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Journal of Correctional Health Care
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Follow-Up of Abnormal Pap Smears Among Incarcerated Women

Jennifer G. Clarke, MD, MPH

Memorial Hospital of Rhode Island, 111 Brewster Street, CPCP building, 2nd Floor, Pawtucket, RI 02860; jennifer_clarke{at}brown.edu; Brown University School of Medicine, Providence, Rhode Island

Maureen Phipps, MD, MPH

Brown University School of Medicine, Providence, Rhode Island; Women and Infants Hospital, Providence, Rhode Island

Jennifer Rose, PhD

Brown University School of Medicine, Providence, Rhode Island; Rhode Island Hospital, Providence

Megan Hebert, MA

Rhode Island Hospital, Providence

Cynthia Rosengard, PhD, MPH

Brown University School of Medicine, Providence, Rhode Island; Rhode Island Hospital, Providence

Moira Ray, BS

Memorial Hospital of Rhode Island, Pawtucket, Rhode Island

Michael D. Stein, MD

Brown University School of Medicine, Providence, Rhode Island; Rhode Island Hospital, Providence

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.

Key Words: Pap smear • women's health • screening • ASCUS • correctional health care

Journal of Correctional Health Care, Vol. 13, No. 1, 22-26 (2007)
DOI: 10.1177/1078345807299624
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