Sub-Saharan African immigrant women (SAI) have low Pap screening rates despite high cervical cancer risks. We examined factors influencing Pap screening uptake among SAI women. Association (using bivariate analyses and logistic regressions) between predisposing, enabling, need for care, and Pap screening variables were examined. Of 108 eligible women, 68% reported ever having had Pap screening. Certain characteristics were significantly different between women screened for cervical cancer and non-screened women. Awareness and provider’s recommendation were correlates of Pap screening for every 1-unit increase in awareness score, the odds of receiving Pap screening increased by 1.8 times (95% CI 1.32-2.52), p <.001. Women who reported receiving provider’s recommendation were 6.2 times (95% CI 1.78-21.56), p =.04 more likely to screen. These findings enhance our knowledge of Pap screening utilization among SAI. Findings may inform interventions to increase Pap screening rates for SAI.
|Number of pages||17|
|Journal||Journal of Health Care for the Poor and Underserved|
|State||Published - Aug 2019|
Bibliographical noteFunding Information:
We would like to thank all SSAI women who volunteered to participate in this study for their time. This work was supported by Geographical Management of Cancer Health Disparities Program (GMaP) region 1North University of Kentucky (National Cancer Institute Grant # 3P30CA177558-04S3) and in part by Disparities Researchers Equalizing Access for Minorities (DREAM) center, College of Nursing, University of Kentucky. The content is solely the responsibility of the authors and does not represent the official views of funding agencies.
© Meharry Medical College.
- Cervical cancer
- Pap screening
- Revised behavioral model for vulnerable populations
- Sub-Saharan African immigrants
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health