Table 2.

Barriers and Enablers to Pap Test Screening Identified by Focus Group Participants

BarriersEnablers
Note: the items in this table are presented in no particular order.
Economic, insurancePhysician-based
Patient factors    Female
Low personal priority    Generalist
    Fear    Specialist
    Embarrassment and discomfort (the “yucky” factor)    Good skill in communication and listening
    FatalismReminder systems
    Time/scheduling    Insurance
    Confidentiality    Office-based
    Prior sexual abuse    Patient
Physician and staff factorsFree clinics, health department
    Reluctance/not approachableContraception prescribing
    SchedulingParent encouragement
    Time constraintsPublic education
    Lack of continuity    Books
    Media