Skip to main content
Top
Published in: Journal of Immigrant and Minority Health 3/2015

01-06-2015 | Original Paper

Factors Affecting Hispanic Women’s Participation in Screening for Cervical Cancer

Authors: Arelis Moore de Peralta, Bonnie Holaday, James R. McDonell

Published in: Journal of Immigrant and Minority Health | Issue 3/2015

Login to get access

Abstract

Hispanic women’s cervical cancer rates are disproportionately high. The Health Belief Model (HBM) was used as a theoretical framework to explore beliefs, attitudes, socio-economic, and cultural factors influencing Hispanic women’s decisions about cervical cancer screening. A cross-sectional survey was conducted among Hispanic women 18–65 years old (n = 205) in the Upstate of South Carolina. Generalized Linear Modeling was used. Across all models, perceived threats (susceptibility and severity), self-efficacy, and the interaction of benefits and barriers were significant predictors. Significant covariates included age, marital status, income, regular medical care, and familism. A modified HBM was a useful model for examining cervical cancer screening in this sample of Hispanic women. The inclusion of external, or social factors increased the strength of the HBM as an explanatory model. The HBM can be used as a framework to design culturally appropriate cervical cancer screening interventions.
Literature
3.
go back to reference National Cancer Policy Board, IOM. Fulfilling the potential of cancer prevention and early detection. Washington, DC: National Academies Press; 2003. National Cancer Policy Board, IOM. Fulfilling the potential of cancer prevention and early detection. Washington, DC: National Academies Press; 2003.
4.
go back to reference Center for Disease Control and Prevention. Cancer screening. US Morb Mortal Wkly Rep. 2012;61(51):1038–42. Center for Disease Control and Prevention. Cancer screening. US Morb Mortal Wkly Rep. 2012;61(51):1038–42.
6.
go back to reference White K, Garces IC, Bandura L, et al. Design and evaluation of a theory-based, culturally relevant outreach model for breast and cervical cancer screening for Latina immigrants. Ethn Dis. 2012;22(3):274–80.PubMedCentralPubMed White K, Garces IC, Bandura L, et al. Design and evaluation of a theory-based, culturally relevant outreach model for breast and cervical cancer screening for Latina immigrants. Ethn Dis. 2012;22(3):274–80.PubMedCentralPubMed
8.
go back to reference Peirson L, Fitzpatrick-Lewis D, Ciliska D, et al. Screening for cervical cancer: a systematic review and meta-analysis. Syst Rev. 2013;2(35):1–14. Peirson L, Fitzpatrick-Lewis D, Ciliska D, et al. Screening for cervical cancer: a systematic review and meta-analysis. Syst Rev. 2013;2(35):1–14.
9.
go back to reference Meissner BN, Taubman ML, et al. Which women aren’t getting mammograms and why? (United States). Cancer Causes Control. 2007;18(1):61–70.CrossRefPubMed Meissner BN, Taubman ML, et al. Which women aren’t getting mammograms and why? (United States). Cancer Causes Control. 2007;18(1):61–70.CrossRefPubMed
10.
go back to reference Erwin DO, Treviño M, Saad-Harfouche FG, et al. Contextualizing diversity and culture within cancer control interventions for Latinas: changing interventions, not cultures. Soc Sci Med. 2010;71(4):693–701.CrossRefPubMed Erwin DO, Treviño M, Saad-Harfouche FG, et al. Contextualizing diversity and culture within cancer control interventions for Latinas: changing interventions, not cultures. Soc Sci Med. 2010;71(4):693–701.CrossRefPubMed
11.
go back to reference Beach ML, Flood AB, Robinson CM, et al. Can language-concordant preventive care managers improve cancer screening rates? Cancer Epidemiol Biomark Prev. 2007;16(10):2058–64.CrossRef Beach ML, Flood AB, Robinson CM, et al. Can language-concordant preventive care managers improve cancer screening rates? Cancer Epidemiol Biomark Prev. 2007;16(10):2058–64.CrossRef
13.
go back to reference Parra-Medina D, Hilfinger DK, Fore E, et al. The partnership for cancer prevention: addressing access to cervical cancer screening among Latinas in South Carolina. JSC Med Assoc. 2009;105(7):297–305. Parra-Medina D, Hilfinger DK, Fore E, et al. The partnership for cancer prevention: addressing access to cervical cancer screening among Latinas in South Carolina. JSC Med Assoc. 2009;105(7):297–305.
