Journal of Immigrant and Minority Health
Volume 18, Issue 6, 2016, Pages 1404-1412

Non-utilization of the Pap Test Among Women with Frequent Health System Contact (Article)

Ogunwale A.N. , Sangi-Haghpeykar H. , Montealegre J. , Cui Y. , Jibaja-Weiss M. , Anderson M.L.*
  • a Department of Obstetrics and Gynecology, Baylor College of Medicine, One Baylor Plaza, BCM611, Houston, TX 77030, United States
  • b Department of Obstetrics and Gynecology, Baylor College of Medicine, One Baylor Plaza, BCM611, Houston, TX 77030, United States
  • c Department of Pediatrics-Oncology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, United States
  • d Department of Obstetrics and Gynecology, Baylor College of Medicine, One Baylor Plaza, BCM611, Houston, TX 77030, United States
  • e Dan L. Duncan Cancer Center, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, United States
  • f Department of Obstetrics and Gynecology, Pathology and Immunology, Dan L. Duncan Cancer Center, Center for Reproductive Biology, Baylor College of Medicine, One Baylor Plaza, BCM 611, Houston, TX 77030, United States

Abstract

Despite improvements in health access, many underserved women abstain from cervical cancer screening. A self-administered questionnaire was used to identify factors determining whether medically underserved women attending a safety net health system regularly are screened for cervical cancer. Approximately 11 % of study subjects had never received a Pap test despite an average of nearly four clinic visits in the preceding 12 months. Never screeners were significantly younger, more likely to be Hispanic, non-U.S. born and less likely to have healthcare continuity. In multivariable analysis, odds for never screening were independently lower among women with male partner support (aOR 0.29) and physician’s recommendation for screening (aOR 0.34) and higher among women who believed screening visits are too long (aOR 2.53). Educating male partners of Hispanic and immigrant women in addition to addressing recognized situational barriers may help to improve cervical cancer screening rates. © 2015, Springer Science+Business Media New York.

Author Keywords

Cervical cancer Non-utilization Never-screened Male-partner support Pap test

Index Keywords

Safety-net Providers Spouses human middle aged statistics and numerical data early cancer diagnosis social support Early Detection of Cancer ethnology procedures Hispanic Americans Cross-Sectional Studies cross-sectional study migrant Humans Hispanic Emigrants and Immigrants female Socioeconomic Factors spouse socioeconomics Health Knowledge, Attitudes, Practice safety net hospital adult age Age Factors Uterine Cervical Neoplasms Papanicolaou Test patient attitude utilization uterine cervix tumor Patient Acceptance of Health Care attitude to health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84944691709&doi=10.1007%2fs10903-015-0287-9&partnerID=40&md5=7d0fdefcc1157dad1edf6e419d7ecaea
DOI: 10.1007/s10903-015-0287-9
ISSN: 15571912
Cited by: 2
Original Language: English