Cervical cancer screening among Chinese Americans

Victoria M. Taylor, J. Carey Jackson, Shin-Ping Tu, Yutaka Yasui, Stephen M. Schwartz, Alan Kuniyuki, Elizabeth Acorda, Kathy Lin, Gregory Hislop

Research output: Contribution to journalArticlepeer-review

78 Scopus citations

Abstract

Study purpose: Chinese women in North America have high rates of invasive cervical cancer and low levels of Papanicolaou (Pap) testing use. This study examined Pap testing barriers and facilitators among Chinese American women. Basic procedures: A community-based, in-person survey of Chinese women was conducted in Seattle, Washington during 1999. Four hundred and thirty-two women in the 20-79 years age-group were included in this analysis. The main outcome measures were a history of at least one previous Pap smear and Pap testing within the last 2 years. Main findings: Nineteen percent of the respondents had never received cervical cancer screening and 36% had not been screened in the previous 2 years. Eight characteristics were independently associated with a history of at least one Pap smear: being married, thinking Pap testing is necessary for sexually inactive women, lack of concerns about embarrassment or cancer being discovered, having received a physician or family recommendation, having obtained family planning services in North America, and having a regular provider. The following characteristics were independently associated with recent screening: thinking Pap testing is necessary for sexually inactive women, lack of concern about embarrassment, having received a physician recommendation, having obtained obstetric services in North America, and having a regular provider. Principal conclusions: Pap testing levels among the study respondents were well below the National Cancer Institute's Year 2000 goals. The findings suggest that cervical cancer control interventions for Chinese are more likely to be effective if they are multifaceted.

Original languageEnglish (US)
Pages (from-to)139-145
Number of pages7
JournalCancer Detection and Prevention
Volume26
Issue number2
DOIs
StatePublished - Dec 1 2002
Externally publishedYes

Keywords

  • Cervical cancer
  • Chinese Americans
  • Papanicolaou testing

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Fingerprint Dive into the research topics of 'Cervical cancer screening among Chinese Americans'. Together they form a unique fingerprint.

Cite this