This study, based on self-reported data from the 2014 Overseas Departments Health Barometer, aims to compare, across the Overseas Departments and in metropolitan France, the reported use of Pap smears among women aged 25 to 65, that is, those who constitute the target population for cervical cancer screening, and to identify, for each French overseas department, the factors associated with these women not having had a Pap smear in the past three years.