Hispanic Women's Breast and Cervical Cancer Knowledge, Attitudes, and Screening Behaviors

2000 ◽  
Vol 14 (5) ◽  
pp. 292-300 ◽  
Author(s):  
Amelie G. Ramirez ◽  
Lucina Suarez ◽  
Larry Laufman ◽  
Cristina Barroso ◽  
Patricia Chalela
Keyword(s):  
Cervical Cancer ◽  
Mexican Americans ◽  
Pap Smear ◽  
Puerto Ricans ◽  
Cancer Knowledge ◽  
Knowledge And Attitudes ◽  
Breast And Cervical Cancer ◽  
Screening Participation ◽  
Hispanic Populations ◽  
Screening Behaviors

Purpose. This study examined breast and cervical cancer knowledge, attitudes, and screening behaviors among different Hispanic populations in the United States. Design. Data were collected from a random digit dial telephone survey of 8903 Hispanic adults from eight U.S. sites. Across sites, the average response rate was 83%. Setting. Data were collected as part of the baseline assessment in a national Hispanic cancer control and prevention intervention study. Subjects. Analysis was restricted to 2239 Hispanic women age 40 and older who were self-identified as either Central American (n = 174), Cuban (n = 279), Mexican American (n = 1550), or Puerto Rican (n = 236). Measures. A bilingual survey instrument was used to solicit information on age, education, income, health insurance coverage, language use, U.S.-born status, knowledge of screening guidelines, attitudes toward cancer, and screening participation. Differences in knowledge and attitudes across Hispanic groups were assessed by either chi-square tests or analysis of variance. Logistic regression models assessed the influence of knowledge and attitudes on screening participation. Results. The level of knowledge of guidelines ranged from 58.3% (Mexican Americans) to 71.8% (Cubans) for mammography, and from 41.1% (Puerto Ricans) to 55.6% (Cubans) for Pap smear among the different Hispanic populations. Attitudes also varied, with Mexican Americans and Puerto Ricans having more negative or fatalistic views of cancer than Cuban or Central Americans. Knowledge was significantly related to age, education, income, language preference, and recent screening history. Overall, attitudes were not predictive of mammography and Pap smear behavior. Conclusions. Factors related to mammography and Pap smear screening vary among the different Hispanic populations. Limitations include the cross-sectional nature of the study, self-reported measures of screening, and the limited assessment of attitudes. The data and diversity of Hispanic groups reinforce the position that ethno-regional characteristics should be clarified and addressed in cancer screening promotion efforts. The practical relationships among knowledge, attitudes, and cancer screening are not altogether clear and require further research.

Pathways to Early Cancer Detection for Latinas: En Acción Contra el Cáncer

1996 ◽  
Vol 23 (1_suppl) ◽  
pp. 41-59 ◽  
Author(s):  
Eliseo J. Pérez-Stable ◽  
Regina Otero-Sabogal ◽  
Fabio Sabogal ◽  
Anna Nápoles-Springer
Keyword(s):  
Cervical Cancer ◽  
Pap Smear ◽  
Community Outreach ◽  
The United States ◽  
Screening Tests ◽  
Educational Materials ◽  
Knowledge And Attitudes ◽  
Breast And Cervical Cancer ◽  
Prevention Interventions ◽  
And Control

Latinas have less breast cancer, have more cervical cancer, and obtain fewer screening tests at recommended intervals. This article reviews the epidemiology and use of screening tests for these cancers and cultural factors that affect screening. En Acción Contra el Cáncer was designed to increase use of breast and cervical cancer screening services by distributing free cancer educational materials in Spanish, implementing a media campaign, conducting community outreach, training lay networkers, and assisting clinicians. A survey of 1,601 Latinas, 20 to 74 years old, ascertained screening behavior and knowledge and attitudes about cancer. Comparison of intervention and control cities showed significant differences in proportion insured, married, born in the United States, and less acculturated. There were no significant differences in mammography and Pap smear use, knowledge, and attitudes. Culturally appropriate prevention interventions that target ethnic-specific concerns arc needed.