16.
go back to reference Arredondo EM, Pollak K, Costanzo PR, et al. Evaluating a stage model in predicting monolingual Spanish-speaking Latinas’ cervical cancer screening practices: the role of psychosocial and cultural predictors. Health Educ Behav. 2008;35(6):791–805.CrossRefPubMed Arredondo EM, Pollak K, Costanzo PR, et al. Evaluating a stage model in predicting monolingual Spanish-speaking Latinas’ cervical cancer screening practices: the role of psychosocial and cultural predictors. Health Educ Behav. 2008;35(6):791–805.CrossRefPubMed
17.
go back to reference Abraido-Lanza AF, Chao MT, Gammon MD. Breast and cervical cancer screening among Latinas and non-Latina Whites. Am J Public Health. 2004;94(8):1393–98. Abraido-Lanza AF, Chao MT, Gammon MD. Breast and cervical cancer screening among Latinas and non-Latina Whites. Am J Public Health. 2004;94(8):1393–98.
18.
go back to reference Janz NK, Champion VL, Strecher VJ. The health belief model. In: Glanz K, Rimer BK, Lewis FM, editors. Health behavior and health education. San Francisco: Jossey-Bass; 2002. p. 45–66. Janz NK, Champion VL, Strecher VJ. The health belief model. In: Glanz K, Rimer BK, Lewis FM, editors. Health behavior and health education. San Francisco: Jossey-Bass; 2002. p. 45–66.
19.
go back to reference Ben-Natan M, Adir O. Screening for cervical cancer among Israeli lesbian women. Int Nurs Rev. 2009;56:433–41.CrossRefPubMed Ben-Natan M, Adir O. Screening for cervical cancer among Israeli lesbian women. Int Nurs Rev. 2009;56:433–41.CrossRefPubMed
20.
go back to reference Lopez R, McMahan S. College women’s perception and knowledge of human papillomavirus (HPV) and cervical cancer. Calif J Health Promot. 2007;5(3):12–25. Lopez R, McMahan S. College women’s perception and knowledge of human papillomavirus (HPV) and cervical cancer. Calif J Health Promot. 2007;5(3):12–25.
21.
go back to reference Montgomery K, Bloch JR, Bhattacharya A, et al. Human papillomavirus and cervical cancer knowledge, health beliefs, and preventative practices in older women. J Obstet Gynecol Neonatal Nurs. 2009;39(3):238–49.CrossRef Montgomery K, Bloch JR, Bhattacharya A, et al. Human papillomavirus and cervical cancer knowledge, health beliefs, and preventative practices in older women. J Obstet Gynecol Neonatal Nurs. 2009;39(3):238–49.CrossRef
22.
go back to reference Tracy JK, Lydecker AD, Ireland L. Barriers to cervical cancer screening among lesbians. J Womens Health Issues Care. 2010;19(2):229–37. Tracy JK, Lydecker AD, Ireland L. Barriers to cervical cancer screening among lesbians. J Womens Health Issues Care. 2010;19(2):229–37.
23.
go back to reference Urrutia MT, Hall R. Beliefs about cervical cancer and Pap test: a new Chilean questionnaire. J Nurs Scholarsh. 2013;45(2):126–31.CrossRefPubMed Urrutia MT, Hall R. Beliefs about cervical cancer and Pap test: a new Chilean questionnaire. J Nurs Scholarsh. 2013;45(2):126–31.CrossRefPubMed
24.
go back to reference Rosenstock IM. Historical origins of the health belief model. Health Educ Monogr. 1974;2:328–35. Rosenstock IM. Historical origins of the health belief model. Health Educ Monogr. 1974;2:328–35.
25.
go back to reference Rosentock IM, et al. Social learning theory and the health belief model. Health Educ Q. 1988;15(2):175–83.CrossRef Rosentock IM, et al. Social learning theory and the health belief model. Health Educ Q. 1988;15(2):175–83.CrossRef
26.
go back to reference Palmer R, Fernandez ME, Tortolero-Luna G, et al. Acculturation and mammography screening among Hispanic women living in farmworker communities. Cancer Control. 2005;12:21–7.PubMed Palmer R, Fernandez ME, Tortolero-Luna G, et al. Acculturation and mammography screening among Hispanic women living in farmworker communities. Cancer Control. 2005;12:21–7.PubMed
27.
go back to reference Ramirez AG, Suarez L, McAlister A, et al. Cervical cancer screening in regional Hispanic populations. Am J Health Behav. 2000;24(3):181–92.CrossRef Ramirez AG, Suarez L, McAlister A, et al. Cervical cancer screening in regional Hispanic populations. Am J Health Behav. 2000;24(3):181–92.CrossRef
