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Published in: Journal of Immigrant and Minority Health 5/2011

01-10-2011 | Original Paper

Beliefs About the Pap Smear Among Mexican Immigrants

Authors: Jessica Gregg, Tatiana Centurion, Raquel Aguillon, Julio Maldonado, Rosemary Celaya-Alston

Published in: Journal of Immigrant and Minority Health | Issue 5/2011

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Abstract

Few studies have examined Latinos’ beliefs about the Pap smear or what uses they attribute to the procedure. We conducted qualitative interviews with 28 Mexican immigrant women and 23 Mexican immigrant men recruited through snowball sampling. We found that individuals learned about the Pap smear from a wide variety of sources and often understood the exam to be a screening test for sexually transmitted infections in general. They also related the need for Pap smears and the development of cervical cancer to high risk sexual behaviors. Finally, participants considered men to have a significant role as vectors for disease and as barriers to screening. Our results suggest that interventions to improve cervical cancer prevention among Mexican immigrants may be most effective if they include both men and women and if they recognize and address concerns about STI spread and prevention. Furthermore, interventions must recognize that even when women know how to prevent disease, they may feel disempowered with regard to making behavioral changes that will decrease their risk for STIs or cancer.
Literature
1.
go back to reference Swan J, Breen N, Coates RJ, Rimer BK, Lee NC. Progress in cancer screening practices in the United States: results from the 2000 national health interview survey. Cancer. 2003;97(6):1528–40.PubMedCrossRef Swan J, Breen N, Coates RJ, Rimer BK, Lee NC. Progress in cancer screening practices in the United States: results from the 2000 national health interview survey. Cancer. 2003;97(6):1528–40.PubMedCrossRef
2.
go back to reference Somkin CP, McPhee SJ, Nguyen T, et al. The effect of access and satisfaction on regular mammogram and Papanicolaou test screening in a multiethnic population. Med Care. 2004;42(9):914–26.PubMedCrossRef Somkin CP, McPhee SJ, Nguyen T, et al. The effect of access and satisfaction on regular mammogram and Papanicolaou test screening in a multiethnic population. Med Care. 2004;42(9):914–26.PubMedCrossRef
3.
go back to reference Calle EE, Flanders WD, Thun MJ, Martin LM. Demographic predictors of mammography and Pap smear screening in US women. Am J Public Health. 1993;83(1):53–60.PubMed Calle EE, Flanders WD, Thun MJ, Martin LM. Demographic predictors of mammography and Pap smear screening in US women. Am J Public Health. 1993;83(1):53–60.PubMed
5.
go back to reference Downs LS, Smith JS, Scarinci I, Flowers L, Parham G. The disparity of cervical cancer in diverse populations. Gynecol Oncol. 2008;109(2, Supplement 1):S22–30.PubMedCrossRef Downs LS, Smith JS, Scarinci I, Flowers L, Parham G. The disparity of cervical cancer in diverse populations. Gynecol Oncol. 2008;109(2, Supplement 1):S22–30.PubMedCrossRef
6.
go back to reference Coronado GD, Thompson B, Koepsell TD, Schwartz SM, McLerran D. Use of Pap test among Hispanics and non-Hispanic whites in a rural setting. Prev Med. 2004;38(6):713–22.PubMedCrossRef Coronado GD, Thompson B, Koepsell TD, Schwartz SM, McLerran D. Use of Pap test among Hispanics and non-Hispanic whites in a rural setting. Prev Med. 2004;38(6):713–22.PubMedCrossRef
7.
