Cervical Cancer Screening: Exploring Appalachian Patients' Barriers to Follow-Up Care

Gretchen E. Ely, Carol White, Kate Jones, Frances Feltner, Maria Gomez, Brent Shelton, Stacey Slone, Emily Van Meter, Christopher DeSimone, Nancy Schoenberg, Mark Dignan

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


This article describes a community-based Patient Navigation (PN) project conducted to identify potential barriers to seeking follow-up cervical cancer care in southeastern Kentucky. Patient navigators (PNs) were placed in cervical cancer programs within county public health departments where they interviewed patients about their perceived barriers to seeking follow-up care after receiving a positive Pap test result. Participants identified various potential barriers at three levels: the individual/personal level, the health care system level and the community/environmental level. One identified barrier that was unique to this study was a lack of consistency between follow-up recommendations and follow-up guidelines for patients under age 21. Implications are discussed.

Original languageEnglish
Pages (from-to)83-95
Number of pages13
JournalSocial Work in Health Care
Issue number2
StatePublished - Feb 2014

Bibliographical note

Funding Information:
This research was supported by the National Cancer Institute R01 CA120606.


  • Appalachian patients
  • cervical cancer
  • follow-up care
  • pap test
  • patient navigators

ASJC Scopus subject areas

  • Community and Home Care
  • Psychiatry and Mental health


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