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Provider Perspectives on Promoting Cervical Cancer Screening Among Refugee Women.

Ying Zhang1, India J Ornelas2, H Hoai Do3

  • 1Family Medicine, University of Washington, UW Box 359846, 325 Ninth Ave, Seattle, WA, 98104, USA. zhangy07@uw.edu.

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Refugee women need cervical cancer screening education soon after resettlement. Addressing cultural barriers and using targeted health messages can improve screening rates for this vulnerable population.

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Area of Science:

  • Public Health
  • Gynecologic Oncology
  • Health Disparities

Background:

  • Refugee women often immigrate from high-incidence cervical cancer regions.
  • Pre-resettlement cervical cancer screening is uncommon for refugee women.
  • National guidelines recommend timely screening post-resettlement.

Purpose of the Study:

  • To explore healthcare and social service providers' views on promoting cervical cancer screening for refugees.
  • To inform the development of effective screening programs for recently resettled refugee women.

Main Methods:

  • Qualitative study utilizing 21 in-depth key informant interviews.
  • Participants included staff from refugee resettlement agencies, community organizations, and healthcare clinics.
  • Thematic analysis of interview transcripts.

Main Results:

  • Refugee women lack familiarity with preventive care and cancer screening.
  • Providers expressed concerns regarding the optimal timing for education and screening.
  • Linguistic and cultural barriers significantly affect screening uptake.
  • Provider and clinic system factors can facilitate screening promotion.
  • Identified strategies for effective health education delivery.

Conclusions:

  • Refugee women require accessible health education on cervical cancer screening during early resettlement.
  • Consistent messaging and culturally appropriate resources, such as videos in native languages, are crucial.
  • Facilitating factors include female clinicians, interpreters, and reminder systems for providers to offer screening.