Predictors of regular Pap smears among Korean-American women
Many Korean-American women (KAW) are unaware of the importance of regular cancer screening. This research estimates rates and examines predictors of regular cervical cancer screening among KAW. Face-to-face surveys were conducted with 459 KAW residing in Maryland. Study participants were recruited t...
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Veröffentlicht in: | Preventive medicine 2003-12, Vol.37 (6), p.585-592 |
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creator | Juon, Hee-Soon Seung-Lee, Christine Klassen, Ann C |
description | Many Korean-American women (KAW) are unaware of the importance of regular cancer screening. This research estimates rates and examines predictors of regular cervical cancer screening among KAW.
Face-to-face surveys were conducted with 459 KAW residing in Maryland. Study participants were recruited through Korean churches and senior housing.
Thirty-nine percent of women had regular Pap smears. Regular Pap smear rates varied with age, with women 65 years and older least likely to have regular Pap smears. In multiple logistic regression, the strongest correlate of regular Pap smear was knowledge of guidelines. Physician recommendation, having health insurance, and having friends or family members receiving Pap smears were also important facilitators. Spoken English proficiency interacted with education for an outcome; women with a low level of education and low English proficiency had lower rates of Pap smears than those who had a high level of education and high proficiency. The most frequently given reason for lack of a regular Pap smear was a belief that screening was unnecessary if a woman had no symptoms of cervical cancer.
Strategies for education on screening guidelines, along with physician referrals, should be implemented. Culturally appropriate educational programs about cervical cancer screening should be developed for less educated and less acculturated immigrant women. |
doi_str_mv | 10.1016/j.ypmed.2003.09.006 |
format | Article |
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Face-to-face surveys were conducted with 459 KAW residing in Maryland. Study participants were recruited through Korean churches and senior housing.
Thirty-nine percent of women had regular Pap smears. Regular Pap smear rates varied with age, with women 65 years and older least likely to have regular Pap smears. In multiple logistic regression, the strongest correlate of regular Pap smear was knowledge of guidelines. Physician recommendation, having health insurance, and having friends or family members receiving Pap smears were also important facilitators. Spoken English proficiency interacted with education for an outcome; women with a low level of education and low English proficiency had lower rates of Pap smears than those who had a high level of education and high proficiency. The most frequently given reason for lack of a regular Pap smear was a belief that screening was unnecessary if a woman had no symptoms of cervical cancer.
Strategies for education on screening guidelines, along with physician referrals, should be implemented. Culturally appropriate educational programs about cervical cancer screening should be developed for less educated and less acculturated immigrant women.</description><identifier>ISSN: 0091-7435</identifier><identifier>EISSN: 1096-0260</identifier><identifier>DOI: 10.1016/j.ypmed.2003.09.006</identifier><identifier>PMID: 14636792</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Access to health care ; Adult ; Asian Americans ; Barriers ; Cross-Sectional Studies ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Knowledge ; Korea - ethnology ; Korean American ; Logistic Models ; Mass Screening ; Middle Aged ; Multivariate Analysis ; Pap smears ; Papanicolaou Test ; Physician recommendation ; Predictive Value of Tests ; Uterine Cervical Neoplasms - prevention & control ; Vaginal Smears</subject><ispartof>Preventive medicine, 2003-12, Vol.37 (6), p.585-592</ispartof><rights>2003 American Health Foundation and Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c355t-6b2d929b2bd4873ccaf57b4a6c1577f108a42c99cbdf929e6b9db6c8d5df70363</citedby><cites>FETCH-LOGICAL-c355t-6b2d929b2bd4873ccaf57b4a6c1577f108a42c99cbdf929e6b9db6c8d5df70363</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ypmed.2003.09.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14636792$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Juon, Hee-Soon</creatorcontrib><creatorcontrib>Seung-Lee, Christine</creatorcontrib><creatorcontrib>Klassen, Ann C</creatorcontrib><title>Predictors of regular Pap smears among Korean-American women</title><title>Preventive medicine</title><addtitle>Prev Med</addtitle><description>Many Korean-American women (KAW) are unaware of the importance of regular cancer screening. This research estimates rates and examines predictors of regular cervical cancer screening among KAW.
Face-to-face surveys were conducted with 459 KAW residing in Maryland. Study participants were recruited through Korean churches and senior housing.
Thirty-nine percent of women had regular Pap smears. Regular Pap smear rates varied with age, with women 65 years and older least likely to have regular Pap smears. In multiple logistic regression, the strongest correlate of regular Pap smear was knowledge of guidelines. Physician recommendation, having health insurance, and having friends or family members receiving Pap smears were also important facilitators. Spoken English proficiency interacted with education for an outcome; women with a low level of education and low English proficiency had lower rates of Pap smears than those who had a high level of education and high proficiency. The most frequently given reason for lack of a regular Pap smear was a belief that screening was unnecessary if a woman had no symptoms of cervical cancer.
