Journal article
Predictors of regular Pap smears among Korean-American women
Preventive medicine, v 37(6 Pt 1), pp 585-592
Dec 2003
PMID: 14636792
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Many Korean-American women (KAW) are unaware of the importance of regular cancer screening. This research estimates rates and examines predictors of regular cervical cancer screening among KAW.
Face-to-face surveys were conducted with 459 KAW residing in Maryland. Study participants were recruited through Korean churches and senior housing.
Thirty-nine percent of women had regular Pap smears. Regular Pap smear rates varied with age, with women 65 years and older least likely to have regular Pap smears. In multiple logistic regression, the strongest correlate of regular Pap smear was knowledge of guidelines. Physician recommendation, having health insurance, and having friends or family members receiving Pap smears were also important facilitators. Spoken English proficiency interacted with education for an outcome; women with a low level of education and low English proficiency had lower rates of Pap smears than those who had a high level of education and high proficiency. The most frequently given reason for lack of a regular Pap smear was a belief that screening was unnecessary if a woman had no symptoms of cervical cancer.
Strategies for education on screening guidelines, along with physician referrals, should be implemented. Culturally appropriate educational programs about cervical cancer screening should be developed for less educated and less acculturated immigrant women.
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Details
- Title
- Predictors of regular Pap smears among Korean-American women
- Creators
- Hee-Soon Juon - Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD 21205, USA. hjuon@jhsph.eduChristine Seung-LeeAnn C Klassen
- Publication Details
- Preventive medicine, v 37(6 Pt 1), pp 585-592
- Publisher
- Elsevier; United States
- Grant note
- R03 CA84818 / NCI NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000186951100007
- Scopus ID
- 2-s2.0-0344420080
- Other Identifier
- 991014878178704721
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- Web of Science research areas
- Public, Environmental & Occupational Health