28.
go back to reference Sussner KM, Thompson HS, Valdimarsdottir HB, et al. Acculturation and familiarity with, attitudes towards and beliefs about genetic testing for cancer risk within Latinas in East Harlem, New York City. J Genet Couns. 2009;18(1):60–71.CrossRefPubMedCentralPubMed Sussner KM, Thompson HS, Valdimarsdottir HB, et al. Acculturation and familiarity with, attitudes towards and beliefs about genetic testing for cancer risk within Latinas in East Harlem, New York City. J Genet Couns. 2009;18(1):60–71.CrossRefPubMedCentralPubMed
29.
30.
go back to reference Hayden J. Introduction to health behavior theory. Sudbury, MA: Jones and Bartlett Publishers; 2009. Hayden J. Introduction to health behavior theory. Sudbury, MA: Jones and Bartlett Publishers; 2009.
31.
go back to reference Vadaparampil ST, Champion VL, Miller TK, et al. Using the health belief model to examine differences in adherence to mammography among African-American and Caucasian women. J Psychosoc Oncol. 2003;2(4):59–78. Vadaparampil ST, Champion VL, Miller TK, et al. Using the health belief model to examine differences in adherence to mammography among African-American and Caucasian women. J Psychosoc Oncol. 2003;2(4):59–78.
32.
go back to reference Clark NM, Becker MH. Theoretical models and strategies for improving adherence and disease management. In: Shumaker SS, et al., editors. The handbook of health behavior change. New York, NY: Springer; 1998. p. 5–33. Clark NM, Becker MH. Theoretical models and strategies for improving adherence and disease management. In: Shumaker SS, et al., editors. The handbook of health behavior change. New York, NY: Springer; 1998. p. 5–33.
33.
go back to reference Johnson CE, Mues KE, Mayne SL, et al. Cervical cancer screening among immigrants and ethnic minorities: a systematic review using the health belief model. J Low Genit Tract Dis. 2008;12(3):232–41.CrossRefPubMed Johnson CE, Mues KE, Mayne SL, et al. Cervical cancer screening among immigrants and ethnic minorities: a systematic review using the health belief model. J Low Genit Tract Dis. 2008;12(3):232–41.CrossRefPubMed
34.
go back to reference Espinosa de los Monteros K, Gallo LC. The relevance of fatalism in the study of Latinas’ cancer screening behavior: a systematic review of the literature. Int J Behav Med. 2011;18(4):310–8.CrossRefPubMedCentralPubMed Espinosa de los Monteros K, Gallo LC. The relevance of fatalism in the study of Latinas’ cancer screening behavior: a systematic review of the literature. Int J Behav Med. 2011;18(4):310–8.CrossRefPubMedCentralPubMed
35.
go back to reference Boyer LE, Williams M, Calker LC, et al. Hispanic women’s perceptions regarding cervical cancer screening. J Obstet Gynecol Neonatal Nurs. 2000;30:240–5.CrossRef Boyer LE, Williams M, Calker LC, et al. Hispanic women’s perceptions regarding cervical cancer screening. J Obstet Gynecol Neonatal Nurs. 2000;30:240–5.CrossRef
36.
go back to reference Erwin DO, Treviño M, Saad-Harfouche FG, et al. Contextualizing diversity and culture within cancer control interventions for Latinas: changing interventions, not cultures. Soc Sci Med. 2010;71:693–701.CrossRefPubMed Erwin DO, Treviño M, Saad-Harfouche FG, et al. Contextualizing diversity and culture within cancer control interventions for Latinas: changing interventions, not cultures. Soc Sci Med. 2010;71:693–701.CrossRefPubMed
37.
38.
go back to reference Wu ZH, Black SA, Markides KS. Prevalence and associated factors of cancer screening: why are so many older Mexican American women never screened? Prev Med. 2001;33:268–73.CrossRefPubMed Wu ZH, Black SA, Markides KS. Prevalence and associated factors of cancer screening: why are so many older Mexican American women never screened? Prev Med. 2001;33:268–73.CrossRefPubMed
39.
go back to reference Marín G, Marín BVO. Research with Hispanic populations. Applied social research methods series. California: Sage; 1991. p. 23. Marín G, Marín BVO. Research with Hispanic populations. Applied social research methods series. California: Sage; 1991. p. 23.
40.
