Document Detail


Pap screening goals and perceptions of pain among black, Latina, and Arab women: steps toward breaking down psychological barriers.
MedLine Citation:
PMID:  23288606     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Understanding women's psychological barriers to getting Papanicolaou (Pap) screening has potential to impact cancer disparities. This study examined pain perceptions of Pap testing among black, Latina, and Arab women and goal setting to receive Pap tests. Data on 420 women, in a longitudinal study, were analyzed using Chi-square tests of differences and generalized linear mixed models. At baseline, 30.3 % of black and 35.5 % of Latina women perceived Pap tests to be very painful compared to 24.2 % of Arab women. Perceptions of pain influenced goal settings, such as scheduling a first ever Pap test (odds ratio=0.58, 95 % confidence interval 0.14-0.94). Immediately following the intervention, women's perception that Pap tests are very painful significantly declined (P value <0.001) with Arab and black women registering the greatest improvements (20.3 and 17.3 % reduction, respectively, compared to 8.4 % for Latina). Having the perception that the Pap test is very painful significantly reduces the likelihood of black, Latina, and Arab women setting the goal to schedule their first ever Pap test. Latina women are the least likely to improve their perception that the Pap test is very painful, though national statistics show they have the highest rates of morbidity and mortality from cervical cancer. These findings are instructive for designing tailored interventions to break down psychological barriers to Pap screening among underserved women.
Authors:
Julie W Gauss; Athur Mabiso; Karen Patricia Williams
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of cancer education : the official journal of the American Association for Cancer Education     Volume:  28     ISSN:  1543-0154     ISO Abbreviation:  J Cancer Educ     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-05-28     Completed Date:  2013-10-17     Revised Date:  2014-06-03    
Medline Journal Info:
Nlm Unique ID:  8610343     Medline TA:  J Cancer Educ     Country:  England    
Other Details:
Languages:  eng     Pagination:  367-74     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
African Americans / psychology*
Aged
Arabs / psychology*
Emigrants and Immigrants / psychology*
Female
Goals
Health Knowledge, Attitudes, Practice*
Health Literacy
Health Status Disparities
Hispanic Americans / psychology*
Humans
Longitudinal Studies
Middle Aged
Pain Perception*
Papanicolaou Test*
Patient Acceptance of Health Care / ethnology*,  psychology*
United States
Uterine Cervical Neoplasms / ethnology*,  prevention & control,  psychology*
Vaginal Smears / psychology*,  utilization
Young Adult
Grant Support
ID/Acronym/Agency:
R21 NR010366/NR/NINR NIH HHS; R21NR010366/NR/NINR NIH HHS
Comments/Corrections

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