Predictors of papanicolaou smear use among American Samoan women

Mishra, Shiraz I.; Luce-Aoelua, Pat H.; Hubbell, F. Allan

doi:10.1046/j.1525-1497.2001.00119.x

Cited by 24 publications

(23 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Women with less income and education are known to have lower cervical cancer screening rates relative to their more affluent and more educated peers, [31][32][33][34][35][36] a disparity that is evident even within a universal health care system, such as Ontario's. Research has also suggested that married women are more likely to be screened, [37][38][39][40][41][42] which is consistent with our finding that women who were less likely to be screened were also less likely to be in a married or common-law relationship. These women might perceive themselves as not being at risk of cervical cancer, but current guidelines recommend triennial screening for all women who have ever been vaginally sexually active.…”

Section: Cmaj Opensupporting

confidence: 91%

Screening for cervical cancer in women with disability and multimorbidity: a retrospective cohort study in Ontario, Canada

et al. 2014

View full text Add to dashboard Cite

Background: People with disability, multiple chronic conditions or both may experience challenges in accessing primary care. We aimed to determine the association between appropriate cervical cancer screening and level of disability among women eligible for screening in Ontario and the influence of relevant sociodemographic and health-related variables, including level of morbidity (measured by number of chronic conditions), on screening. Methods:We used multiple linked databases, including 2 waves of the Canadian Community Health Survey (2005 and 2007/08). Of the 22 824 women included in the study, 7600 reported some level of disability. We used Ontario Health Insurance Plan fee codes to identify appropriate cervical cancer screening.Results: Compared with women without disability, women with disability were older, less educated, had lower income and had more chronic conditions (36.2% had at least 2 conditions v. 8.4% of women without disability). Women with no disability and no chronic conditions were more frequently screened appropriately than those with severe disability and 2 or more chronic conditions (64.5% v. 39.8%). In multivariable logistic regression analysis, age, rurality, education, marital status and household income were each independently associated with cervical cancer screening. There was a significant interaction between level of morbidity and level of disability. Women with a higher level of disability were less likely to be screened than women with lower level of disability as their level of morbidity increased. Conclusion:The rate of screening for cervical cancer is low among women with both disability and multimorbidity. Policymakers should note these results as they work toward improving cancer screening rates for an aging population with complex medical needs. AbstractCMAJ OPEN, 2(4) E241

show abstract

Section: Cmaj Opensupporting

confidence: 91%

Screening for cervical cancer in women with disability and multimorbidity: a retrospective cohort study in Ontario, Canada

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Examining individual consequences, we found that utilities for the three positive consequences of Pap testing (namely 'Detecting cervical cancer early', 'Peace of mind', and 'Protecting my family') were higher among women who had a Pap test in the past three years compared with those who had not. The Decision making for Pap testing among Pacific Islander women effect of the latter consequence is consistent with previous research that has found family values to be a strong predictor of having a Pap test [28]. We also found that three purportedly negative consequences (Feeling discomfort, Feeling embarrassed, Feeling scared) have utilities near zero, suggesting that they contribute little to the decision.…”

Section: Discussionsupporting

confidence: 90%

Decision making for Pap testing among Pacific Islander women

et al. 2016

View full text Add to dashboard Cite

This study employed a Multi-Attribute Utility (MAU) model to examine the Pap test decisionmaking process among Pacific Islanders (PI) residing in Southern California. A total of 585 PI women were recruited through social networks from Samoan and Tongan churches, and Chamorro family clans. A questionnaire assessed Pap test knowledge, beliefs and past behaviour. The three MAU parameters of subjective value, subjective probability and momentary salience were measured for eight anticipated consequences of having a Pap test (e.g., feeling embarrassed, spending money). Logistic regression indicated that women who had a Pap test (Pap women) had higher total MAU utility scores compared to women who had not had a Pap test within the past three years (No Pap women) (adjusted Odds Ratio ¼ 1.10). In particular, Pap women had higher utilities for the positive consequences 'Detecting cervical cancer early, Peace of mind, and Protecting my family', compared to No Pap women. It is concluded that the connection between utility and behaviour offers a promising pathway toward a better understanding of the decision to undergo Pap testing.

show abstract

“…10 To date, disparity studies and interventions in the US have largely focused on cancer screening and prevention in both Pacific Islander and Asian American communities. 9,[11][12][13][14] While these may continue to be important disparities in these groups, increased recognition of the linked epidemics of obesity and diabetes in Pacific Islanders, similar to that in many nations across the Pacific where these communities originate, 15,16 underscores the need for interventions aimed at reducing these specific Pacific Islander disparities in the US. In particular our finding that BMI, but not smoking, largely mediates the differences in reporting chronic diseases between Pacific Islanders and Asian Americans highlights the specific disparitypromoting impact that obesity may have for Pacific Islanders in the US.…”

Section: Discussionmentioning

confidence: 99%