Journal of Community Health
Volume 42, Issue 3, 2017, Pages 583-590

Provider Perspectives on Promoting Cervical Cancer Screening Among Refugee Women (Article)

Zhang Y.* , Ornelas I.J. , Do H.H. , Magarati M. , Jackson J.C. , Taylor V.M.
  • a Family Medicine, University of Washington, UW Box 359846, 325 Ninth Ave, Seattle, WA 98104, United States
  • b Health Services, University of Washington, UW Box 359455, Seattle, WA 98105, United States
  • c Cancer Prevention, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, Seattle, WA 98109, United States
  • d School of Social Work, University of Washington, UW Box 354900, Seattle, WA 98105, United States
  • e General Internal Medicine, University of Washington, UW Box 359959, Seattle, WA 98104, United States
  • f Cancer Prevention, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N, Seattle, WA 98109, United States

Abstract

Many refugees in the United States emigrated from countries where the incidence of cervical cancer is high. Refugee women are unlikely to have been screened for cervical cancer prior to resettlement in the U.S. National organizations recommend cervical cancer screening for refugee women soon after resettlement. We sought to identify health and social service providers’ perspectives on promoting cervical cancer screening in order to inform the development of effective programs to increase screening among recently resettled refugees. This study consisted of 21 in-depth key informant interviews with staff from voluntary refugee resettlement agencies, community based organizations, and healthcare clinics serving refugees in King County, Washington. Interview transcripts were analyzed to identify themes. We identified the following themes: (1) refugee women are unfamiliar with preventive care and cancer screening; (2) providers have concerns about the timing of cervical cancer education and screening; (3) linguistic and cultural barriers impact screening uptake; (4) provider factors and clinic systems facilitate promotion of screening; and (5) strategies for educating refugee women about screening. Our findings suggest that refugee women are in need of health education on cervical cancer screening during early resettlement. Frequent messaging about screening could help ensure that women receive screening within the early resettlement period. Health education videos may be effective for providing simple, low literacy messages in women’s native languages. Appointments with female clinicians and interpreters, as well as clinic systems that remind clinicians to offer screening at each appointment could increase screening among refugee women. © 2016, Springer Science+Business Media New York.

Author Keywords

Cervical cancer Refugee health care providers Women’s health

Index Keywords

Health Personnel refugee health promotion health care personnel human Refugees statistics and numerical data early cancer diagnosis Cultural Competency Early Detection of Cancer cultural competence procedures health personnel attitude Attitude of Health Personnel United States Humans psychology male female women's health adult health education Uterine Cervical Neoplasms uterine cervix tumor

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84994752025&doi=10.1007%2fs10900-016-0292-5&partnerID=40&md5=96303830e961678084d46aa2db6fdc2d

DOI: 10.1007/s10900-016-0292-5
ISSN: 00945145
Cited by: 2
Original Language: English