scholarly journals Sources of Information that Promote Breast and Cervical Cancer Knowledge and Screening Among Native Hawaiians in Southern California

2010 ◽  
Vol 25 (4) ◽  
pp. 588-594 ◽  
Author(s):  
Jacqueline H. Tran ◽  
Michele Mouttapa ◽  
Travers Y. Ichinose ◽  
Jane Ka’ala Pang ◽  
Dawn Ueda ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Southern California ◽  
Native Hawaiians ◽  
Sources Of Information ◽  
Cancer Knowledge ◽  
Breast And Cervical Cancer

Breast and Cervical Cancer Knowledge, Beliefs, and Barriers to Screening Survey

2015 ◽  
Author(s):  
Maghboeba Mosavel ◽  
Maureen Wilson Genderson ◽  
Katie A. Ports ◽  
Kellie E. Carlyle
Keyword(s):  
Cervical Cancer ◽  
Cancer Knowledge ◽  
Barriers To Screening ◽  
Breast And Cervical Cancer ◽  
Screening Survey

scholarly journals 4262 Latinas and Cervical Cancer: A Nursing-Community Collaborative Project for Improving Health in Vulnerable Populations

2020 ◽  
Vol 4 (s1) ◽  
pp. 63-63
Author(s):  
Maria Elena Ruiz ◽  
Efrain Talamantes
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Nursing Students ◽  
Clinical Training ◽  
Pap Smear ◽  
Health Agency ◽  
Health Service Delivery ◽  
Academic Community ◽  
Student Experiences ◽  
Cancer Knowledge

OBJECTIVES/GOALS: We present findings of an academic-community health agency study that explored knowledge of cervical cancer and risks among Latinas. The collaboration between the UCLA School of Nursing and AltaMed, a community-based health organization provided diverse clinical training and opportunities to decrease disparities in marginalized communities. METHODS/STUDY POPULATION: We developed a 19-item open-ended survey guide (English/Spanish) to explore knowledge, beliefs and practices related to cervical cancer. Eight nursing students (females and males) completed a 10-week public health focused practicum at four clinical sites. Students interviewed volunteer Latinas (N = 51) and recorded their responses. Prior to surveying Latina clients, the nursing instructor developed a script and mentored the student through the recruitment process. The survey included items on the Papanicolaou exam (pap smear), the HPV, beliefs and knowledge of risks for cervical cancer and recommendations for health service delivery. RESULTS/ANTICIPATED RESULTS: The Latina participants ranged in age from 20-50s, 70% spoke English, most were US born (52%) and 29% were from Mexico. The majority had received a Pap exam (88%), but fewer understood the purpose for the Pap (72%) or the association between HPV and cervical cancer (6%). Five major themes emerged: (1) knowledge deficits regarding women’s preventive care, and the HPV vaccine; (2) limited Spanish language educational materials; (3) importance of respectful client-provider interactions; (4) modesty; and 5) scheduling appointments and the importance of a diverse workforce that understand cultural and language nuances. Recommendations included ways to improve health literacy, cervical cancer knowledge, and delivery of culturally specific health care. DISCUSSION/SIGNIFICANCE OF IMPACT: Finding highlight the importance of putting “personalismo” into practice; linking health behaviors, vaccines, and health care to addresses cervical cancer risks. The collaboration maximized student experiences with opportunities build evidence based sustainable programs for vulnerable communities.

scholarly journals Cervical cancer knowledge and screening uptake by marginalized population of women in inner-city Durban, South Africa: Insights into the need for increased health literacy

2021 ◽  
Vol 17 ◽  
pp. 174550652110471
Author(s):  
Jennifer F Ducray ◽  
Colette M Kell ◽  
Jyotika Basdav ◽  
Firoza Haffejee
Keyword(s):  
South Africa ◽  
Cervical Cancer ◽  
Inner City ◽  
Support Groups ◽  
Pap Smear ◽  
Cancer Education ◽  
Pap Smears ◽  
Cancer Knowledge ◽  
Screening Uptake ◽  
Universal Healthcare

