Barriers to cervical cancer screening among middle-aged and older rural appalachian women

Christina R. Studts; Yelena N. Tarasenko; Nancy E. Schoenberg

doi:10.1007/s10900-012-9639-8

Barriers to cervical cancer screening among middle-aged and older rural appalachian women

Christina R. Studts, Yelena N. Tarasenko, Nancy E. Schoenberg

Producción científica: Article › revisión exhaustiva

34 Citas (Scopus)

Resumen

Although cervical cancer rates in the United States have declined sharply in recent decades, certain groups of women remain at elevated risk, including middle-aged and older women in central Appalachia. Cross-sectional baseline data from a community-based randomized controlled trial were examined to identify barriers to cervical cancer screening. Questionnaires assessing barriers were administered to 345 Appalachian women aged 40-64, years when Papanicolaou (Pap) testing declines and cervical cancer rates increase. Consistent with the PRECEDE/PROCEED framework, participants identified barriers included predisposing, enabling, and reinforcing factors. Descriptive and bivariate analyses are reported, identifying (a) the most frequently endorsed barriers to screening, and (b) significant associations of barriers with sociodemographic characteristics in the sample. Recommendations are provided to decrease these barriers and, ultimately, improve rates of Pap tests among this traditionally underserved and disproportionately affected group.

Idioma original	English
Páginas (desde-hasta)	500-512
Número de páginas	13
Publicación	Journal of Community Health
Volumen	38
N.º	3
DOI	https://doi.org/10.1007/s10900-012-9639-8
Estado	Published - jun 2013

Nota bibliográfica

Funding Information:
Acknowledgments This project was supported by the National Cancer Institute (R01CA108696). We acknowledge and thank all Faith Moves Mountains’ community and scientific staff and participants. Last, but not least, we wish to express our appreciation to the community members who have offered extensive support to this project.

Financiación

Acknowledgments This project was supported by the National Cancer Institute (R01CA108696). We acknowledge and thank all Faith Moves Mountains’ community and scientific staff and participants. Last, but not least, we wish to express our appreciation to the community members who have offered extensive support to this project.

Financiadores	Número del financiador
National Childhood Cancer Registry – National Cancer Institute	R01CA108696
National Center for Advancing Translational Sciences (NCATS)	UL1TR000117

ASJC Scopus subject areas

Health(social science)
Public Health, Environmental and Occupational Health

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

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title = "Barriers to cervical cancer screening among middle-aged and older rural appalachian women",

abstract = "Although cervical cancer rates in the United States have declined sharply in recent decades, certain groups of women remain at elevated risk, including middle-aged and older women in central Appalachia. Cross-sectional baseline data from a community-based randomized controlled trial were examined to identify barriers to cervical cancer screening. Questionnaires assessing barriers were administered to 345 Appalachian women aged 40-64, years when Papanicolaou (Pap) testing declines and cervical cancer rates increase. Consistent with the PRECEDE/PROCEED framework, participants identified barriers included predisposing, enabling, and reinforcing factors. Descriptive and bivariate analyses are reported, identifying (a) the most frequently endorsed barriers to screening, and (b) significant associations of barriers with sociodemographic characteristics in the sample. Recommendations are provided to decrease these barriers and, ultimately, improve rates of Pap tests among this traditionally underserved and disproportionately affected group.",

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AU - Schoenberg, Nancy E.

N1 - Funding Information: Acknowledgments This project was supported by the National Cancer Institute (R01CA108696). We acknowledge and thank all Faith Moves Mountains’ community and scientific staff and participants. Last, but not least, we wish to express our appreciation to the community members who have offered extensive support to this project.

PY - 2013/6

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N2 - Although cervical cancer rates in the United States have declined sharply in recent decades, certain groups of women remain at elevated risk, including middle-aged and older women in central Appalachia. Cross-sectional baseline data from a community-based randomized controlled trial were examined to identify barriers to cervical cancer screening. Questionnaires assessing barriers were administered to 345 Appalachian women aged 40-64, years when Papanicolaou (Pap) testing declines and cervical cancer rates increase. Consistent with the PRECEDE/PROCEED framework, participants identified barriers included predisposing, enabling, and reinforcing factors. Descriptive and bivariate analyses are reported, identifying (a) the most frequently endorsed barriers to screening, and (b) significant associations of barriers with sociodemographic characteristics in the sample. Recommendations are provided to decrease these barriers and, ultimately, improve rates of Pap tests among this traditionally underserved and disproportionately affected group.

AB - Although cervical cancer rates in the United States have declined sharply in recent decades, certain groups of women remain at elevated risk, including middle-aged and older women in central Appalachia. Cross-sectional baseline data from a community-based randomized controlled trial were examined to identify barriers to cervical cancer screening. Questionnaires assessing barriers were administered to 345 Appalachian women aged 40-64, years when Papanicolaou (Pap) testing declines and cervical cancer rates increase. Consistent with the PRECEDE/PROCEED framework, participants identified barriers included predisposing, enabling, and reinforcing factors. Descriptive and bivariate analyses are reported, identifying (a) the most frequently endorsed barriers to screening, and (b) significant associations of barriers with sociodemographic characteristics in the sample. Recommendations are provided to decrease these barriers and, ultimately, improve rates of Pap tests among this traditionally underserved and disproportionately affected group.

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Barriers to cervical cancer screening among middle-aged and older rural appalachian women

Resumen

Nota bibliográfica

Financiación

ASJC Scopus subject areas

ODS de las Naciones Unidas

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