Follow-Up of Abnormal Pap Smears Among Incarcerated Women

Jennifer G. Clarke, Maureen Phipps, Jennifer Rose, Megan Hebert, Cynthia Rosengard, Moira Ray, Michael D. Stein

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Risk factors for cervical cancer are endemic among incarcerated women, and brief incarcerations make follow-up a challenge. This article describes Pap smear results and follow-up evaluations among women in a combined jail and prison system. Medical records of 785 women incarcerated between 1999 and 2004 were reviewed. Charts with abnormal Pap smear results (195) were reviewed for cervical cancer risk factors and colposcopy results. Women with ASCUS (atypical squamous cells of undetermined significance) Pap smears were less likely to have had a colposcopy than other women, but biopsy results often demonstrated significant pathology. Longer length of incarceration post–Pap smear was associated with undergoing colposcopy. Providing Pap smears and colposcopy to this population of women is vital in the prevention of cervical cancer.

Original languageEnglish (US)
Pages (from-to)22-26
Number of pages5
JournalJournal of Correctional Health Care
Issue number1
StatePublished - Jan 2007
Externally publishedYes


  • Pap smear
  • correctional health care
  • screening
  • women's health

ASJC Scopus subject areas

  • Community and Home Care
  • Public Health, Environmental and Occupational Health


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