go back to reference Sabogal F, Marín G, Otero-Sabogal R, et al. Hispanic familism and acculturation: what changes and what doesn’t? Hisp J Behav Sci. 1987;9(4):397–412.CrossRef Sabogal F, Marín G, Otero-Sabogal R, et al. Hispanic familism and acculturation: what changes and what doesn’t? Hisp J Behav Sci. 1987;9(4):397–412.CrossRef
41.
go back to reference Gaines S, Marelich W, Bledsoe K, et al. Links between race/ethnicity and cultural values as mediated by racial/ethnic identity and moderated by gender. J Pers Soc Psychol. 1997;72:1460–76.CrossRefPubMed Gaines S, Marelich W, Bledsoe K, et al. Links between race/ethnicity and cultural values as mediated by racial/ethnic identity and moderated by gender. J Pers Soc Psychol. 1997;72:1460–76.CrossRefPubMed
42.
go back to reference Abraido-Lanza AF, Viladrich A, Florez KR, et al. Fatalismo reconsidered: a cautionary note for health-related research and practice with Latino populations. Ethn Dis. 2003;17:153–8. Abraido-Lanza AF, Viladrich A, Florez KR, et al. Fatalismo reconsidered: a cautionary note for health-related research and practice with Latino populations. Ethn Dis. 2003;17:153–8.
43.
go back to reference Antshel KM. Integrating culture as a means of improving treatment adherence in the Latino population. Psychol Health Med. 2002;7(4):435–49.CrossRef Antshel KM. Integrating culture as a means of improving treatment adherence in the Latino population. Psychol Health Med. 2002;7(4):435–49.CrossRef
44.
45.
go back to reference Scarinci IC, Beech BM, Kovach KW, et al. An examination of sociocultural factors associated with cervical cancer screening among low-income Latina immigrants of reproductive age. J Immigr Health. 2003;5(3):119–28.CrossRefPubMed Scarinci IC, Beech BM, Kovach KW, et al. An examination of sociocultural factors associated with cervical cancer screening among low-income Latina immigrants of reproductive age. J Immigr Health. 2003;5(3):119–28.CrossRefPubMed
46.
go back to reference Byrd TL, et al. Cervical cancer screening beliefs among young Hispanic women. Prev Med. 2004;38(2):192–7.CrossRefPubMed Byrd TL, et al. Cervical cancer screening beliefs among young Hispanic women. Prev Med. 2004;38(2):192–7.CrossRefPubMed
47.
go back to reference Fulton J, et al. Determinants of breast cancer screening among inner-city Hispanic women in comparison with other inner-city women. Public Health Rep. 1995;110(4):476–82.PubMedCentralPubMed Fulton J, et al. Determinants of breast cancer screening among inner-city Hispanic women in comparison with other inner-city women. Public Health Rep. 1995;110(4):476–82.PubMedCentralPubMed
48.
go back to reference Mandelblatt JS, et al. Breast and cervix cancer screening among multiethnic women: role of age, health, and source of care. Prev Med. 1999;28:418–25.CrossRefPubMed Mandelblatt JS, et al. Breast and cervix cancer screening among multiethnic women: role of age, health, and source of care. Prev Med. 1999;28:418–25.CrossRefPubMed
49.
go back to reference Urrutia MT. Development and testing of a questionnaire: beliefs about cervical cancer and Pap test in Chilean women. Unpublished doctoral dissertation. Coral Gables, FL: University of Miami; 2009. Urrutia MT. Development and testing of a questionnaire: beliefs about cervical cancer and Pap test in Chilean women. Unpublished doctoral dissertation. Coral Gables, FL: University of Miami; 2009.
50.
go back to reference Bracken BA, Barona A. State of the art procedures for translating, validating and using psychoeducational tests in cross-cultural assessment. Sch Psychol Int. 1991;12(1–2):119–32.CrossRef Bracken BA, Barona A. State of the art procedures for translating, validating and using psychoeducational tests in cross-cultural assessment. Sch Psychol Int. 1991;12(1–2):119–32.CrossRef
51.
go back to reference Marín G, Gamba RJ. A new measurement of acculturation for Hispanics: the bidimensional acculturation scale for Hispanics (BAS). Hisp J Behav Sci. 1996;18:297–316.CrossRef Marín G, Gamba RJ. A new measurement of acculturation for Hispanics: the bidimensional acculturation scale for Hispanics (BAS). Hisp J Behav Sci. 1996;18:297–316.CrossRef
52.
