Cervical Screening in Canadian First Nation Cree Women

O’Brien, Beverley; Mill, Judy; Wilson, Tina

doi:10.1177/1043659608322418

Cited by 28 publications

(52 citation statements)

References 15 publications

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“…We found that Inuit women had a strong preference for having cervical cancer screening performed by female health practitioners and that they wanted explanations to be given to them throughout the Pap smear examination. These preferences were also shown among Aboriginal populations in Canada and the United States (17,25). When planning health services these concepts should be kept in mind, as Coe et al (16) found that Pap smear adherence was lower among women who reported that they would refuse a male provider.…”

Section: Discussionmentioning

confidence: 68%

Inuit women's attitudes and experiences towards cervical cancer and prevention strategies in Nunavik, Quebec

Cerigo

Macdonald

Franco

et al. 2012

International Journal of Circumpolar Health

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Objectives To describe the attitudes about and experiences with cervical cancer, Pap smear screenings and the HPV vaccine among a sample of Inuit women from Nunavik, Quebec, Canada. We also evaluated demographic and social predictors of maternal interest in HPV vaccination. Study design A mixed method design was used with a cross-sectional survey and focus group interviews. Methods Women were recruited through convenience sampling at 2 recruitment sites in Nunavik from March 2008 to June 2009. Differences in women's responses by age, education, and marital status were assessed. Unconditional logistic regression was used to determine predictors of women's interest in HPV vaccination for their children. Results Questionnaires were completed by 175 women aged 18–63, and of these women a total of 6 women aged 31–55 participated in 2 focus groups. Almost half the survey participants had heard of cervical cancer. Women often reported feelings of embarrassment and pain during the Pap smear and older women were more likely to feel embarrassed than younger women. Only 27% of women had heard of the HPV vaccine, and 72% of these women were interested in vaccinating their child for HPV. No statistically significant predictors of maternal interest in HPV vaccination were found. Conclusions Our findings indicate that health service planners and providers in Nunavik should be aware of potential barriers to Pap smear attendance, especially in the older age groups. Given the low awareness of cervical cancer, the Pap smear and the HPV vaccine, education on cervical cancer and prevention strategies may be beneficial. 1

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Section: Discussionmentioning

confidence: 68%

Inuit women's attitudes and experiences towards cervical cancer and prevention strategies in Nunavik, Quebec

Cerigo

Macdonald

Franco

et al. 2012

International Journal of Circumpolar Health

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“…Having to wait for results prolonged anxiety until the ‘all clear’ was given . Other factors that enhanced anxiety about cancer were recalls, only being contacted if further tests were needed (which created prolonged anxiety about having missed the call), and unclear communication of results including benign findings, which put some people off reattending screening, sometimes permanently: ‘The doctor [said] oh it's just calcium deposits—which took 30 years off my life’ . Thus, some people use screening to reduce cancer fear, but the screening test itself is also fear provoking.…”

Section: How Do I Keep the Enemy At Bay?mentioning

confidence: 99%

What do people fear about cancer? A systematic review and meta‐synthesis of cancer fears in the general population

Vrinten¹,

McGregor²,

Heinrich³

et al. 2016

Psycho-Oncology

150

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BackgroundCancer has long inspired fear, but the effect of fear is not well understood; it seems both to facilitate and to deter early diagnosis behaviours. To elucidate fear's behavioural effects, we systematically reviewed and synthesised qualitative literature to explore what people fear about cancer.MethodsWe searched Medline, Embase, PsycInfo, Web of Science, AnthroSource, and Anthrobase for studies on cancer fear in breast, cervical, and colorectal cancer screening and analysed 102 studies from 26 countries using thematic synthesis.ResultsFears of cancer emanated from a core view of cancer as a vicious, unpredictable, and indestructible enemy, evoking fears about its proximity, the (lack of) strategies to keep it at bay, the personal and social implications of succumbing, and fear of dying from cancer.ConclusionsThis view of cancer as ‘an enemy’ reprises the media's ‘war on cancer’ theme and may affect the acceptance of cancer early detection and prevention messages, since cancer's characteristics influenced whether ‘fight’ or ‘flight’ was considered appropriate.

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“…Most screening studies intended to increase cancer screening rates focus on specific vulnerable and marginalized populations known to have low cancer screening rates [2-10], such as: immigrants [11-17], ethnic minorities [2,11,15,18,19], underserved populations [20,21], uninsured [11,18,20], individuals with mental health issues [22-24], indigenous populations [4,15,25,26] and rural residents [15,27,28]. These vulnerable and marginalized populations tend to be localized geographically, resulting in community or neighbourhood level studies designed to inform changes at the local level and to be generalizable to other vulnerable and marginalized populations in other geographic locations.…”

Section: Introductionmentioning

confidence: 99%

Who are the under- and never- screened for cancer in Ontario: a qualitative investigation

et al. 2014

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BackgroundObserved breast, cervical and colon cancer screening rates are below provincial targets for the province of Ontario, Canada. The populations who are under- or never-screened for these cancers have not been described at the Ontario provincial level. Our objective was to use qualitative methods of inquiry to explore who are the never- or under-screened populations of Ontario.MethodsQualitative data were collected from two rounds of focus group discussions conducted in four communities selected using maps of screening rates by dissemination area. The communities selected were archetypical of the Ontario context: urban, suburban, small city and rural. The first phase of focus groups was with health service providers. The second phase of focus groups was with community members from the under- and never- screened population. Guided by a grounded theory methodology, data were collected and analyzed simultaneously to enable the core and related concepts about the under- and never-screened to emerge.ResultsThe core concept that emerged from the data is that the under- and never-screened populations of Ontario are characterized by diversity. Group level characteristics of the under- and never- screened included: 1) the uninsured (e.g., Old Order Mennonites and illegal immigrants); 2) sexual abuse survivors; 3) people in crisis; 4) immigrants; 5) men; and 6) individuals accessing traditional, alternative and complementary medicine for health and wellness. Under- and never-screened could have one or multiple group characteristics.ConclusionThe under- and never-screened in Ontario comprise a diversity of groups. Heterogeneity within and intersectionality among under- and never-screened groups adds complexity to cancer screening participation and program planning.

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Cervical Screening in Canadian First Nation Cree Women

Abstract: Challenges faced by First Nation Cree women when contemplating cervical screening are presented. Nursing sensitivity is needed to strategize access to cervical screening that is culturally appropriate.

Cited by 28 publications

References 15 publications

Inuit women's attitudes and experiences towards cervical cancer and prevention strategies in Nunavik, Quebec

Inuit women's attitudes and experiences towards cervical cancer and prevention strategies in Nunavik, Quebec

What do people fear about cancer? A systematic review and meta‐synthesis of cancer fears in the general population

Who are the under- and never- screened for cancer in Ontario: a qualitative investigation

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