Background: Cervical cancer in South Africa accounts for 15.85% of all female cancers and 30.29% of African female cancers, resulting in over 5000 deaths annually. South Africa’s proposed move towards universal healthcare places emphasis on health promotion through education and screening, but there is little data on the baseline levels of knowledge and screening uptake regarding cervical cancer. This study explored the levels of knowledge and screening rates of cervical cancer among vulnerable women living in the inner-city of Durban, South Africa. Methods: A mixed-method study was conducted within the context of a Women’s Health outreach initiative. Data were collected from women attending the outreach ( n = 109), many of whom were from marginalized communities. A pre-intervention survey was used to collect the data. This was followed by cervical cancer education sessions and the opportunity for a free Pap smear. Results: Knowledge of cervical cancer was low (<25%) and only a third of the women had previously been screened. After the educational sessions, 64% of women ( n = 70) took advantage of the opportunity for Pap smears, with many expressing the need for wider cervical cancer education, screening centres and support groups. Only 20% of the Pap smears were normal ( n = 14). Half of the women tested positive for infections ( n = 36; 51.4%), and a small proportion ( n = 8; 11.4%) tested positive for human papilloma virus. Abnormal cervical intra-epithelial neoplasia (CIN1 and CIN 2) were also detected in this population ( n = 12; 17.1%). Conclusion: Cervical cancer knowledge and screening among vulnerable women in Durban, South Africa, is inadequate, especially considering the high levels of abnormality found in the Pap smears. Education drives, accompanied with the provision of free testing, are required. Community health outreach initiatives in collaboration with non-government organizations set in accessible locations could be a possible course of action.

scholarly journals Cervical Cancer Knowledge and Prevention Practices among Female Civil Servants in Awka South Local Government Area, Anambra State

2021 ◽  
pp. 36-43
Author(s):  
Georgy O. Obiechina ◽  
Muo Chiamaka Euphemia
Keyword(s):  
Cervical Cancer ◽  
Local Government ◽  
Pap Smear ◽  
Scale Up ◽  
Screening Method ◽  
Local Government Area ◽  
Civil Servants ◽  
Cancer Knowledge ◽  
Chi Square ◽  
Validated Questionnaire

Background: Cervical cancer is a potentially preventable disease if appropriate screening and prophylactic strategies are employed. However, the lack of knowledge and prevention practices can result in the underutilization of preventive strategies. Objective: The objectives of this study were to determine the cervical cancer knowledge and prevention practices among female civil servants in Awka South Local Government Area. Materials and Methods: A cross-sectional research survey design was used to accomplish the purpose of the study. A self-structured and validated questionnaire was used to collect data from the sample of 335 female civil servants, while313 returned rate of female civil servants was used to analyze the data. Percentage, mean and standard deviation were used to analyze the research questions, while Chi-Square and ANOVA were used to test the hypotheses at 0.05 alpha level. Results:  Findings revealed that 194 (61.98%)  of the respondents had no knowledge of cervical cancer while 119 (38.02%)  had knowledge of cervical cancer, however, an average  weighted mean score of  x 2.63 and ± 0.95  had a positive response that using pap smear as a procedure to test for cervical cancer is the best screening method while most of the respondents revealed that it is advisable  to go for treatment once there is a sign of STDs. Chi-Square value of difference in mean knowledge of cervical cancer among female civil servants in Awka South Local Government Area revealed that the calculated X2-value yielded 257, with significant value of 0.000 is less than P-value (P<0.05). Conclusion: It was concluded that when knowledge about cervical cancer and its prevention is consistently communicated through difference media, relatively high number of females may be aware. Based on the conclusion, it was recommended, among others, the need for more sensitization campaigns to bridge the identified knowledge gaps and scale up cervical cancer screening services to all women to increase service uptake.