Strategies for education on screening guidelines, along with physician referrals, should be implemented. Culturally appropriate educational programs about cervical cancer screening should be developed for less educated and less acculturated immigrant women.</description><subject>Access to health care</subject><subject>Adult</subject><subject>Asian Americans</subject><subject>Barriers</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Knowledge</subject><subject>Korea - ethnology</subject><subject>Korean American</subject><subject>Logistic Models</subject><subject>Mass Screening</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Pap smears</subject><subject>Papanicolaou Test</subject><subject>Physician recommendation</subject><subject>Predictive Value of Tests</subject><subject>Uterine Cervical Neoplasms - prevention & control</subject><subject>Vaginal Smears</subject><issn>0091-7435</issn><issn>1096-0260</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1PwzAMhiMEYmPwC5BQT9xanKZNFgkOaOJLTGIHOEdp4k6d2qYkLWj_no5NHDlZsp_Xlh9CLikkFCi_2STbrkGbpAAsAZkA8CMypSB5DCmHYzIFkDQWGcsn5CyEDQClHLJTMqEZZ1zIdEpuVx5tZXrnQ-TKyON6qLWPVrqLQoN67OrGtevo1XnUbXzfoK-MbqNv12B7Tk5KXQe8ONQZ-Xh8eF88x8u3p5fF_TI2LM_7mBeplaks0sJmc8GM0WUuikxzQ3MhSgpznaVGSlPYcuSQF9IW3MxtbksBjLMZud7v7bz7HDD0qqmCwbrWLbohKEGZFIzTEWR70HgXgsdSdb5qtN8qCmonTW3UrzS1k6ZAqlHamLo6rB-K3ewvc7A0And7AMcnvyr0KpgKWzOa82h6ZV3174Ef2jF-kw</recordid><startdate>20031201</startdate><enddate>20031201</enddate><creator>Juon, Hee-Soon</creator><creator>Seung-Lee, Christine</creator><creator>Klassen, Ann C</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20031201</creationdate><title>Predictors of regular Pap smears among Korean-American women</title><author>Juon, Hee-Soon ; Seung-Lee, Christine ; Klassen, Ann C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c355t-6b2d929b2bd4873ccaf57b4a6c1577f108a42c99cbdf929e6b9db6c8d5df70363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Access to health care</topic><topic>Adult</topic><topic>Asian Americans</topic><topic>Barriers</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Knowledge</topic><topic>Korea - ethnology</topic><topic>Korean American</topic><topic>Logistic Models</topic><topic>Mass Screening</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Pap smears</topic><topic>Papanicolaou Test</topic><topic>Physician recommendation</topic><topic>Predictive Value of Tests</topic><topic>Uterine Cervical Neoplasms - prevention & control</topic><topic>Vaginal Smears</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Juon, Hee-Soon</creatorcontrib><creatorcontrib>Seung-Lee, Christine</creatorcontrib><creatorcontrib>Klassen, Ann C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Preventive medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Juon, Hee-Soon</au><au>Seung-Lee, Christine</au><au>Klassen, Ann C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of regular Pap smears among Korean-American women</atitle><jtitle>Preventive medicine</jtitle><addtitle>Prev Med</addtitle><date>2003-12-01</date><risdate>2003</risdate><volume>37</volume><issue>6</issue><spage>585</spage><epage>592</epage><pages>585-592</pages><issn>0091-7435</issn><eissn>1096-0260</eissn><abstract>Many Korean-American women (KAW) are unaware of the importance of regular cancer screening. This research estimates rates and examines predictors of regular cervical cancer screening among KAW.
Face-to-face surveys were conducted with 459 KAW residing in Maryland. Study participants were recruited through Korean churches and senior housing.
Thirty-nine percent of women had regular Pap smears. Regular Pap smear rates varied with age, with women 65 years and older least likely to have regular Pap smears. In multiple logistic regression, the strongest correlate of regular Pap smear was knowledge of guidelines. Physician recommendation, having health insurance, and having friends or family members receiving Pap smears were also important facilitators. Spoken English proficiency interacted with education for an outcome; women with a low level of education and low English proficiency had lower rates of Pap smears than those who had a high level of education and high proficiency. The most frequently given reason for lack of a regular Pap smear was a belief that screening was unnecessary if a woman had no symptoms of cervical cancer.
Strategies for education on screening guidelines, along with physician referrals, should be implemented. Culturally appropriate educational programs about cervical cancer screening should be developed for less educated and less acculturated immigrant women.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>14636792</pmid><doi>10.1016/j.ypmed.2003.09.006</doi><tpages>8</tpages></addata></record> |
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subjects | Access to health care Adult Asian Americans Barriers Cross-Sectional Studies Female Health Knowledge, Attitudes, Practice Humans Knowledge Korea - ethnology Korean American Logistic Models Mass Screening Middle Aged Multivariate Analysis Pap smears Papanicolaou Test Physician recommendation Predictive Value of Tests Uterine Cervical Neoplasms - prevention & control Vaginal Smears |
title | Predictors of regular Pap smears among Korean-American women |
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