Disparities in cervical cancer screening between Asian American and Non-Hispanic white women.

Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology
Judy H WangJeanne S Mandelblatt

Abstract

Asian American women have higher cervical cancer mortality rates than non-Hispanic White women, yet have lower Pap screening rates than their White counterparts. This study examined whether ethnic differences in the use of Pap screening were associated with differences in cultural views, controlling for demographic and access factors. Cross-sectional survey data from the Commonwealth 2001 Health Care Quality Survey were used. Non-Hispanic White (n = 2,146) and Asian American women (including Chinese, Vietnamese, Korean, Filipino, and Japanese; n = 259) were included in this study. Eastern cultural views were measured by beliefs in the role of self-care and luck. Access factors (having health insurance, regular providers, and communication with providers) and demographics of patients and providers were measured. The outcome was receipt of a Pap test in the past 2 years. Asian American women had a lower rate of obtaining a recent Pap test (70%) than non-Hispanic White women (81%; P = 0.001). More Asians believed in the role of luck and self-care and experienced access barriers than Whites (P < 0.0001). Women with less Eastern cultural views are more likely to be recently screened than women with more (odds ratio, 1.08; 95% confid...Continue Reading

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Citations

Aug 2, 2013·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Judy Huei-Yu WangEllen Huang
Oct 29, 2013·Journal of Community Health·Sandte L StanleyLisa C Richardson
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Jun 29, 2012·The Nurse Practitioner·Jenny Ying Wong, M Tish Knobf
Sep 14, 2012·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Judy Huei-yu WangJeanne S Mandelblatt
May 31, 2011·BMC Women's Health·Aisha K LoftersRichard H Glazier
Feb 23, 2013·Journal of Women's Health·Grace X MaJoseph An Nguyen
Sep 29, 2012·Cancer Epidemiology·Nayyereh AminisaniKaren Canfell
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Nov 10, 2020·Journal of Immigrant and Minority Health·Joycelyn CudjoeHae-Ra Han

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