"I'm not ashamed to talk on it!": African-American women's decisions about cervical cancer prevention and control in South Carolina

Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health
Jessica D BellingerAzza E Abdalla

Abstract

Cervical cancer disparities persist despite cervical cancer prevention advances and declining mortality rates, particularly among African-American women in the South. The purpose of this qualitative study was to explore behavior, knowledge, and attitudes as influences on health decisions and preferences for cervical cancer prevention and control among African-American women in South Carolina. Data were collected from three focus groups conducted with 28 adult women aged 18 to 70 years in South Carolina. Purposive snowball sampling was employed. Data were coded using a content analysis approach in NVivo 10. Fleiss' kappa coefficient, a measure of interrater reliability, was 0.83. Twenty-seven participants self-identified as African American. The mean age of focus group participants was 45.3 years. Knowledge of human papillomavirus (HPV) and cervical cancer risk was relatively low. Participants positively viewed cervical cancer screening and HPV vaccination. Lack of health insurance and costs were screening barriers. Providers were viewed as trusted health information sources, yet stigma and fear negatively influenced screening. Cultural identity served as a facilitator and barrier for screening. Motivated by strength, identified...Continue Reading

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Citations

Jul 28, 2015·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Zoe UngerAshlesha Patel
Jul 3, 2019·Journal of Women's Health·Vicki B BenardCheryll C Thomas
Jul 25, 2019·Journal of Oncology Practice·Renee A CowanKara Long Roche
Oct 17, 2016·Health Education Research·Jie W WeissSora Park Tanjasiri

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