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Perceptions of Cervical Cancer Screening, Screening Behavior, and Post-Migration Living Difficulties Among Bhutanese-Nepali Refugee Women in the United States.
- Source :
-
Journal of Community Health . Dec2017, Vol. 42 Issue 6, p1079-1089. 11p. - Publication Year :
- 2017
-
Abstract
- Bhutanese-Nepali refugees are one of the largest refugee groups to be resettled in the U.S. in the past decade. Cervical cancer is a leading cause of cancer disparity in this population, yet screening rates are suboptimal. Nepali-speaking interviewers administered a community health needs questionnaire to a convenience sample of Bhutanese-Nepali refugees in a Midwestern city between July to October of 2015. Descriptive statistics were used to describe socio-demographic characteristics, Pap smear beliefs, post-migration living difficulties, and screening status. Differences in Pap test uptake between groups were tested using t test and Chi square statistics. Of the 97 female participants, 44.3% reported ever having had a Pap smear. Screening rates were lowest among women who did not know English at all. Most women had positive perceptions of Pap smears (80%) and 44.4% had received a Pap test recommendation from their healthcare provider, family, or friends. Pap testing was significantly higher among those who had positive perceptions (58.3 vs. 11.1% for women of negative perception, p = 0.01) and those who had received a recommendation (87.5 vs. 18.6% for women who had no recommendations, p < 0.001). Significant predictors of having a Pap smear were having a healthcare provider/family/friends recommendation (OR 65.3, 95% CI 11.4-373.3) and greater number of post-migration living difficulties (OR 1.18, 95% CI 1.02-1.37). The results of this study have important implications for the development of cervical cancer prevention programs targeting Bhutanese-Nepali refugees. Providing cancer prevention interventions early in the resettlement process could impact Pap test uptake in this population. [ABSTRACT FROM AUTHOR]
- Subjects :
- *REFUGEES
*CHI-squared test
*CONFIDENCE intervals
*HEALTH attitudes
*NEEDS assessment
*PAP test
*QUESTIONNAIRES
*SCALE analysis (Psychology)
*STATISTICS
*T-test (Statistics)
*MULTIPLE regression analysis
*HUMAN research subjects
*PATIENT selection
*DESCRIPTIVE statistics
*EARLY detection of cancer
*ODDS ratio
*MANN Whitney U Test
Subjects
Details
- Language :
- English
- ISSN :
- 00945145
- Volume :
- 42
- Issue :
- 6
- Database :
- Academic Search Index
- Journal :
- Journal of Community Health
- Publication Type :
- Academic Journal
- Accession number :
- 125872762
- Full Text :
- https://doi.org/10.1007/s10900-017-0355-2