Journal of Transcultural Nursing
Volume 30, Issue 1, 2019, Pages 55-63

Facilitators and Barriers of Cervical Cancer Screening and Human Papilloma Virus Vaccination Among Somali Refugee Women in the United States: A Qualitative Analysis (Article)

Allen E.M.* , Lee H.Y. , Pratt R. , Vang H. , Desai J.R. , Dube A. , Lightfoot E.
  • a St. Catherine University, St. Paul, MN, United States
  • b University of Alabama, Tuscaloosa, AL, United States
  • c University of Minnesota, Minneapolis, MN, United States
  • d University of Minnesota, St. Paul, MN, United States
  • e HealthPartners Institute, Bloomington, MN, United States
  • f Brian Coyle Center, Minneapolis, MN, United States
  • g University of Minnesota, St. Paul, MN, United States

Abstract

Introduction: Eastern Africa has the highest rates of cervical cancer incidence (42.7 per 100,000) and mortality (27.6 per 100,000), substantially higher than worldwide incidence (14.0 per 100,000) and mortality (6.8 per 100,000). The purpose of this study was to explore facilitators and barriers to cervical cancer screening and human papilloma virus (HPV) vaccination among Somali refugee women and their children. Method: Focus group discussions were conducted in August of 2016. Investigators performed systematic, comparative, and thematic data analyses. Results: The 31 Somali refugee participants ranged from 23 to 64 years old. Four major themes emerged: (1) knowledge, (2) facilitators, (3) decision making, and (4) views on intervention strategies. Doctor recommendation and family support were important facilitators. Community education was the most popular strategy in promoting screening and vaccine uptake. Discussion: Multilevel targeted interventions should increase knowledge and include family members to increase cervical cancer screening and HPV vaccination uptake in the Somali community. © The Author(s) 2018.

Author Keywords

Women’s health health disparities focus group analysis maternal/child Refugees and asylum seekers clinical areas oncology/hematology

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85053402497&doi=10.1177%2f1043659618796909&partnerID=40&md5=7bcab3dd21ccabe833d95b11d9c3c5af
DOI: 10.1177/1043659618796909
ISSN: 10436596
Cited by: 1
Original Language: English