Southeast Asian women have higher invasive cervical cancer incidence rates and lower Pap testing frequencies than most other racial/ethnic groups in the United States.
However, there is little information about the cervical cancer screening behavior of Cambodian-American women.
Cambodian residents of Seattle were surveyed in person during late 1997 and early 1998.
The PRECEDE model was used to guide the development of items that assessed predisposing, reinforcing, and enabling factors associated with cervical cancer screening participation.
The estimated overall survey response was 72%. Four hundred thirteen women completed our questionnaire.
Approximately one-quarter (24%) of the respondents had never had a Pap test, and over one-half (53%) had not been screened recently.
The following variables were positively associated with a history of at least one Pap smear : younger age, greater number of years since immigration, belief about Pap testing for postmenopausal women, prenatal care in the United States, and physician recommendation.
Women who believed in karma were less likely to have ever been screened for cervical cancer than those who did not.
Six variables independently predicted recent screening :
beliefs about regular checkups, cervical cancer screening for sexually inactive women, and the prolongation of life ;
having a female doctor ;
and a previous physician recommendation for Pap testing. (...)
Mots-clés Pascal : Tumeur maligne, Col utérus, Programme sanitaire, Dépistage, Participation, Epidémiologie, Evaluation, Homme, Femelle, Etats Unis, Amérique du Nord, Amérique, Asiatique, Immigration, Appareil génital femelle pathologie, Col utérus pathologie, Ethnie
Mots-clés Pascal anglais : Malignant tumor, Uterine cervix, Sanitary program, Medical screening, Participation, Epidemiology, Evaluation, Human, Female, United States, North America, America, Asiatic, Immigration, Female genital diseases, Uterine cervix diseases, Ethnic group
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0413575
Code Inist : 002B20C02. Création : 22/03/2000.