Modifiable Barriers to Cervical Cancer Screening Adherence Among Working Women in Mexico

Wall, Kristin M.; Rocha, Georgina Mayela Núñez; Salinas-Martı́nez, Ana Marı́a; Baraniuk, Sarah; Day, R. Sue

doi:10.1089/jwh.2009.1572

Cited by 18 publications

(32 citation statements)

References 13 publications

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“…Spousal or partner disapproval has been described as an important sociocultural barrier towards screening (Wall et al, 2010). Interestingly, this was not expressed by our studied population in open interviews, and being married was associated to screening.…”

Section: Discussionmentioning

confidence: 56%

“…Although older age was associated to participation, and is directly related to gestations and parity, our observations might indicate the influence of receiving medical attention, due to obstetric reasons, including prenatal care, or for family planning. These visits to hospital facilities are important opportunities to inform the patients, and have previously been described in Mexico as a predictor of Pap smear history (HernandezAvila et al, 1998;Aguilar-Pérez et al, 2003;Wall et al, 2010). Educational level has been described as a factor associated to screening, in other regions from Mexico (Lazcano et al, 1999b;Leyva et al, 2006).…”

Section: Discussionmentioning

confidence: 96%

“…A review performed to identify factors influencing participation on screening amongst Hispanic women, showed that the most common barriers are fear of cancer, embarrassment and language barriers (Austin et al, 2002;Wall et al, 2010). Other reports have also described fear and shame amongst the barriers for screening (Byrd et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

“…The last one is important to be noticed, because a high percentage of women attending Social Security facilities are employees. Similarly, a recent publication on barriers to CC screening in Mexican working women, reported that non-users were more likely to perceive not having sufficient time to take the test than Pap users (Wall et al, 2010). Additionally, employers have to give permission to the worker to attend, and usually the day salary is deducted, which is an important socioeconomic barrier for screening (Flores and Bencomo 2009).…”

Section: Discussionmentioning

confidence: 99%

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Factors Associated with Cervical Cancer Screening Amongst Women of Reproductive Age from Yucatan, Mexico

Conde-Ferráez

Allen²,

Martinez³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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This study aimed to analyse the participation of women of reproductive age in a cancer screening program, and survey reasons for non-screening in a region from Mexico with high cervical cancer mortality. A total of 281 obstetric patients from a previous HPV study in a social security hospital during 2008-2009 were included. Reasons for not participating in the screening were directly asked. HPV positive patients were invited to participate in an informative workshop, and they filled in a knowledge questionnaire. The women ranged in age from 14-47 years; 123 (43.8%) had never participated in screening, of which 97 (78.9%) had their first sexual intercourse 2 to 10 years ago, resulting in 25% HPV positive. Screening history was strongly associated with 2 or more gestations (OR= 10.07, p=0.00) and older age (OR=6.69 p=0.00). When 197 women were contacted and interviewed, reasons referred for non-screening were ignorance, lack of interest or time, recent sexual onset, shame and fear. More than 50% of the workshop participants showed knowledge of HPV, while 38.9% and 25% knew about Pap smear and cervical cancer. A high percentage of women of reproductive age have never had a Pap smear. Promoting the screening program in medical facilities seems to be important in this population. New approaches to inform vulnerable individuals on the benefits of screening need to be implemented, especially for young women.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Factors Associated with Cervical Cancer Screening Amongst Women of Reproductive Age from Yucatan, Mexico

Conde-Ferráez

Allen²,

Martinez³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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“…Es un DS relacionado al empleo u ocupación. Al respecto la literatura coincide en asociar un mayor ingreso familiar con una mejor adherencia (5,7,11,(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23). Un estudio (20), donde se dividió a la población en tres grupos según ingreso, mostró que aquel con mayor ingreso adhería en un porcentaje significativamente mayor que los otros dos, incluso dividiéndolos según etnia.…”

Section: Determinantes Estructurales (Tabla I)unclassified

Adherencia al tamizaje de cáncer cérvicouterino: Una mirada desde el modelo de determinantes sociales de la salud

Urrutia

Gajardo

2015

Rev. chil. obstet. ginecol.

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Financiamiento: Proyecto financiado por CONICYT. FONDECYT 11130626. RESUMENAntecedentes: Los Determinantes Sociales (DS) consideran "características del contexto social que afectan la salud, así como también los mecanismos por los cuales las condiciones sociales se traducen en impactos en salud". Las intervenciones cuyo objetivo son reducir la enfermedad serán exitosas solamente cuando consideren adecuadamente los DS de salud. Objetivo: Analizar, en base a la literatura existente, el modelo de determinantes sociales de la OMS y su aplicación a la adherencia al tamizaje de cáncer cérvi-couterino (CC). Resultados: Son variados los estudios que establecen la relación entre los determinantes estructurales e intermediarios y la adherencia al tamizaje. Si bien hay estudios contradictorios, es relevante la asociación positiva entre determinantes estructurales y mayor adherencia: un mayor nivel educacional, la presencia de empleo y un mayor ingreso familiar determinan una mayor adherencia al tamizaje. Como determinantes estructurales, son varios los factores reportados, entre los que se encuentran las características del hogar, el tiempo de permanencia, las características del sistema de salud, su disponibilidad y contacto con profesionales de la salud, factores de riesgo para CC, conocimiento acerca de la enfermedad así como también las creencias, entre otras. Conclusión: Es necesario considerar la prevención de CC desde una perspectiva mucho más amplia, con un enfoque que va mas allá de los fenómenos biomédicos que la falta de adherencia al tamizaje conlleva, sino como una problemática social que explica dicho comportamiento en salud. Se sugiere que las campañas de prevención de CC consideren el enfoque de DS.PALABRAS CLAVE: Cáncer del cuello uterino, Papanicolaou, determinantes sociales de la salud SUMMARY Background: Social Determinants consider "characteristics of the social context that affect health, as well as the mechanisms by which social conditions translate into health impacts". Interventions aimed at reducing diseases will be successful only when properly considered the social determinants of health. Objective: Analyze, based on the existing literature, WHO's Social Determinants of health model and its application to cervical cancer (CC) screening adherence. Results: There are many studies that establish the relationship between structural and intermediate determinants and adherence to screening. Even though there are contradictory studies, it is important the positive association between structural determinants and greater adherence: a higher education, employment and the presence of increased house holding come determine a greater adherence to screening. As structural determinants, several factors are reported, including house hold characteristics, residence time, characteristics of the health system, availability and contact with health professionals, risk factors for cervical cancer, knowledge and beliefs of the disease,

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Reaching Rural Residents to Identify Colorectal Cancer Education and Intervention Targets

et al. 2019

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Modifiable Barriers to Cervical Cancer Screening Adherence Among Working Women in Mexico

Abstract: Identification of knowledge factors and perceptions that predict screening guideline adherence can inform population-specific recommendations to increase screening and reduce cervical cancer morbidity and mortality among employed Mexican women.

Cited by 18 publications

References 13 publications

Factors Associated with Cervical Cancer Screening Amongst Women of Reproductive Age from Yucatan, Mexico

Factors Associated with Cervical Cancer Screening Amongst Women of Reproductive Age from Yucatan, Mexico

Adherencia al tamizaje de cáncer cérvicouterino: Una mirada desde el modelo de determinantes sociales de la salud

Reaching Rural Residents to Identify Colorectal Cancer Education and Intervention Targets

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