Correlates of pap screening among sub- Saharan African Immigrant (SAI) women

Adebola Adegboyega, Mark Dignan, Jennifer Hatcher

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


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.

Original languageEnglish
Pages (from-to)951-967
Number of pages17
JournalJournal of Health Care for the Poor and Underserved
Issue number3
StatePublished - Aug 2019

Bibliographical note

Publisher Copyright:
© 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


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