Cervical cancer among Vietnamese women: Efforts to define the problem among Houston's population

Chilton, Janice A.; Gor, Beverly; Hajek, Richard A.; Jones, Lovell A.

doi:10.1016/j.ygyno.2005.07.084

Cited by 20 publications

(21 citation statements)

References 6 publications

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“…Similarly, women's perceived barriers to screening were reduced following participation in the educational program. Key concerns that a Pap test will be painful or embarrassing were reduced post-education, which is important given prior studies that found these concerns to be common among Asian women and negatively affect their participation in cervical cancer screening [22,23]. The program also resulted in substantial reductions in perceived access and healthcare system barriers, although over 15% of women in the intervention group continued to report language barriers and nearly 11% indicated that lack of transportation to the clinic was a barrier to obtaining a Pap test.…”

Section: Discussionmentioning

confidence: 99%

Community-Based Cervical Cancer Education: Changes in Knowledge and Beliefs Among Vietnamese American Women

et al. 2019

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Low cervical cancer screening rates among Vietnamese American women have been attributed, in part, to inadequate knowledge about cervical cancer and health beliefs that hinder screening. A community-based educational program was developed to improve knowledge and attitudes toward cervical cancer screening in this underserved population. It was hypothesized that the program would result in increases in knowledge, as well as enhanced health beliefs and self-efficacy toward obtaining cervical cancer screening. Using a group-randomized design, 1488 women from 30 Vietnamese community-based organizations were assigned to either the intervention (n=816) or control (n=672) conditions. The intervention group received cervical cancer education delivered by bilingual community health educators. Intervention content addressed individual beliefs and expectancies regarding cervical cancer screening (e.g., perceived risk of developing cervical cancer; perceived benefits and barriers to screening; social and cultural norms regarding

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Section: Discussionmentioning

confidence: 99%

Community-Based Cervical Cancer Education: Changes in Knowledge and Beliefs Among Vietnamese American Women

et al. 2019

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“…This study, specifically found that “not knowing the screening center location” was a common barrier. Many other studies in Africa [12, 14] and in female immigrants and minority groups in the United States [20, 21] found this to also be a common theme in women’s lack of awareness regarding screening. Many studies also cited reasons related to husbands not giving consent for screening [12, 22–27] which was very marginal in our study, with only one participant out of the 351 having mentioned this reason as a barrier to her screening for cervical cancer.…”

Section: Discussionmentioning

confidence: 99%

Barriers to Cervical Cancer Screening in Burkina Faso: Needs for Patient and Professional Education

et al. 2015

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Background Cervical cancer is among the leading causes of cancer deaths for women in low-income African countries, such as Burkina Faso. Given that cervical cancer is a preventable disease through early detection and vaccination, this study aimed at understanding the barriers to cervical cancer early detection in Ouagadougou, the capital city of Burkina Faso. Women seeking screening and treatment for cervical cancer (n=351) during the period of May-August 2014, at the Yalgado Ouedraogo University Hospital were interviewed about their knowledge, attitudes, and practices toward cervical cancer. Interview questions elicited information about socio-demographic of participants, history of screening, knowledge of cervical cancer, and attitudes toward cervical screening. Scores were assigned to responses of questions and knowledge and tertites of distributions were used for comparison. A multivariate logistic regression was performed to predict cervical screening. Results Study participants were relatively young (37.5 ± 10.7 years), predominately resident of urban areas (83.8%), and over half had no or less than high school education. Over 90% of participants had heard about cervical cancer and about 55% of them had intermediate level knowledge of the disease, its screening, and/or risk factors. Knowledge level was lower among rural than urban residents. Predictors of screening included higher level of education (OR=2.2; 95% CI: 1.48–3.23), older age (OR=1.1; 95% CI: 1.06–1.12), higher socioeconomic standard (SES) (OR=1.5; 95% CI: 1–2.37), urban residence (OR= 2.0; 95% CI: 1.19–3.25), encouragement for screening by a healthcare worker (1.98; 95% CI: 1.06–3.69) and employment (OR=1.9; 95% CI: 1.13–3.11). Conclusion Low awareness and socioeconomic barriers lead to underutilization of screening services of women. Motivation and education by healthcare workers are important factors for increasing screening rates. Organized patient and professional education programs in gynecologic services are warranted for improving screening in Burkina Faso and other low-resources countries in Africa.

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“…Prevention, it has been argued, “is a Western concept that the Vietnamese community has not yet adopted” [28]. Thus, even if access to physicians were improved, Vietnamese American women likely would not take full advantage of increased opportunities for preventive care.…”

Section: Discussionmentioning

confidence: 99%

Prioritizing Prevention: Culture, Context, and Cervical Cancer Screening among Vietnamese American Women

Gregg

Nguyen-Truong

Wang

et al. 2011

J Immigrant Minority Health

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Few studies have investigated what Vietnamese American women believe about the Pap smear or how those beliefs might influence behavior. Thirty-one Vietnamese American women recruited through snowball sampling were interviewed about their beliefs regarding the Pap smear. Interviews were qualitatively analyzed using a theoretically informed, inductive approach. The women interviewed emphasized the importance of primary prevention of disease through culturally-informed personal health regimens. They were also largely unfamiliar with the Pap smear, but believed that gynecological exams in general were effective and necessary for disease detection. Finally, when access to gynecological care was difficult, women's faith in their own preventive behaviors helped alleviate their concerns over lack of care. While culturally associated beliefs do not simply "cause" Vietnamese American women to seek or avoid Pap smears, they do influence screening behaviors to a greater or lesser degree, depending on other contextual variables.

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Cervical cancer among Vietnamese women: Efforts to define the problem among Houston's population

Cited by 20 publications

References 6 publications

Community-Based Cervical Cancer Education: Changes in Knowledge and Beliefs Among Vietnamese American Women

Community-Based Cervical Cancer Education: Changes in Knowledge and Beliefs Among Vietnamese American Women

Barriers to Cervical Cancer Screening in Burkina Faso: Needs for Patient and Professional Education

Prioritizing Prevention: Culture, Context, and Cervical Cancer Screening among Vietnamese American Women

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