go back to reference Puschel K, Thompson B, Coronado GD, Lopez LC, Kimball AM. Factors related to cancer screening in Hispanics: a comparison of the perceptions of Hispanic community members, health care providers, and representatives of organizations that serve Hispanics. Health Educ Behav. 2001;28(5):573–90.PubMedCrossRef Puschel K, Thompson B, Coronado GD, Lopez LC, Kimball AM. Factors related to cancer screening in Hispanics: a comparison of the perceptions of Hispanic community members, health care providers, and representatives of organizations that serve Hispanics. Health Educ Behav. 2001;28(5):573–90.PubMedCrossRef
8.
go back to reference Perez-Stable EJ, Otero-Sabogal R, Sabogal F, McPhee SJ, Hiatt RA. Self-reported use of cancer screening tests among Latinos and anglos in a prepaid health plan [see comment]. Arch Intern Med. 1994;154(10):1073–81.PubMedCrossRef Perez-Stable EJ, Otero-Sabogal R, Sabogal F, McPhee SJ, Hiatt RA. Self-reported use of cancer screening tests among Latinos and anglos in a prepaid health plan [see comment]. Arch Intern Med. 1994;154(10):1073–81.PubMedCrossRef
9.
go back to reference Behbakht K, Lynch A, Teal S, Degeest K, Massad S. Social and cultural barriers to Papanicolaou test screening in an urban population. Obstet Gynecol. 2004;104(6):1355–61.PubMedCrossRef Behbakht K, Lynch A, Teal S, Degeest K, Massad S. Social and cultural barriers to Papanicolaou test screening in an urban population. Obstet Gynecol. 2004;104(6):1355–61.PubMedCrossRef
10.
go back to reference Suarez L, Roche RA, Nichols D, Simpson DM. Knowledge, behavior, and fears concerning breast and cervical cancer among older low-income Mexican-American women. Am J Prev Med. 1997;13(2):137–42.PubMed Suarez L, Roche RA, Nichols D, Simpson DM. Knowledge, behavior, and fears concerning breast and cervical cancer among older low-income Mexican-American women. Am J Prev Med. 1997;13(2):137–42.PubMed
11.
go back to reference Fernandez-Esquer ME, Espinoza P, Ramirez AG, McAlister AL. Repeated Pap smear screening among Mexican-American women. Health Educ Res. 2003;18(4):477–87.PubMedCrossRef Fernandez-Esquer ME, Espinoza P, Ramirez AG, McAlister AL. Repeated Pap smear screening among Mexican-American women. Health Educ Res. 2003;18(4):477–87.PubMedCrossRef
12.
go back to reference Lazcano-Ponce EC, Castro R, Allen B, Najera P, Alonso de Ruiz PA, Hernandez-Avila M. Barriers to early detection of cervical-uterine cancer in Mexico. J Womens Health. 1999;8(3):399–408.PubMedCrossRef Lazcano-Ponce EC, Castro R, Allen B, Najera P, Alonso de Ruiz PA, Hernandez-Avila M. Barriers to early detection of cervical-uterine cancer in Mexico. J Womens Health. 1999;8(3):399–408.PubMedCrossRef
13.
go back to reference Jennings KM. Getting a Pap smear: focus group responses of African American and Latina women. Oncol Nurs Forum. 1997;24(5):827–35.PubMed Jennings KM. Getting a Pap smear: focus group responses of African American and Latina women. Oncol Nurs Forum. 1997;24(5):827–35.PubMed
14.
go back to reference Ponce ECL, Aguilar PN, de Ruiz PA, Buiatti E, Avila MH. Programa de deteccion oportuna de cancer cervical en Mexico. I. diagnostico situacional. Rev Inst Nac Cancerol. 1996;42(3):123–40. Ponce ECL, Aguilar PN, de Ruiz PA, Buiatti E, Avila MH. Programa de deteccion oportuna de cancer cervical en Mexico. I. diagnostico situacional. Rev Inst Nac Cancerol. 1996;42(3):123–40.
15.
go back to reference Aparicio-Ting F, Ramirez AG. Breast and cervical cancer knowledge, attitudes, and screening practices of Hispanic women diagnosed with cancer. J Cancer Educ. 2003;18(4):230–6.PubMedCrossRef Aparicio-Ting F, Ramirez AG. Breast and cervical cancer knowledge, attitudes, and screening practices of Hispanic women diagnosed with cancer. J Cancer Educ. 2003;18(4):230–6.PubMedCrossRef
16.