scholarly journals Depressive symptoms, neuroticism and participation in breast and cervical cancer screening in the UK

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C L Niedzwiedz ◽  
K A Robb ◽  
S V Katikireddi ◽  
J P Pell ◽  
D J Smith
Keyword(s):  
Breast Cancer ◽  
Cervical Cancer ◽  
Depressive Symptoms ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Breast And Cervical Cancer ◽  
Screening Participation ◽  
The Uk ◽  
Prospective Analyses

Abstract Background Globally, more than 2 million women are diagnosed with breast or cervical cancer every year. Depressive symptoms and personality traits have been implicated in cancer-related mortality, but the potential mechanisms through which these associations may operate are not well understood. We aimed to assess how depressive symptoms and neuroticism are associated with participation in breast and cervical cancer screening. Methods 273 402 women in the UK Biobank cohort who were eligible for breast cancer screening (aged 50-70 years) and/or cervical cancer screening (&lt;65 years) at baseline recruitment (2006-10) and those with follow-up data (2014-March 19) were identified. Depressive symptoms (4 items from Patient Heath Questionnaire) and neuroticism (12 items from Eysenck Personality Inventory Neuroticism Scale) were self-reported at baseline. The primary outcomes were reporting being up to date with breast and cervical cancer screening. For prospective analyses, patterns of screening participation from baseline to follow-up were derived. Logistic regression was used to analyse associations, adjusted for potential confounders. Results More severe depressive symptoms (range 0-12) were associated with reduced screening for breast (OR = 0.960, 95% CI: 0.950,0.970) and cervical cancer (OR = 0.958, 95% CI: 0.950,0.966). Prospective analyses revealed higher baseline depressive symptoms were related to decreased cervical cancer screening at follow-up (OR = 0.955, 95% CI: 0.913,0.999; equivalent to a difference of 4.08% between the highest and lowest depressive symptom score), but not with breast cancer screening. Results for overall neuroticism were inconclusive, but individual neuroticism items including anxiety and nervousness were related to increased screening participation. Conclusions More severe depressive symptoms may act as a barrier for cancer screening participation and could be an indication for more proactive strategies to improve uptake. Key messages Women with more severe depressive symptoms are less likely to be up to date with their breast and cervical cancer screening, which may exacerbate existing health inequalities. Interventions to increase screening participation among women with poor mental health may be merited.

scholarly journals Knowledge towards Cervical and Breast Cancers among Industrial Workers: Results from a Multisite Study in Northern Vietnam

2019 ◽  
Vol 16 (21) ◽  
pp. 4301 ◽  
Author(s):  
Bach Xuan Tran ◽  
Tracy Vo ◽  
Anh Kim Dang ◽  
Quang Nhat Nguyen ◽  
Cuong Tat Nguyen ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cervical Cancer ◽  
Women Workers ◽  
Breast Cancers ◽  
Industrial Workers ◽  
Cancer Knowledge ◽  
Cross Sectional ◽  
Medical Checkup ◽  
Northern Vietnam ◽  
Breast And Cervical Cancer

Breast and cervical cancer cases are rising among service and industrial women workers in Vietnam. We conducted a cross-sectional study among 287 workers in three factories in Hanoi and Bac Ninh from July to September 2018 to describe the knowledge of these cancers among industrial workers in Northern Vietnam using a structured questionnaire. Factors associated with knowledge of breast and cervical cancer were identified using generalized linear models (GLM). In our study, approximately one-third of participants believed breast cancer was caused by the lack of breastfeeding, exposure to pollution, and chemicals. Less than 50% knew about sexually transmitted infections that can cause cervical cancer or were aware of a vaccine for cervical cancer. Having one sexual partner within the last year was positively associated with having a higher score of knowledge for both diseases. Receiving a medical checkup within the last 12 months and seeking health information via the internet were related to greater breast cancer knowledge. Targeted education campaigns are needed to ensure proper knowledge and improve awareness of breast cancer and cervical cancer among industrial workers.

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