Pap Smear And Mammogram Screening Rates In A Refugee And General Ob/gyn Clinic: A Retrospective Review

Sylvia J. Lobo, LSU Health Sciences Center - New Orleans
Jessica G. Lin, Boston Medical Center
Simone Vais, University of California, San Francisco
Dongyu Wang, Boston Medical Center
Tejumola M. Adegoke, Boston Medical Center
Wan Ju Wu, Boston Medical Center
Courtney Steer-Massaro, Tsehootsooi Medical Center


Although multiple studies have shown that resettled refugee women are less likely to receive preventative cancer screenings like pap smears and mammograms, a small number have demonstrated the opposite. This retrospective chart review, conducted between January 2017 and October 2018, compares pap smear and mammogram rates of patients seen in a refugee-specific OB/GYN clinic with patients from the general OB/GYN clinic at the same institution. Data from 298 patients (149 refugee and 149 general clinic patients matched by age and date-of-visit) were analyzed. Pap smear screening rates were 90.60% in the refugee group and 73.83% in the general group [p < 0.009, aOR 3.46 (1.36–8.81)], while mammogram screening rates were 36.84% and 38.60%, respectively (p = 0.46). The provision of holistic services meeting refugee women's unique needs can effectively increase pap smear screening rates.