Perceived Barriers to Pap Screening Influence Adherence to Screening Recommendations Among Black Women.

IF 3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL Journal of women's health Pub Date : 2024-11-01 Epub Date: 2024-06-05 DOI:10.1089/jwh.2023.1024
Adebola Adegboyega, JungHee Kang, Adaeze Aroh, Lovoria B Williams
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Abstract

Objectives: The aim of this study was to determine the Health Belief Model (HBM) constructs associated with Pap screening adherence among a sample of African American and sub-Saharan African immigrant women in the United States. Methods: A descriptive cross-sectional study was conducted via an online survey. Participants were recruited from central Kentucky counties. Ninety-one eligible women participated (mean age 38 ± 12 years), 49.5% identified as African American. Twenty-nine percent indicated never being screened or not being up-to-date. Self-reported demographic data, HBM constructs for Pap screening, and Pap screening history were collected. Bivariate and logistic regressions were performed. Results: There was a significant negative association between perceived barriers and being up-to-date. For every one-point increase in perceived barriers, the odds of being up-to-date decreased by 81%, (p = 0.004; CI: 0.06-0.60), findings from further evaluation of the barrier construct showed that barriers significantly associated with screening include items related to lack of knowledge about where to get a Pap screening, lack of time to attend the screening, screening-associated shame and pain, negligence, and age. There were no other significant HBM constructs associated with up-to-date Pap screening status. There was no difference in perceived barriers between African American and sub-Saharan African women. Conclusions: Despite public health efforts to decrease screening barriers, a perception of barriers exists among Black women. Continued efforts to address screening barriers as well as the perception of barriers are warranted among Black women.

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黑人妇女对子宫颈抹片筛查的认知障碍影响了对筛查建议的依从性。
研究目的本研究旨在确定在美国的非裔美国人和撒哈拉以南非洲移民妇女样本中,与坚持巴氏筛查相关的健康信念模型(HBM)结构。研究方法通过在线调查进行了一项描述性横断面研究。参与者来自肯塔基州中部各县。符合条件的 91 名妇女参加了调查(平均年龄为 38 ± 12 岁),49.5% 的妇女被认定为非洲裔美国人。29%的人表示从未接受过筛查或没有接受过最新筛查。收集了自我报告的人口统计学数据、子宫颈抹片筛查的 HBM 结构和子宫颈抹片筛查史。进行了二元回归和逻辑回归。结果显示感知障碍与是否及时接受检查之间存在明显的负相关。对障碍结构的进一步评估结果显示,与筛查显著相关的障碍包括:不知道去哪里做巴氏筛查、没有时间参加筛查、与筛查相关的羞耻感和痛苦、疏忽和年龄。没有其他重要的 HBM 构建与最新的巴氏筛查状况相关。非裔美国妇女和撒哈拉以南非洲妇女在感知障碍方面没有差异。结论:尽管公共卫生部门为减少筛查障碍做出了努力,但黑人妇女仍然认为存在筛查障碍。有必要在黑人妇女中继续努力解决筛查障碍以及对障碍的认知问题。
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来源期刊
Journal of women's health
Journal of women's health 医学-妇产科学
CiteScore
6.60
自引率
5.70%
发文量
197
审稿时长
2 months
期刊介绍: Journal of Women''s Health is the primary source of information for meeting the challenges of providing optimal health care for women throughout their lifespan. The Journal delivers cutting-edge advancements in diagnostic procedures, therapeutic protocols for the management of diseases, and innovative research in gender-based biology that impacts patient care and treatment. Journal of Women’s Health coverage includes: -Internal Medicine Endocrinology- Cardiology- Oncology- Obstetrics/Gynecology- Urogynecology- Psychiatry- Neurology- Nutrition- Sex-Based Biology- Complementary Medicine- Sports Medicine- Surgery- Medical Education- Public Policy.
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