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Social influences on Pap smear screening frequency.
L L Frisch1, G D Allen, G Padonu
1Manistique Tribal Health Clinic, MI, USA.
Alaska Medicine
|August 5, 2000
Summary
Native American women face higher cervical cancer rates. This study found no differences in who women discussed Pap tests with, suggesting advanced practice nurses can improve screening by leveraging trusted healthcare professionals.
Area of Science:
- Public Health
- Gynecologic Oncology
- Health Disparities
Background:
- Native American women exhibit 2-5 times higher cervical cancer incidence and mortality rates compared to White women.
- Social and cultural factors significantly contribute to these disparities in cancer outcomes.
Purpose of the Study:
- To investigate differences in attitudes and social interactions regarding Pap tests between Native American women who have undergone screening and those who have not.
- To identify potential avenues for improving Pap screening rates within this population.
Main Methods:
- A study involving thirty American Indian women aged 40 and older, divided into two groups based on recent Pap test history.
- Data collection utilized chart audits and the Given's Health Belief Questionnaire.
- Analysis focused on differences in attitudes towards Pap tests and interactions with social networks concerning screening.
Main Results:
- No significant differences were observed between the groups regarding the individuals with whom they discussed Pap tests or whose opinions they valued.
- Healthcare professionals were consistently respected the most, followed by family/friends, and then co-workers/others.
- Attitudes towards Pap tests did not differ between the screened and unscreened groups.
Conclusions:
- Social interactions and respected opinions regarding Pap tests do not appear to be differentiating factors between women who are screened and those who are not.
- Advanced practice nurses are well-positioned to enhance Pap screening rates by emphasizing their role as trusted sources of information and encouragement.
- Targeted interventions focusing on the unique social and cultural contexts of Native American women are crucial for reducing cervical cancer disparities.