PMID: 16537302Mar 16, 2006Paper

An in-depth and updated perspective on determinants of cervical cancer screening among central Appalachian women

Women & Health
Nancy E SchoenbergAngel Rubio

Abstract

Although cervical cancer rates in the U.S. have declined sharply, certain groups remain at elevated risk, including Appalachian women. To establish culturally-relevant cervical cancer prevention programs requires a comprehensive, current understanding of the factors which influence women's decisions to undergo Pap tests. Since most studies that found low rates of Pap test use in Appalachia were carried out decades ago, an in-depth update is warranted. Local, trained interviewers conducted interviews with rarely or never screened Appalachian women from Kentucky and West Virginia. Sessions were tape recorded, transcribed, and content analyzed. Participants (N = 25) suggested the following positive influences on obtaining screening: having an orientation toward the use of preventive health services; having health insurance and access to a good medical environment; and maintaining a flexible enough schedule to keep appointments. Screening barriers included: fear of subjecting oneself to medical scrutiny because of obesity or being a smoker; inadequate health care access such as clinician shortages, scarcity of specialty providers, long travel time to services, and clinic schedules that do not accommodate working women; and lack of ...Continue Reading

Citations

Dec 22, 2010·Journal of Health Communication·Robin C Vanderpool, Bin Huang
Mar 25, 2011·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Electra D PaskettJill M Oliveri
Aug 13, 2011·Medical Anthropology Quarterly·Elaine M Drew, Nancy E Schoenberg
Dec 30, 2016·Journal of Women & Aging·Sandra BogarKirsten M M Beyer
Sep 6, 2017·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Kristen P MarkRobin C Vanderpool
Dec 19, 2009·Obesity·Jeanne M FerranteBenjamin F Crabtree
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Nov 25, 2014·The Journal of Primary Prevention·Kimberly M KellyElectra Paskett
Aug 31, 2013·The Gerontologist·Katherine R Allen, Karen A Roberto
Sep 17, 2017·Journal of Religion and Health·David Speed
Apr 29, 2021·American Journal of Health Promotion : AJHP·Jessica R ThompsonJessica G Burke

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