KS 66160, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,6,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"912","DOI":"10.1136\/jech.2009.090662","article-title":"Prevalence of chronic medical conditions among jail and prison inmates in the USA compared with the general population","volume":"63","author":"Binswanger","year":"2009","journal-title":"J. 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