Table 4: Factors for GPs and Pap nurses that correlate with willingness to follow the revised guidelines (screening from 25 years, every 5 years with HPV testing).

 

Variable

GPs (n = 82)

Pap nurses (n = 67)e

Adj OR

95% CI

p-value

Adj OR

95% CI

p-value

Location of practice (metropolitan/rural)

1.3

0.3, 5.4

0.728

0.6

0.2, 2.2

0.433

Has access to reliable HPV vaccination guidelines; > 4f

6.3

1.3, 31.5

0.024

1.1

0.3, 4.1

0.849

Would refer for colposcopic assessment even if a high-risk HPV test were negative for; > 4f

 

Visible cervical abnormalities

Post coital bleeding

Intermenstrual/ postmenopausal bleeding

 

 

1.2

0.6

1.2

 

 

0.1, 11.7

0.1, 3.5

0.3, 4.8

 

 

0.872

0.612

0.780

 

 

0.5

0.3

0.5

 

 

0.1, 4.7

0.1, 1.3

0.1, 2.1

 

 

0.573

0.100

0.343

Largely refers to colposcopy for visible cervical abnormalities, post coital bleeding, intermenstrual or postmenopausal bleeding because; > 4f

 

Isn’t confident in visually distinguishing a normal from an abnormal cervix

For medicolegal reasons

 

 

 

0.2

0.1

 

 

 

0.04, 1.1

0.02, 0.6

 

 

 

0.066

0.013

 

 

 

0.6

1.1

 

 

 

0.2, 2.2

0.3, 4.1

 

 

 

0.444

0.896

 

eNurse practitioners who did not identify as Pap nurses were excluded from the analysis of this table.

fResponses were on a 7 point Likert scale which was dichotomised as ≤ 4, indicating ‘unwilling’ or ‘disagree’ and > 4, indicating ‘willing’ or ‘agree’.