Journal of Immigrant and Minority Health
Volume 19, Issue 5, 2017, Pages 1088-1099

Younger Age and Health Beliefs Associated with Being Overdue for Pap Testing among Utah Latinas who were Non-Adherent to Cancer Screening Guidelines (Article)

Lai D.* , Bodson J. , Warner E.L. , Ayres S. , Mooney R. , Kepka D.
  • a Huntsman Cancer Institute, Cancer Control and Population Sciences, Salt Lake City, UT, United States, College of Nursing, University of Utah, Salt Lake City, UT, United States, Huntsman Cancer Institute, 2000 Circle of Hope, Room 4127, Salt Lake City, UT 84112, United States
  • b Huntsman Cancer Institute, Cancer Control and Population Sciences, Salt Lake City, UT, United States
  • c Huntsman Cancer Institute, Cancer Control and Population Sciences, Salt Lake City, UT, United States, College of Nursing, University of Utah, Salt Lake City, UT, United States
  • d Department of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
  • e Huntsman Cancer Institute, Cancer Control and Population Sciences, Salt Lake City, UT, United States
  • f Huntsman Cancer Institute, Cancer Control and Population Sciences, Salt Lake City, UT, United States, College of Nursing, University of Utah, Salt Lake City, UT, United States

Abstract

Factors associated with being overdue for Papanicoloau (Pap) testing in a Latina community were examined. Female participants aged ≥ 21 years, who were overdue for one or more cancer screenings (N = 206), were purposively recruited. Descriptive statistics, Fisher’s Exact Tests for count data, and multivariable logistic regressions were conducted. Participants overdue for cancer screening, aged 38–47 years demonstrated lower odds of being overdue for Pap testing compared with those 21–37 years old (OR = 0.11, 95% CI = 0.01–0.49, p = 0.01). Lower perceived susceptibility to cervical cancer (OR = 3.21, p = 0.02), and poorer perceived health (OR = 3.74, p < 0.01) was associated with being overdue for Pap testing. Cost/lack of insurance was the most common barrier reported among those overdue for Pap testing. Among an underserved population of Latinas, cost or a lack of health insurance persist as barriers to Pap testing. Evaluation of systematic barriers to accessing Pap testing for lower-income, uninsured individuals is recommended. © 2017, Springer Science+Business Media New York.

Author Keywords

Papanicolaou test Women’s health Latinas Cancer screening Healthcare disparities

Index Keywords

perception Utah human middle aged early cancer diagnosis Early Detection of Cancer ethnology Hispanic Americans Cross-Sectional Studies Self Efficacy Young Adult health care cost cross-sectional study Humans psychology Hispanic Acculturation Socioeconomic Factors female Health Expenditures socioeconomics self concept cultural factor Health Knowledge, Attitudes, Practice adult Uterine Cervical Neoplasms utilization Papanicolaou Test uterine cervix tumor attitude to health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85014076918&doi=10.1007%2fs10903-017-0559-7&partnerID=40&md5=89e25716d593e6315ca91676809e448c
DOI: 10.1007/s10903-017-0559-7
ISSN: 15571912
Cited by: 1
Original Language: English