Utilization of Cervical Cancer Screening Among Hispanic Immigrant Women in Coastal South Carolina

Luque, John S.; Tarasenko, Yelena N.; Li, Hong; Davila, Caroline; Knight, Rachel N.; Alcantar, Rosa E.

doi:10.1007/s40615-017-0404-7

Cited by 8 publications

(4 citation statements)

References 35 publications

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“…major barriers to cervical cancer screening [14,15,22,37,38]. Our findings are consistent with results of a previous study using MBMT-3 data, which found that 72% of participants perceived financial barriers to screening and that uninsured women were more likely to perceive screening costs and follow-up treatment costs as barriers [39].…”

Section: Plos Onesupporting

confidence: 90%

Racial and ethnic differences in cervical cancer screening barriers and intentions: The My Body My Test-3 HPV self-collection trial among under-screened, low-income women

Zeno

Brewer²,

Spees³

et al. 2022

PLoS ONE

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Under-screened women are more likely to be diagnosed with invasive cervical cancer at later stages and have worse survival outcomes. Under- or un-insured women, low-income women, and minoritized groups face barriers to screening. Intention to screen is an indicator of future screening behavior, yet is understudied among low-income, under-screened women. Participants were 710 low-income, uninsured or publicly insured women ages 25–64 years in North Carolina who were not up to date on cervical cancer screening according to national guidelines. Participants were asked about barriers to screening and intention to screen. We estimated reported barriers to cervical cancer screening stratified by race and ethnicity (categorized as White, Black, and Hispanic) and assessed predictors of intention to screen. Sixty-one percent of all participants reported 5 or more barriers to screening. The most commonly reported reasons for not getting screened were lack of insurance (White: 71%, Black: 62%, Hispanic/Latina: 63%) and cost (White: 55%, Black: 44%, Hispanic/Latina: 61%). Women were more likely to have an intention to screen if they reported “it was not hard to get screening” (OR: 1.47 (1.00, 2.15)). Older women reported being less likely to intend to screen. Black women reported being more likely to intend to screen than White women. Lack of health insurance and cost were frequently reported barriers to cervical cancer screening. Increasing knowledge of affordable clinics and expanding access to Medicaid may reduce barriers and increase cervical cancer screening uptake.

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Section: Plos Onesupporting

confidence: 90%

Racial and ethnic differences in cervical cancer screening barriers and intentions: The My Body My Test-3 HPV self-collection trial among under-screened, low-income women

Zeno

Brewer²,

Spees³

et al. 2022

PLoS ONE

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show abstract

“…Studies have found that reports of chronic illnesses, such as hypertension, diabetes, and obesity, have a negative relationship with being up-to-date with cervical cancer screening among women in general [ 35 – 37 ], including immigrant women [ 38 ]. In contrast to earlier studies, our study found a positive relationship between having one or more chronic illnesses and cervical cancer screening.…”

Section: Discussionmentioning

confidence: 99%

The impact of medical tourism on cervical cancer screening among immigrant women in the U.S.

Jang

Meischke

2021

BMC Women's Health

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Background Research on the relationship between medical tourism—traveling abroad for healthcare and cervical cancer screening is lacking. This study examines (1) the association between medical tourism and cervical cancer screening among immigrant women and (2) whether the association varies across years in the U.S. Methods We analyzed the New Immigrant Survey data of immigrant women aged 21–65 (n = 999). The outcome was having had a Pap smear since becoming a permanent resident, and the main predictor was medical tourism. Logistic regressions were conducted. Results Immigrant women who engaged in medical tourism had higher cervical cancer screening rates compared to those who did not engage in medical tourism (84.09% vs. 71.68%). This relationship was statistically significant only among women who have recently immigrated, after controlling for covariates. Conclusions Immigrant women who engaged in medical tourism had 2.18 higher odds of receiving a Pap smear than immigrant women who did not, after controlling for other covariates. Health educators should be aware of the practice of medical tourism and consider providing education on adherence to cancer screening guidelines and follow up abnormal results to ensure that immigrant women receive continuous cancer care.

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“…Public awareness of the dangers of SHS exposure should be enhanced. In addition, it is necessary that cervical screening should be performed for married women every 3 to 5 years, depending on age and screening modality (Pap test only or combined with the HPV-DNA test, referred to as ‘co-testing’ ) 35 , in order to diagnose and intervene early, and to reduce the incidence and mortality of cervical cancer.…”

Section: Discussionmentioning

confidence: 99%

Association between secondhand smoke exposure and abnormal cervical cytology: A one-to-one matched casecontrol study

Zhou

et al. 2018

Tob. Induc. Dis.

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INTRODUCTION The aim was to evaluate the association between secondhand smoke (SHS) exposure and abnormal cervical cytology among Chinese adult women. METHODS A one-to-one matched case-control study was conducted with outpatients of the First Hospital of Jilin University between October 2013 to September 2016. In all, 228 cytologic confirmed new cases of abnormal cervical cytology and the equivalent number of age and ethnic matched controls were interviewed about SHS exposure and related factors. RESULTS Although 78.3% of all the participants had been exposed to SHS (78.1% subjects vs 78.5% controls), there were no statistical significance of cervical cytological abnormalities and SHS exposure status (never, former, current exposure), exposure intensity in cigarettes per day (none, 1–9, 10–19, and ≥20), SHS exposure duration in years (none, 1–9, 10–19, and ≥20) and the Brinkman Index (BI) (none, 1–99, 100–399, ≥400) between the two groups. The univariate analysis results showed that there were statistical differences between subjects and controls in marital status, sexual frequency in past year, number of sexual partners, age at first intercourse, age at first delivery. The stratified Cox regression model only showed that the age at first sexual intercourse was associated with the cervical cytological abnormalities (OR=1.206, 95% CI: 1.104–1.319). CONCLUSIONS Studies on the association between SHS exposure and cervical lesions have been equivocal. In this study, the SHS exposure could not be detected as an independent risk factor of abnormal cervical cytology among Chinese adult women.

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Utilization of Cervical Cancer Screening Among Hispanic Immigrant Women in Coastal South Carolina

Abstract: Differences in cervical cancer screening for participants were partially explained by psychosocial factors, health status, and individual and structural barriers to healthcare.

Cited by 8 publications

References 35 publications

Racial and ethnic differences in cervical cancer screening barriers and intentions: The My Body My Test-3 HPV self-collection trial among under-screened, low-income women

Racial and ethnic differences in cervical cancer screening barriers and intentions: The My Body My Test-3 HPV self-collection trial among under-screened, low-income women

The impact of medical tourism on cervical cancer screening among immigrant women in the U.S.

Association between secondhand smoke exposure and abnormal cervical cytology: A one-to-one matched casecontrol study

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