Facilitators and barriers to cervical cancer screening among Chinese Canadian women

T. Gregory Hislop, M. Deschamps, C. Teh, C. Jackson, Shin-Ping Tu, Y. Yasui, S. M. Schwartz, A. Kuniyuki, V. Taylor

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

Background: Chinese Canadian women have higher cervical cancer incidence, and lower Pap testing, rates than the general Canadian population. Predisposing, enabling and reinforcing factors associated with ever having a Pap test, and having a recent Pap test within the last 2 years, were assessed in Chinese women in British Columbia using the PRECEDE-PROCEED model. Method: Chinese women (n=512) between the ages of 20 and 79 years and residing in Greater Vancouver were interviewed about Pap testing, health care, traditional health beliefs, acculturation and sociodemographic characteristics. Two analyses were done, comparing women who had ever and never had a Pap test, and comparing women who had and had not received a recent Pap test. Focus groups and qualitative interviews ensured cultural sensitivity in the survey questionnaire. Results: Seventy-six percent reported ever having a Pap test and 57% reported having a Pap test within the last 2 years. Traditional health beliefs were not associated with ever or recent Pap testing. However, belief that Pap testing prevented cancer and general knowledge about the Pap test were associated with screening. Concern about pain/discomfort with the test, availability of time, culturally sensitive health care services and recommendation for Pap testing by a physician were also associated with screening. Factors differed for ever, and recently, having a Pap test. Interpretation: Pap testing is less common among Chinese Canadian women. Continuing education about Pap testing is recommended for physicians serving underscreened Chinese women. Culturally and linguistically appropriate educational materials are needed for the Chinese community.

Original languageEnglish (US)
Pages (from-to)68-73
Number of pages6
JournalCanadian Journal of Public Health
Volume94
Issue number1
StatePublished - Jan 1 2003
Externally publishedYes

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Papanicolaou Test
Early Detection of Cancer
Uterine Cervical Neoplasms
Causality
Delivery of Health Care
Physicians
Acculturation
British Columbia
Continuing Education
Health
Focus Groups
Health Services
Interviews
Pain
Incidence

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Hislop, T. G., Deschamps, M., Teh, C., Jackson, C., Tu, S-P., Yasui, Y., ... Taylor, V. (2003). Facilitators and barriers to cervical cancer screening among Chinese Canadian women. Canadian Journal of Public Health, 94(1), 68-73.

Facilitators and barriers to cervical cancer screening among Chinese Canadian women. / Hislop, T. Gregory; Deschamps, M.; Teh, C.; Jackson, C.; Tu, Shin-Ping; Yasui, Y.; Schwartz, S. M.; Kuniyuki, A.; Taylor, V.

In: Canadian Journal of Public Health, Vol. 94, No. 1, 01.01.2003, p. 68-73.

Research output: Contribution to journalArticle

Hislop, TG, Deschamps, M, Teh, C, Jackson, C, Tu, S-P, Yasui, Y, Schwartz, SM, Kuniyuki, A & Taylor, V 2003, 'Facilitators and barriers to cervical cancer screening among Chinese Canadian women', Canadian Journal of Public Health, vol. 94, no. 1, pp. 68-73.
Hislop TG, Deschamps M, Teh C, Jackson C, Tu S-P, Yasui Y et al. Facilitators and barriers to cervical cancer screening among Chinese Canadian women. Canadian Journal of Public Health. 2003 Jan 1;94(1):68-73.
Hislop, T. Gregory ; Deschamps, M. ; Teh, C. ; Jackson, C. ; Tu, Shin-Ping ; Yasui, Y. ; Schwartz, S. M. ; Kuniyuki, A. ; Taylor, V. / Facilitators and barriers to cervical cancer screening among Chinese Canadian women. In: Canadian Journal of Public Health. 2003 ; Vol. 94, No. 1. pp. 68-73.
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