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Adverse Childhood Experiences and Preventive Cervical Cancer Screening Behavior
Arica A Brandford, Elizabeth Nancy Williams, Gang Han
1University of North Texas in Fort Worth.
Oncology Nursing Forum
|October 24, 2023
Summary
A history of adverse childhood experiences (ACEs) is linked to lower rates of cervical cancer screening. Trauma-informed care is recommended to improve screening uptake in survivors.
Area of Science:
- Public Health
- Epidemiology
- Preventive Medicine
Background:
- Adverse Childhood Experiences (ACEs) can negatively impact long-term health behaviors.
- Cervical cancer screening is crucial for early detection and prevention.
Purpose of the Study:
- To investigate the association between ACEs and cervical cancer screening uptake.
- To determine if the number and type of ACEs predict screening adherence.
Main Methods:
- Analysis of data from 11,042 adults in the 2020 Texas Behavioral Risk Factor Surveillance System survey.
- Logistic regression and chi-square analyses to assess relationships between ACEs and screening.
- Used U.S. Preventive Services Task Force guidelines for screening recommendations.
Main Results:
- Individuals with 1-3 ACEs and those with 6+ ACEs were less likely to receive recommended cervical cancer screenings.
- A history of physical ACEs increased the likelihood of not receiving screening by 3.88 times.
Conclusions:
- Adverse Childhood Experiences are associated with reduced cervical cancer screening.
- Implementing trauma-informed care is essential to encourage screening and prevent patient retraumatization.
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