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Decision making for Pap testing among Pacific Islander women
Jie W Weiss1, Michele Mouttapa2, Lola Sablan-Santos3
1Department of Health Science, California State University, Fullerton jweiss@fullerton.edu jweiss@fullerton.edu.
Health Education Research
|October 17, 2016
Summary
Pacific Islander women
Area of Science:
- Public Health
- Health Behavior
- Medical Decision Making
Background:
- Cervical cancer screening is crucial for early detection.
- Understanding decision-making for Pap tests among Pacific Islanders (PI) is vital.
- Limited research exists on PI women's Pap test behavior.
Purpose of the Study:
- To analyze the Pap test decision-making process in Pacific Islander women.
- To identify factors influencing Pap test uptake using a Multi-Attribute Utility (MAU) model.
Main Methods:
- Recruited 585 PI women in Southern California via social networks.
- Assessed Pap test knowledge, beliefs, and behavior using questionnaires.
- Applied MAU model to measure subjective values, probabilities, and salience of anticipated consequences.
Main Results:
- Women who underwent Pap tests had higher total MAU utility scores (aOR=1.10).
- Pap test users valued 'Detecting cervical cancer early,' 'Peace of mind,' and 'Protecting my family' more highly.
- Higher utility scores correlated with higher Pap test adherence.
Conclusions:
- The MAU model effectively explains Pap test decision-making.
- Utility and behavior are linked, offering insights into screening adherence.
- Targeted interventions can leverage perceived benefits to increase Pap test rates.