go back to reference Lugo-Steidel AG, Contreras JM. A new familism scale for use with Latino populations. Hisp J Behav Sci. 2003;25(3):312–30.CrossRef Lugo-Steidel AG, Contreras JM. A new familism scale for use with Latino populations. Hisp J Behav Sci. 2003;25(3):312–30.CrossRef
53.
go back to reference Lopez-McKee G, et al. Spanish translation and cultural adaptation of the Powe fatalism inventory. Int J Nurs Educ Scholarsh. 2007;39(1):68–70.CrossRef Lopez-McKee G, et al. Spanish translation and cultural adaptation of the Powe fatalism inventory. Int J Nurs Educ Scholarsh. 2007;39(1):68–70.CrossRef
54.
go back to reference Watts L, et al. Understanding barriers to cervical cancer screening among Hispanic women. Am J Obstet Gynecol. 2009;201(2):199.e1–8.CrossRef Watts L, et al. Understanding barriers to cervical cancer screening among Hispanic women. Am J Obstet Gynecol. 2009;201(2):199.e1–8.CrossRef
56.
go back to reference Allahverdipour H, Emami A. Perceptions of cervical cancer threat, benefits, and barriers of papanicolaou smear screening programs for women in Iran. Women Health. 2008;47(3):23–37.CrossRefPubMed Allahverdipour H, Emami A. Perceptions of cervical cancer threat, benefits, and barriers of papanicolaou smear screening programs for women in Iran. Women Health. 2008;47(3):23–37.CrossRefPubMed
57.
go back to reference Parra-Medina D, et al. The partnership for cancer prevention: addressing access to cervical cancer screening among Latinas in South Carolina. JSC Med Assoc. 2009;105(7):297–305. Parra-Medina D, et al. The partnership for cancer prevention: addressing access to cervical cancer screening among Latinas in South Carolina. JSC Med Assoc. 2009;105(7):297–305.
58.
go back to reference Fernandez-Esquer ME, Espinoza P, Torres I, et al. A su salud: a quasi-experimental study among Mexican American women. Am J Health Behav. 2003;27(5):536–45.CrossRefPubMed Fernandez-Esquer ME, Espinoza P, Torres I, et al. A su salud: a quasi-experimental study among Mexican American women. Am J Health Behav. 2003;27(5):536–45.CrossRefPubMed
59.
go back to reference Bazargan M, Bazargan SH, Farooq M, et al. Correlates of cervical cancer screening among underserved Hispanic and African-American women. Prev Med. 2004;39(3):465–73.CrossRefPubMed Bazargan M, Bazargan SH, Farooq M, et al. Correlates of cervical cancer screening among underserved Hispanic and African-American women. Prev Med. 2004;39(3):465–73.CrossRefPubMed
60.
go back to reference Owusu GA, Brown S, Cready CM, et al. Race and ethnic disparities in cervical cancer screening in a safety-net system. Matern Child Health J. 2005;9(3):285–95.CrossRefPubMed Owusu GA, Brown S, Cready CM, et al. Race and ethnic disparities in cervical cancer screening in a safety-net system. Matern Child Health J. 2005;9(3):285–95.CrossRefPubMed
61.
62.
go back to reference Marin G, Triandis HC. Allocentrism as an important characteristic of the behavior of Latin Americans and Hispanics. In: Diaz-Guerrero R, editor. Cross-cultural and national studies of social psychology. Amsterdam: North Holland; 1985. Marin G, Triandis HC. Allocentrism as an important characteristic of the behavior of Latin Americans and Hispanics. In: Diaz-Guerrero R, editor. Cross-cultural and national studies of social psychology. Amsterdam: North Holland; 1985.
63.
go back to reference Kreuter MW, Lezin N. Social capital theory: implications for community-based health promotion. In: Clemente D, Crosby RA, Kegler MC, editors. Emerging theories in health promotion practice and research: strategies for improving public health. San Francisco: Jossey-Bass; 2002. Kreuter MW, Lezin N. Social capital theory: implications for community-based health promotion. In: Clemente D, Crosby RA, Kegler MC, editors. Emerging theories in health promotion practice and research: strategies for improving public health. San Francisco: Jossey-Bass; 2002.
Metadata
Title
Factors Affecting Hispanic Women’s Participation in Screening for Cervical Cancer
Authors
Arelis Moore de Peralta
Bonnie Holaday
James R. McDonell
Publication date
01-06-2015
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 3/2015
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-014-9997-7

Other articles of this Issue 3/2015

Journal of Immigrant and Minority Health 3/2015 Go to the issue