Reducing cervical cancer among First Nations women

Area of Science:

• Public Health
• Indigenous Health
• Oncology

Background:

• First Nations women in British Columbia exhibit a 4-6 times higher mortality rate from cervical cancer compared to the general population.
• Participation in the provincial Cervical Cytology Screening Program (CCSP) is less frequent among First Nations women.
• Difficulties in accessing culturally safe and respectful healthcare services are prevalent for this demographic.

Purpose of the Study:

• To highlight the critical disparities in cervical cancer mortality and screening participation among First Nations women in British Columbia.
• To underscore the need for culturally appropriate healthcare services for Indigenous populations.
• To emphasize the role and responsibility of nurses in addressing these health inequities.

Main Methods:

• This study is a review of existing data and literature concerning cervical cancer screening and outcomes for First Nations women in British Columbia.
• Analysis of participation rates in the Cervical Cytology Screening Program (CCSP).
• Examination of qualitative factors influencing healthcare access and utilization.

Main Results:

• First Nations women experience disproportionately high mortality rates from cervical cancer.
• Lower and less regular engagement with the CCSP was observed in this population.
• Significant challenges exist in obtaining culturally safe and consistent healthcare.

Conclusions:

• The elevated cervical cancer mortality among First Nations women is a critical public health concern requiring immediate intervention.
• Addressing barriers to culturally safe care and improving screening program accessibility are essential.
• Nurses have a pivotal role in advocating for and providing equitable healthcare to First Nations communities.