An in-depth and updated perspective on determinants of cervical cancer screening among central Appalachian women

被引:40
作者
Schoenberg, NE
Hopenhayn, C
Christian, A
Knight, EA
Rubio, A
机构
[1] Univ Kentucky, Dept Behav Sci, Lexington, KY 40536 USA
[2] Univ Kentucky, Coll Publ Hlth, Dept Epidemiol, Lexington, KY 40536 USA
[3] Univ Kentucky, Markey Canc Control Program, Lexington, KY 40536 USA
[4] Univ Kentucky, Appalachian Ctr, Lexington, KY 40536 USA
关键词
Appalachia; rural women; attitudes/perceptions; cervical cancer; screening;
D O I
10.1300/J013v42n02_06
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Although cervical cancer rates in the U.S. have declined sharply, certain groups remain at elevated risk, including Appalachian women. To establish culturally-relevant cervical cancer prevention programs requires a comprehensive, Current understanding of the factors which influence women's decisions to undergo Pap tests. Since most studies that found low rates of Pap test use in Appalachia were carried Out decades ago, an in-depth update is warranted. Local, trained interviewers conducted Interviews with rarely or never screened Appalachian women from Kentucky and West Virginia. Sessions were tape recorded, transcribed, and content analyzed. Participants (N = 25) suggested the following positive influences on obtaining screening: having an orientation toward the use of preventive health services; having health insurance and access to a good medical environment; and maintaining a flexible enough schedule to keep appointments. Screening barriers included: fear of subjecting oneself to medical scrutiny because of obesity or being a smoker, inadequate health care access such as clinician shortages, scarcity of specialty providers, long travel time to services, and clinic schedules that do not accommodate working women; and lack of providers' recommendations. Rarely mentioned were sonic previously reported factors including male relatives' refusal to permit Pap tests, concern over privacy, and lack of belief in Pap tests.
引用
收藏
页码:89 / 105
页数:17
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