Pap smear rates among Australian community-attached lesbian and bisexual women: some good news but disparities persist

Douglas, Catriona; Deacon, Rachel; Mooney-Somers, Julie

doi:10.1071/sh14210

Cited by 9 publications

(7 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…As such, SC related to sexual minority status may contribute specifically to sexual, rather than general health care underutilization. This is consistent with the finding that for many SMW, sexual and reproductive health care services are not included as a component of routine health care (Douglas, Deacon, & Mooney-Somers, 2014). It remains unclear what prevents SMW from timely accessing BCCS when they otherwise keep up with routine care, but our results suggest SC as a possible factor.…”

Section: Discussionsupporting

confidence: 91%

Section: Stigma Consciousness (Sc)supporting

confidence: 91%

See 1 more Smart Citation

Nonadherence to breast and cervical cancer screening among sexual minority women: Do stigma-related psychological barriers play a role?

Milner¹,

McNally²

2020

Health Psychology

View full text Add to dashboard Cite

Objective: Sexual minority women are at heightened risk for breast and cervical cancer and are less likely than heterosexual women to obtain timely screenings for breast and cervical cancer. This study tested hypotheses about potential factors that contribute to nonadherence to these screenings among sexual minority women. Method: Sexual minority women living in the United States aged 18 to 74 who met other eligibility criteria (n ϭ 1,115) were recruited to complete an online questionnaire. Screening utilization, demographic information, sexual orientation, and health care indicators were collected. Variables linked to minority stress were assessed: stigma consciousness, internalized homophobia, rejection sensitivity, fear of negative evaluation, and concealment of sexual orientation from one's health care provider. Logistic regression models tested whether these psychological variables were independently associated with nonadherence for Papanicolaou (Pap) test and breast cancer screening. Results: The variable of concealment had the strongest positive independent association with failure to obtain timely Pap tests. Among women who had a general physical in the last year, concealment, stigma consciousness, rejection sensitivity, and fear of negative evaluation were all positively associated with lower rates of timely Pap tests. Among all women, these psychological variables were positively associated with never obtaining a Pap test and concealment was also negatively associated with clinical breast exam adherence. Conclusions: Psychological barriers and concealment of sexual identity may hinder adherence to screening guidelines among some sexual minority women. Strategies facilitating positive experiences of disclosure to health care providers and addressing psychological factors related to minority stress could promote adherence.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Stigma Consciousness (Sc)supporting

confidence: 91%

Nonadherence to breast and cervical cancer screening among sexual minority women: Do stigma-related psychological barriers play a role?

Milner¹,

McNally²

2020

Health Psychology

View full text Add to dashboard Cite

show abstract

“…To the best of our knowledge, this is the first study to examine the cervical cancer screening and HPV vaccination rates among SMW in Korea, especially with respect to the sex of their sexual partners. In this study, the rate of cervical cancer screening among Korean SMW in the last two years was lower than that of the general population or that of SMW in western countries, which was reported to be between 43% and 69% [7,12,24]. Our findings are consistent with those of previous reports, which showed that the screening rate of SMW was lower than that of the general population [5,25].…”

Section: Discussionsupporting

confidence: 91%

Cervical Cancer Screening and Human Papillomavirus Vaccination among Korean Sexual Minority Women by Sex of Their Sexual Partners

Kim

Lee

Choi-Kwon

2020

IJERPH

View full text Add to dashboard Cite

Cervical cancer-preventive behaviors in Korean sexual minority women (SMW) are underexplored. We aimed to assess the differences in cervical cancer screening uptake and completion of human papillomavirus (HPV) vaccination among Korean SMW by sex of their sexual partners. This cross-sectional study used data from the 2017 Korean Sexual Minority Women’s Health Study; we included Korean lesbian and bisexual women aged ≥20 years. They were divided into three groups: SMW with more than one male sexual partner (male only/both), SMW with only female sexual partners (female-only), or no sexual partner (no partner). Among the 671 participants, 266 (39.6%), 294 (43.8%), and 111 (16.5%) belonged to the male-only/both, female-only, and no partner groups, respectively. Compared to the male-only/both group, the female-only group was significantly less likely to have undergone cervical cancer screening (Adjusted odds ratio (AOR) = 0.24, 95% confidence interval (CI) = 0.15–0.37) and to have completed HPV vaccinations (AOR = 0.58, 95% CI = 0.37–0.91). In conclusion, Korean SMW with only female sexual partners had lower cervical cancer screening and HPV vaccination completion rates than SMW who had male sexual partners. More extensive efforts are needed to improve cervical cancer-preventive behaviors among Korean SMW.

show abstract

“…Similarly, nearly two of five GBQ men in 2019 reported weekly binge drinking (38.2%), nearly one-quarter at least monthly (24.5%), and a slightly smaller proportion (22.4%) binge drinking once or twice in the previous six months (Broady et al, 2019). Compared to national guidelines for cancer screening, community health surveys reported that 34% of LBQ women were overdue to attend cervical cancer screening; that is, they were last screened more than three years ago, never had engaged with screening or were not sure when they last engaged with screening (Douglas et al, 2015;Mooney-Somers et al, 2018).…”

Section: What Does This Paper Add To This Topic?mentioning

confidence: 99%

Targeting cancer prevention and screening interventions to LGBTQ communities: A scoping review

Drysdale

Cama

Botfield

et al. 2020

Health Soc Care Community

View full text Add to dashboard Cite

Cancer continues to be a leading cause of death worldwide. The World Health Organization estimated 18.1 million new cases and 9.6 million cancer deaths in 2018 (World Health Organization 2018).Some cancers, such as anal, cervical, colorectal, endometrial, breast, lung and prostate, may be more prevalent or at least equal to the general adult population in some communities of lesbian, gay, bisexual, transgender, queer/questioning, and other gender and sexuality diverse people (LGBTQ)

show abstract

Pap smear rates among Australian community-attached lesbian and bisexual women: some good news but disparities persist

Cited by 9 publications

References 24 publications

Nonadherence to breast and cervical cancer screening among sexual minority women: Do stigma-related psychological barriers play a role?

Nonadherence to breast and cervical cancer screening among sexual minority women: Do stigma-related psychological barriers play a role?

Cervical Cancer Screening and Human Papillomavirus Vaccination among Korean Sexual Minority Women by Sex of Their Sexual Partners

Targeting cancer prevention and screening interventions to LGBTQ communities: A scoping review

Contact Info

Product

Resources

About