PATTERN AND FACTORS AFFECTING PAP SMEAR 
TEST IN NABLUS, A RETROSPECTIVE STUDY

Relationship between different variables and cervical cytology results:
Table 4 shows that there was no statistically significant relationship between the cervical cytology pap results and age (P=0.225), occupation (P=0.690), education (p=0.912), Pap test awareness (p=0.130), and history of previous Pap test (p=0.191). Regarding other risk factors the table also shows no statistically significant relationship between the cervical cytology Pap results and smoking (p=0.346), family history of cervical cancer (p=0.729), parity (p=0.693), menstrual period regularity (p=0.927), contraceptive method (p= 0.470), and finally the frequency of genital infections (p=0.064).

Table 4. Relationship between pap smear results and different study variables

Pap smear results

Variable

*Normal & Benign changes N(%)

**Abnormal cellular changes N(%)

P value

Age < 20 1(0.5) 1(0.5) 0.225
20-45 134(66.7) 17(8.5)
>45 41(20.4) 7(3.5)
Occupation housewife 138(68.7) 21(10.4) 0.690
employed 33(16.4) 3(1.5)
laborer 5(2.5) 1(0.5)
Education no 14(7) 2(1) 0.912
High school 106(52.7) 14(7)
College 56(27.9) 9(4.5)
pap smear awareness media 19(9.5) 4(2) 0.130
a friend 44(21.9) 29(14.5)
never heard 21(10.4) 6(3)
My doctor 92(45.8) 13(6.5)
Previous pap Yes 23(11.4) 1(0.5) 0.191
No 153(76.1) 24(11.9)
Smoking Yes 35(17.4) 3(1.5) 0.346
No 141(70.1) 22(10.9)
Family history of cervical cancer Yes 10(5) 1(0.5) 0.729
No 166(82.6) 24(11.9)
Parity <4 86(42.8) 13(6.5) 0.693
4-8 74(36.8) 11(5.5)
>8 16(8) 1(0.5)
Period regular 106(52.7) 16(2) 0.927
irregular 33(16.4) 4(2)
menopause 37(18.4) 5(2.5)
Contraception Pill 13(6.5) 3(1.5) 0.470
IUD 74(36.8) 5(2.5)
injection 0 1(0.5)
local method 9(4.5) 5(2.5)
no method 79(39.3) 11(5.5)
BTL 1(0.5) 0
Genital infections >4/year 24(11.9) 6(3) 0.064
1-2 /year 141(70.1) 15(7.5)
rare 11(5.5) 4(2)

* Normal & Benign changes: ( normal, reactive, atrophy )

**Abnormal cellular changes: (ASCUS, AGUS, LGSIL, Carcinoma)