Social influences on Pap smear screening frequency

Incidence and mortality rates of cervical cancer among Native American women is two to five times that of comparable Whites. Social and cultural differences contribute to this problem. We studied thirty age 40 and older American Indian women, half of whom had obtained at least one Pap in the past three years, the other half of whom had not. We asked: Do the two groups differ in their attitudes concerning Pap tests and those with whom they interact concerning Pap tests? and: Do they interact differently with different social groups concerning Pap tests? Data were obtained from chart audits and Given's Health Belief Questionnaire. The groups did not differ as to who they discussed Pap tests with or whose opinions they respected. They respected healthcare professionals most, family/friends less, and co-workers/others least. These findings suggest that the advanced practice nurse has an opportunity to improve Pap screening rates in this population.