Differences in Cervical Cancer Screening Between African-American Versus African-Born Black Women in the United States

Journal of Immigrant and Minority Health
Alison Forney-Gorman, Katy B Kozhimannil

Abstract

Although the incidence of cervical cancer has been declining steadily since the Pap smear became standard of care in the U.S., many African immigrants are unfamiliar with this screening test and its potential benefits. Using data from the CDC's National Health Interview Surveys, we identified respondents who were black women living in the United States, distinguishing U.S.-born (n = 620) and African-born (n = 36). We constructed a measure of current Pap status and used multivariate logistic regression models to compare Pap status between the two groups. Controlling for income, age, education, health insurance, and marital status, African American women were over 3 times more likely to have reported a current Pap smear than African-born women [Adjusted OR = 3.37, 95 % CI = (1.89, 5.96)]. Being an African-born woman was the strongest predictor of current Pap status. Distinguishing immigrant status in an analysis of cervical cancer screening rates for black women indicated much lower Pap smear rates for African-born women, compared with African-American women. More research on the impact of education and culturally specific care is needed to address the disparity in Pap smear rates for African-born black women.

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Citations

Feb 14, 2020·Health Literacy Research and Practice·Joycelyn CudjoeHae-Ra Han
Oct 1, 2019·The Journal of the Association of Nurses in AIDS Care : JANAC·Sophie JinHae-Ra Han
Sep 30, 2020·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Ann Oyare Amuta-JimenezKyrah K Brown
May 16, 2020·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Joycelyn CudjoeHae-Ra Han
Jul 2, 2019·Health Education & Behavior : the Official Publication of the Society for Public Health Education·Ann Oyare Amuta-JimenezGabrielle P A Smith
May 16, 2019·Health Care for Women International·Adebola AdegboyegaJennifer Hatcher
Aug 18, 2018·Journal of Immigrant and Minority Health·Georges AdunlinLindsay M Sabik
Sep 23, 2020·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Vasiliki DallaGeorgios Labiris
Nov 10, 2020·Journal of Immigrant and Minority Health·Joycelyn CudjoeHae-Ra Han
May 1, 2020·Journal of Immigrant and Minority Health·Hamdi I AbdiPrajakta Adsul

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