Screening for cervical cancer among Israeli lesbian women

Ben-Natan, Merav; Adir, Orit

doi:10.1111/j.1466-7657.2009.00728.x

Cited by 28 publications

(26 citation statements)

References 29 publications

(60 reference statements)

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“…Prior studies document that sexual minority youth do not have as much support from family and heterosexual peers around sexuality issues[26] and they do not believe they are at risk for abnormal Pap tests and STI diagnoses due to their sexual orientation,[27] which might lead to lower rates of sexual health screenings like Pap smears and STI tests. Less social support,[26] lower risk perceptions,[27] or an initial adverse experience like a clinician assuming a particular sexual orientation which is also linked to poorer reproductive health outcomes[13] could lead to infrequent care and higher abnormal Pap test and HPV diagnoses rates.…”

Section: Discussionmentioning

confidence: 99%

“…Less social support,[26] lower risk perceptions,[27] or an initial adverse experience like a clinician assuming a particular sexual orientation which is also linked to poorer reproductive health outcomes[13] could lead to infrequent care and higher abnormal Pap test and HPV diagnoses rates. All of these mechanisms should be explored in future research.…”

Section: Discussionmentioning

confidence: 99%

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Reproductive Health Screening Disparities and Sexual Orientation in a Cohort Study of U.S. Adolescent and Young Adult Females

Charlton

Corliss

Missmer

et al. 2011

Journal of Adolescent Health

136

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Purpose To examine sexual orientation group disparities in Pap and STI/HPV tests among adolescents and young adult females. Methods Survey data from 4,224 adolescents and young adults aged 17-25 who responded to the 2005 wave questionnaire of the Growing Up Today Study were examined cross-sectionally with multivariable generalized estimating equations regression. We examined associations between sexual orientation and reproductive health care utilization as well as abnormal results with completely heterosexuals as the referent group, controlling for age, race/ethnicity, geographic region, and sexual history. Results After accounting for sociodemographics and sexual history, mostly heterosexual/bisexual females had 30% lower odds of having a Pap test within the last year and almost 40% higher odds of being diagnosed with an STI, as compared to the completely heterosexual group. Additionally, lesbians had very low odds of having a Pap test in life (OR=.13, p-value=<.0001) and having a Pap test within the last year (OR=.25, p-value=.0002), compared to completely heterosexuals. Conclusions Our study demonstrates that sexual minority adolescent and young adult women underutilize routine reproductive health screenings including Pap smears and STI tests. Providers and health educators should be aware of these disparities so that they can provide appropriate care to young women and their families and ensure that all young women receive reproductive health screening. Further research is needed to explore reasons sexual minority females are not accessing care as recommended since this may suggest opportunities to improve reproductive health screenings as well as broader health care access issues.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Reproductive Health Screening Disparities and Sexual Orientation in a Cohort Study of U.S. Adolescent and Young Adult Females

Charlton

Corliss

Missmer

et al. 2011

Journal of Adolescent Health

136

View full text Add to dashboard Cite

show abstract

“…Cervical cancer is the second leading cause of death worldwide and the tenth leading cause of cancer-related deaths among women in the United States (Ben-Natan, & Adir, 2009). Despite, fully preventable, cervical cancer is a major health problem in developing countries (Sankaranarayanan et al, 2008 ;Tristen et al, 1996;Abdullahi, 2009;Akbari et al, 2010).…”

Section: Pap Smear As a Cervical Cancer Screening Testmentioning

confidence: 99%

Predictors of Cervical Cancer Screening: An Application of Health Belief Model

Tavafian¹

2012

Topics on Cervical Cancer With an Advocacy for Prevention

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“…Later, the model was extended to study peoples' responses to symptoms and their behaviors in response to diagnosed illness, specially adherence to medical regimens [16]. This model aims to explain preventive health behaviors rather than behaviors in time of illness [17].…”

Section: Introductionmentioning

confidence: 99%

Cervical Cancer and Screening Test (PAP Test): Knowledge and Beliefs of Egyptian Women

Yakout¹

2016

AJNS

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Abstract:Cervical cancer is the fourth most common cancer in women, and the seventh overall, with an estimated 528,000 new cases in 2012. In Egypt the incidence of cervical cancer is 866 per year where mortality rate is 373 per year. The current study aims to determine women's beliefs and knowledge towards cervical cancer and Pap smear. The study was conducted at the outpatient obstetrics clinics of two hospitals namely El-Mainshawy health insurance Hospital, and El -Aiada El-Shamela at Tanta governorate. The study subjects comprised 1000 women attending the above mentioned settings two tools were used: An interview assessment sheet and the Health Believe Model (HBM). Results of the current study illustrated that Out of the 1,000 women interviewed, (68.0%) could know the definition of cervical cancer and related to a virus as its causative agent. About 95% of the women did not have an idea of the risk factors for cervical cancer, the knowledge about Pap test is quite poor, only 13.3% identify Pap smear test while 86.7% had no idea at all. In terms of the perceived benefits of Pap test, about 50.3% of the participants believed that Pap tests are the best way to detect cervical cancer, 42.9% believed that cervical cancer can be cured easily if detected early, and 62% disagree that a Pap test is important for save their health. The present study concluded that inefficient utilization of cervical cancer and its screening test would be affected by poor knowledge and negative beliefs related to cervical cancer screening in women. It was recommended that development of effective intervention programs strategies for Egyptian women and identify those women who are most at risk for cervical cancer and would benefit from intervention programs to increase cervical cancer screening rates.

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Screening for cervical cancer among Israeli lesbian women

Abstract: Effective strategies for nurses promoting cervical cancer screening among lesbians should address ways to improve familiarity with Pap smear tests, raise physicians' awareness of offering the test to lesbians and emphasize the importance of women-based medical teams.

Cited by 28 publications

References 29 publications

Reproductive Health Screening Disparities and Sexual Orientation in a Cohort Study of U.S. Adolescent and Young Adult Females

Reproductive Health Screening Disparities and Sexual Orientation in a Cohort Study of U.S. Adolescent and Young Adult Females

Predictors of Cervical Cancer Screening: An Application of Health Belief Model

Cervical Cancer and Screening Test (PAP Test): Knowledge and Beliefs of Egyptian Women

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