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Correlates of cervical cancer screening among underserved Hispanic and African-American women.
Prev Med. 2004 Sep; 39(3):465-73.PM

Abstract

BACKGROUND

Substantial subgroups of American women, specifically those of ethnic minorities, have not been screened for cervical cancer or are not screened at regular intervals. The rates for receipt of female-related cancer screening tests remain far below the goals set forth in Healthy People 2010.

OBJECTIVE

This study applied a well-known, recently revised theoretical model of health care access and utilization, the Behavioral Model for Vulnerable Populations, to examine the correlates of the adherence to cervical cancer screening guidelines among publicly housed Hispanic and African-American women, two of the most vulnerable segments of our population.

METHODS

This study conducted a cross-sectional survey of a community-based random sample of 230 African-American and Latino female heads of household, from a geographically defined area, the three urban public housing communities in Los Angeles County, CA.

RESULTS

Only 62% of our sample had received a screening for cervical cancer within the past year. Yet, 29% of the sample claimed that no health care provider had ever told them that they needed a screening test for cervical cancer. Hispanic and older women are by far less likely to adhere to screening guidelines; in this study, 51% of Hispanics and 22% of African-Americans reported no screening within the last year. Multivariate analysis shows that affordability, continuity of care, and receiving advice from health care providers regarding a Papanicolaou (Pap) smear were significant predictors of up-to-date to cervical cancer screening.

CONCLUSION

This study documents a significant disparity in screening for cervical cancer among underserved minorities, particularly Hispanic, uninsured, and older women. The continuity of obtaining medical services and receiving recommendations from physicians remain the core factors that are significantly associated with obtaining cervical cancer screening. These results underscore the need for continued efforts to ensure that medically underserved minority women have access to cancer screening services.

Authors+Show Affiliations

Department of Family Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, CA 90059, USA. mobazarg@cdrewu.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15313085

Citation

Bazargan, Mohsen, et al. "Correlates of Cervical Cancer Screening Among Underserved Hispanic and African-American Women." Preventive Medicine, vol. 39, no. 3, 2004, pp. 465-73.
Bazargan M, Bazargan SH, Farooq M, et al. Correlates of cervical cancer screening among underserved Hispanic and African-American women. Prev Med. 2004;39(3):465-73.
Bazargan, M., Bazargan, S. H., Farooq, M., & Baker, R. S. (2004). Correlates of cervical cancer screening among underserved Hispanic and African-American women. Preventive Medicine, 39(3), 465-73.
Bazargan M, et al. Correlates of Cervical Cancer Screening Among Underserved Hispanic and African-American Women. Prev Med. 2004;39(3):465-73. PubMed PMID: 15313085.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correlates of cervical cancer screening among underserved Hispanic and African-American women. AU - Bazargan,Mohsen, AU - Bazargan,Shahrzad H, AU - Farooq,Muhammad, AU - Baker,Richard S, PY - 2004/8/18/pubmed PY - 2005/4/7/medline PY - 2004/8/18/entrez SP - 465 EP - 73 JF - Preventive medicine JO - Prev Med VL - 39 IS - 3 N2 - BACKGROUND: Substantial subgroups of American women, specifically those of ethnic minorities, have not been screened for cervical cancer or are not screened at regular intervals. The rates for receipt of female-related cancer screening tests remain far below the goals set forth in Healthy People 2010. OBJECTIVE: This study applied a well-known, recently revised theoretical model of health care access and utilization, the Behavioral Model for Vulnerable Populations, to examine the correlates of the adherence to cervical cancer screening guidelines among publicly housed Hispanic and African-American women, two of the most vulnerable segments of our population. METHODS: This study conducted a cross-sectional survey of a community-based random sample of 230 African-American and Latino female heads of household, from a geographically defined area, the three urban public housing communities in Los Angeles County, CA. RESULTS: Only 62% of our sample had received a screening for cervical cancer within the past year. Yet, 29% of the sample claimed that no health care provider had ever told them that they needed a screening test for cervical cancer. Hispanic and older women are by far less likely to adhere to screening guidelines; in this study, 51% of Hispanics and 22% of African-Americans reported no screening within the last year. Multivariate analysis shows that affordability, continuity of care, and receiving advice from health care providers regarding a Papanicolaou (Pap) smear were significant predictors of up-to-date to cervical cancer screening. CONCLUSION: This study documents a significant disparity in screening for cervical cancer among underserved minorities, particularly Hispanic, uninsured, and older women. The continuity of obtaining medical services and receiving recommendations from physicians remain the core factors that are significantly associated with obtaining cervical cancer screening. These results underscore the need for continued efforts to ensure that medically underserved minority women have access to cancer screening services. SN - 0091-7435 UR - https://www.unboundmedicine.com/medline/citation/15313085/Correlates_of_cervical_cancer_screening_among_underserved_Hispanic_and_African_American_women_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0091743504002713 DB - PRIME DP - Unbound Medicine ER -