Cervical Cancer Beliefs and Pap Test Screening Practices Among Chinese American Immigrants

2007 ◽  
Vol 34 (6) ◽  
pp. 1203-1209 ◽  
Author(s):  
Frances Lee-Lin ◽  
Marjorie Pett ◽  
Usha Menon ◽  
Sharon Lee ◽  
Lillian Nail ◽  
...  
2007 ◽  
Vol 36 (3) ◽  
pp. 212-221 ◽  
Author(s):  
Frances Lee‐Lin ◽  
Usha Menon ◽  
Marjorie Pett ◽  
Lillian Nail ◽  
Sharon Lee ◽  
...  

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 322
Author(s):  
Kehinde S. Okunade ◽  
Omolola Salako ◽  
Adebola A. Adejimi ◽  
Oluwatosin J. Akinsola ◽  
Omolara Fatiregun ◽  
...  

Background: Incidence and mortality from cervical cancer have remained high due to many obstacles facing the implementation of organized screening programs in resource-constrained countries such as Nigeria. The application of mobile technologies (mHealth) to health services delivery has the potential to reduce inequalities, empower patients to control their health, and improve the cost-effectiveness of health care delivery. Aim: To assess the efficacy of mobile technology intervention on Pap test screening adherence compared to a control condition and also determine the factors affecting the uptake of Pap smear screening practices among women in Lagos. Methods: This is a multi-center randomized controlled trial that will involve women aged 25 to 65 years attending the General Outpatient clinics of the two tertiary health institutions in Lagos, Nigeria between April and December 2020. At baseline, a total of 200 National Health Insurance Scheme (NHIS) enrollees will be randomized to either a text message arm or usual care (control) arm. The primary outcome is the completion of a Pap smear within 6 months of enrolment in the study. The associations between any two groups of continuous variables will be tested using the independent sample t-test (normal distribution) or the Mann-Whitney U test (skewed data) and that of two groups of categorical variables with Chi-square X2or Fisher's exact test where appropriate. Using binary logistic regression model, we will adjust for age and other relevant sociodemographic and clinical variables and adherence to Pap test screening. Statistical significance will be defined as P-value less than 0.05. Discussion: The mHealth-Cervix study will evaluate the impact of mobile technologies on cervical cancer screening practices in Lagos, Nigeria as a way of contributing to the reduction in the wide disparities in cervical cancer incidence through early detection facilitated using health promotion to improve Pap smear screening adherence. Registration: PACTR202002753354517 13/02/2020


2021 ◽  
Author(s):  
Mariana T. Rezende ◽  
Andrea G. C. Bianchi ◽  
Cláudia M. Carneiro

2020 ◽  
Author(s):  
Anna-Barbara Moscicki ◽  
Heike Thiel de Bocanegra ◽  
Charlene Chang ◽  
Christine Dehlendorf ◽  
Miriam Kuppermann ◽  
...  

Sexual Health ◽  
2010 ◽  
Vol 7 (3) ◽  
pp. 338 ◽  
Author(s):  
Charlene Wong ◽  
Zahava Berkowitz ◽  
Mona Saraiya ◽  
Louise Wideroff ◽  
Vicki B. Benard

Background: US cervical cancer screening recommendations have not changed since the human papillomavirus (HPV) vaccine introduction in 2006, but epidemiological and cost-effectiveness studies indicate that recommendations will need to change for fully vaccinated women. We evaluated physician intentions regarding HPV vaccine’s impact on future screening. Methods: A nationally representative sample of 1212 primary care physicians was surveyed in 2006–2007 (response rate: 67.5%). Our study included 1114 physicians who provided Pap testing. Questions covered Pap test screening practices and intentions regarding HPV vaccine’s impact on screening. Distribution differences were assessed using χ2 statistics; multivariate analyses were performed. Results: Overall, 40.7% (95% confidence interval (CI): 37.6–43.8%) of physicians agreed that the HPV vaccine will affect screening initiation, and 38.2% (35.0–41.5%) agreed that vaccination will affect screening frequency. Significant differences in responses were found by specialty; internists were more likely to agree that vaccination would impact screening than other specialties. Belief in the effectiveness of new screening technologies was associated with intention to change screening initiation (odds ratio (OR) = 1.66 (1.20–2.31)) and frequency (OR = 1.99 (1.40–2.83)). Adherence to current Pap test screening interval guidelines was associated with intention to change screening frequency (OR = 1.39 (1.01–1.91)). Conclusions: Many providers anticipate adjusting screening for vaccinated women, but a significant group believes nothing will change or are unsure. The present study provides important baseline data on intentions in the period preceding widespread vaccine diffusion and may help explain current and future trends in practice patterns.


2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e15537-e15537 ◽  
Author(s):  
Patricia Moretto ◽  
Christina M. Canil ◽  
Johanne Ingrid Weberpals

e15537 Background: Medical literature shows that marital status serves as an important factor which influences the likelihood of women undergoing cervical cancer screening. In Canada, women have universal access to health care as well as cancer screening facilities. This study was conducted to determine the association between adequate Pap test screening (APT) and marital status, stratified by age, and the prevalence of APT among the Canadian women. Methods: Data for the analysis were obtained from the Canadian Community Health Survey (CCHS), a national cross-sectional study, conducted during 2007 and 2008. The analysis included 22,530 women who were 18 to 69 years of age. The regression model used accounted for potential effect modification and confounders to assess the association between marital status (being married), and adequate cervical cancer screening (APT). Results: The weighted prevalence of APT was 75%, and was higher among married women (79%). The group with APT had a higher weighted prevalence of presence of a regular doctor, were white, had higher educational level and were non-obese, in comparison to the group with inadequate pap test (IPT). After adjusting for covariates, stratifying by age and weighting for the general population, married women, in the age groups 18-29 (RR 1.32, 95% CI 1.27;1.37), 40-49 (RR 1.07, 95% CI 1.03;1.12) and 60-69 years (RR 1.10, 95% CI 1.02;1.2) had a statistically significant increase in the risk of APT compared to non-married women. Conclusions: Marital status is associated with an increase in adequate Pap test screening in almost all age groups of the Canadian female population. This finding reinforces that providers of cancer screening services should target their efforts to improve the results among non-married women.


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