Social Construction of Cervical Cancer Screening Among Panamanian Women

Calvo, Arlene; Brown, Kelly; McDermott, Robert J.; Bryant, Carol A.; Coreil, Jeanine; Loseke, Donileen R.

doi:10.1080/19325037.2012.10599232

Cited by 6 publications

(11 citation statements)

References 41 publications

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“…This quantitative study builds on a previous qualitative study conducted in Panama [3] and practice experiences in Latin America. Community-based participatory processes were used to guide the study.…”

Section: Methodsmentioning

confidence: 99%

“…A moral component including judgments about social class, ignorance towards health-promoting behaviors, and promiscuity has also been examined, such as an emphasis on monogamy among women and permissible promiscuity among men [14]. Moreover, preliminary data suggest that Panamanian women do not seek screening services even when these services are available at low cost or free of charge and structural factors are addressed (e.g., transportation, accessibility) [3]. Thus, an assumption underlying this study was that knowledge and sociocultural factors are more prominent in influence cancer screening behaviors compared to structural factors among Panamanian women.…”

Section: Introductionmentioning

confidence: 97%

“…Latin America has one of the highest cervical cancer prevalence rates worldwide, with an age-adjusted annual prevalence of 44.4/100,000, far above that of North America (9.5/100,000) [3,5]. The Pan-American Health Organization (PAHO) calculates that, in 2012, over 83,000 women were diagnosed with cervical cancer and almost 36,000 died from this disease in the region of the Americas [6].…”

Section: Introductionmentioning

confidence: 98%

“…Knowledge and sociocultural factors have been found to affect cancer screening practices among Latinas, including but not limited to: seeking screening services only when not feeling healthy; engaging in unhealthy lifestyle behaviors (e.g., smoking, poor nutrition); and attitudes and beliefs adversely affecting health-promoting behaviors [3,7,13]. A moral component including judgments about social class, ignorance towards health-promoting behaviors, and promiscuity has also been examined, such as an emphasis on monogamy among women and permissible promiscuity among men [14].…”

Section: Introductionmentioning

confidence: 99%

“…Globally, cervical cancer is of public health importance, particularly in developing countries where 80 % of cases occur [1,2]. Annually, over 470,000 cases of cervical carcinoma are reported and, of these, over 273,000 women die in developing countries [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Knowledge, Behavioral, and Sociocultural Factors Related to Human Papillomavirus Infection and Cervical Cancer Screening Among Inner-City Women in Panama

et al. 2015

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Cervical cancer remains a leading cause of mortality in developing countries regardless of biomedical advances in prevention modalities. Specifically, Panama experiences one of the highest rates of cervical cancer worldwide. The objective of this study was to explore knowledge, behavioral, and sociocultural factors related to cervical cancer prevention among Panamanian women. A theory-guided, population-based quantitative survey following participatory processes was administered to a randomized sample of females (18-44 years) residing in a high-risk Panamanian community. Participants (n = 324) reported low knowledge regarding HPV, cervical cancer, and the purpose of the Pap test. Furthermore, low perceived susceptibility, high-risk sexual behaviors (e.g., low contraception and condom use) and adverse attitudes toward the Pap test (e.g., shame, fear) were identified. Television, newspapers/magazines, and relatives/friends/neighbors were common sources to receive health information. Significant gaps in knowledge and behavioral factors were identified, which may interfere with cervical cancer prevention efforts. Future strategies should reflect the sociocultural context, such as interpersonal relations, when developing and implementing cervical cancer programs, with the ultimate goal of decreasing the persistent burden among Latin American women.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Knowledge, Behavioral, and Sociocultural Factors Related to Human Papillomavirus Infection and Cervical Cancer Screening Among Inner-City Women in Panama

et al. 2015

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Barriers and facilitators to cervical cancer screening in high incidence populations: A synthesis of qualitative evidence

Driscoll

2015

Women & Health

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Despite the efficacy and availability of screening and treatment for cervical cancer, it remains the leading cause of death for women in many low resource countries. The inability or reluctance of women to use screening and treatment is the largest contributor to cervical cancer morbidity and mortality. The aim of the author in this article is to determine knowledge, attitudes, and beliefs that facilitate or hinder women's use of screening in high incidence countries through a synthesis of qualitative research. CINAHL, Medline, AnthroSource, Sociological Abstracts, Social Service Abstracts, GenderWatch, Ethnic News Watch, and ASSIA databases were queried for qualitative research published from 2008 to 2013. Ten studies meeting inclusion criteria were reviewed and analyzed using constant comparative analysis. Barriers to cervical cancer screening included fatalism, mistrust of non-traditional healthcare providers, masculine/feminine beliefs, limited knowledge, and misunderstandings of causes of cervical cancer. Facilitators included knowledge of sexual risk factors, recognition of signs and symptoms, and community/social support. Pragmatic solutions suggested by this synthesis, that may decrease barriers and enhance facilitators, involved cultural humility (a continual commitment to cultural competence), promotion of gender equality, collaboration among stakeholders, and the translation of evidence-based practices from low to high incidence populations.

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Understanding Cervical Cancer Screening among Latinas through the Lens of Structure, Culture, Psychology and Communication

Chen

Moran

Frank

et al. 2018

Journal of Health Communication

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This study explored how structural and cultural forces work together with psychological and communication factors in influencing Pap test compliance among Latinas in Los Angeles County, a group who face health disparities related to cervical cancer screening, incidence and mortality. By adopting a multilevel approach to obtain a grounded understanding of this issue, this work revealed that structural barriers, fatalism, religious service attendance, perceived susceptibility, perceived costs, and cues to action from health care providers are all associated with Pap test compliance. Financial barriers also influence compliance, with underinsurance having a stronger negative impact compared to no insurance at all. These findings provide insights into how communication efforts can be strategically designed to address both individual- and system-level barriers to promote health-seeking behaviors among Latinas, and potentially among other population groups experiencing health disparities due to similar reasons.

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Social Construction of Cervical Cancer Screening Among Panamanian Women

Cited by 6 publications

References 41 publications

Knowledge, Behavioral, and Sociocultural Factors Related to Human Papillomavirus Infection and Cervical Cancer Screening Among Inner-City Women in Panama

Knowledge, Behavioral, and Sociocultural Factors Related to Human Papillomavirus Infection and Cervical Cancer Screening Among Inner-City Women in Panama

Barriers and facilitators to cervical cancer screening in high incidence populations: A synthesis of qualitative evidence

Understanding Cervical Cancer Screening among Latinas through the Lens of Structure, Culture, Psychology and Communication

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