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Health Care Providers' Perspectives on Barriers and Facilitators to Cervical Cancer Screening in Vietnamese American
Connie Kim Yen Nguyen-Truong1, Dena Hassouneh2, Frances Lee-Lin2
11 College of Nursing, Washington State University, Vancouver, WA, USA.
Introduction:
Vietnamese American women (VAW) are diagnosed and die at twice the rate than White non-Hispanic American women (16.8/100,000 vs. 8.1/100,000 and 4.4/100,000 vs. 2.4/100,000, respectively). Despite efforts to increase cervical cancer (CC) screening among VAW, the participation rates are persistently low (69% to 81%). The purpose of this study was to explore health care providers' (HCPs) perspectives on barriers and facilitators to CC screening in VAW.
Method:
This qualitative descriptive pilot study, used open-ended semistructured interviews with 10 HCPs.
Results:
The HCPs had two to 23 years treating VAW. Major barriers and facilitators identified by the HCPs were as follows: VAW's decision making about CC screening; sexual health divide; language discordance, relying on interpreters; breaking suspicion; VAW's exposure to health sources of CC screening; sustainable trust; and motivated health care practices.
Discussion:
HCPs perceived the reasons for VAW not being screened or delaying CC screening were due to their lack of knowledge, cultural barriers, language, and issues related to trust.
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