# EARLY DETECTION OF CERVICAL CANCER AMONG ELDERLY WOMEN

> **NIH NIH R01** · JOHNS HOPKINS UNIVERSITY · 1987 · $37,980

## Abstract

The objective of the proposed project is to identify the determinants of
women's utilization patterns that are associated with not receiving routine
cervical cancer screening.  Preliminary evidence suggests that gaps in
coverage of the population at risk are due to post-childbearing medical
care practices and utilization.  The specific aims of the project are to:
(1) identify health care utilization patterns of cervical cancer patients
with a matched control group; (2) to ascertain the extent to which
identified utilization risk factors and other factors are found in the
middle aged and elderly general population and their current early
detection practices; (3) to ascertain the extent to which providers'
knowledge, attitudes and practices concerning cervical cancer detection for
the elderly are consistent with or contribute to patients' utilization and
detection practices.  The implications of the study are in the design of
provider and organization-oriented interventions and for patient-oriented
programs to improve the coverage of this high risk population.  To meet
these objectives, a three phase study is proposed in which the results of
each component accumulates evidence for the succeeding phase.  A
case-control study of 200 cases of cervical cancer and matched neighborhood
controls will be fielded with patients accrued from the Division of
Gynecologic Oncology of the Johns Hopkins Hospital.  Retrospective
histories of utilization practices will be obtained to identify sources of
interruption in or not having ever received routine Pap testing.  The
second phase is a cross-sectional survey of 1,200 middle-aged (45-64) and
elderly (65+) women in Maryland who will be interviewed by telephone to
ascertain the extent to which identified risk factors from the case-control
study are prevalent in the middle-aged and elderly female population.  The
final phase consists of a cross-sectional two-part survey of health care
providers of the specialty types serving middle-aged and elderly women in
Maryland.  The telephone and mailed survey effort will determine the extent
to which providers' knowledge, attitudes and practices influence the
provision of cervical cancer screening for the elderly and for women in the
middle years, groups not receiving routine Pap testing.  The congruence
between the behavior of women and the beliefs and practices of providers
will then be determined.  As cervical cancer is considered to be a
preventable cause of death, only with documentation of risk factors can
more targeted programs be developed.

## Key facts

- **NIH application ID:** 3174198
- **Project number:** 3R01CA036569-03S1
- **Recipient organization:** JOHNS HOPKINS UNIVERSITY
- **SAM.gov UEI:** FTMTDMBR29C7
- **Principal Investigator:** DAVID D. CELENTANO
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 1987
- **Award amount:** $37,980
- **Award type:** 3
- **Project period:** 1984-09-01 → 1988-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/3174198

## Citation

> US National Institutes of Health, RePORTER application 3174198, EARLY DETECTION OF CERVICAL CANCER AMONG ELDERLY WOMEN (3R01CA036569-03S1). Retrieved via MORVS 2026-10-25 from https://api.morvs.ai/grant/nih/3174198. Licensed CC0.

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