go back to reference Hyman RB, Baker SlE R, Moadel A, Philip J. Health belief models variables as predictors of screening mammography utilization. J Behav Med. 2005;17(4):1573–3521. Hyman RB, Baker SlE R, Moadel A, Philip J. Health belief models variables as predictors of screening mammography utilization. J Behav Med. 2005;17(4):1573–3521.
17.
go back to reference Tolma EL, Reininger BM, Ureda J, Evans A. Cognitive motivations associated with screening mammography in Cyprus. Prev Med. 2003;36:363–73.PubMedCrossRef Tolma EL, Reininger BM, Ureda J, Evans A. Cognitive motivations associated with screening mammography in Cyprus. Prev Med. 2003;36:363–73.PubMedCrossRef
18.
go back to reference Sheeran P, Conner M, Norman P. Can the theory of planned behavior explain patterns of health behavior change? Health Psychol. 2001;20:12–9.PubMedCrossRef Sheeran P, Conner M, Norman P. Can the theory of planned behavior explain patterns of health behavior change? Health Psychol. 2001;20:12–9.PubMedCrossRef
19.
go back to reference Gregg J. Mixed blessings: cervical cancer screening in Recife, Brazil. Med Anthropol. 2000;19(1):41–63.PubMedCrossRef Gregg J. Mixed blessings: cervical cancer screening in Recife, Brazil. Med Anthropol. 2000;19(1):41–63.PubMedCrossRef
20.
go back to reference Becker G. Disrupted lives: how people create meaning in a chaotic world. Berkeley: University of California Press; 1997. Becker G. Disrupted lives: how people create meaning in a chaotic world. Berkeley: University of California Press; 1997.
21.
go back to reference Lock M, Kaufert PA. Introduction. In: Lock M, Kaufert P, editors. Pragmatic women and body politics. Cambridge: Cambridge University Press; 1988. p. 1–28. Lock M, Kaufert PA. Introduction. In: Lock M, Kaufert P, editors. Pragmatic women and body politics. Cambridge: Cambridge University Press; 1988. p. 1–28.
22.
go back to reference Finkler K. Physicians at work, patients in pain: biomedical practice and patient response in Mexico. Boulder: Westview Press; 1991. Finkler K. Physicians at work, patients in pain: biomedical practice and patient response in Mexico. Boulder: Westview Press; 1991.
23.
go back to reference Gregg J. Virtually virgins: sexual strategies and cervical cancer in Recife, Brazil. Stanford: Stanford University Press; 2003. Gregg J. Virtually virgins: sexual strategies and cervical cancer in Recife, Brazil. Stanford: Stanford University Press; 2003.
24.
go back to reference Heurtin-Roberts S, Reisin E. Folk Models of Hypertension among Black Women. In: Coreil J, Mull JD, editors. Anthropology and primary health care. Boulder: Westview Press; 1990. Heurtin-Roberts S, Reisin E. Folk Models of Hypertension among Black Women. In: Coreil J, Mull JD, editors. Anthropology and primary health care. Boulder: Westview Press; 1990.
25.
go back to reference Larsen JA. Finding meaning in first episode psychosis: experience, agency, and the cultural repertoire. Med Anthropol Q. 2003;17(2):447–71. Larsen JA. Finding meaning in first episode psychosis: experience, agency, and the cultural repertoire. Med Anthropol Q. 2003;17(2):447–71.
26.
go back to reference Anonymous 2000 Census Profiles for Oregon Accessed March 30 2005. Population Research Center, Portland State University School of Urban Studies and Planning. Anonymous 2000 Census Profiles for Oregon Accessed March 30 2005. Population Research Center, Portland State University School of Urban Studies and Planning.
27.
go back to reference Hunsberger B. Immigration raid pushes Oregon into thick of fight. The Oregonian 2007; Sect. News (col. June 13). Hunsberger B. Immigration raid pushes Oregon into thick of fight. The Oregonian 2007; Sect. News (col. June 13).
28.
go back to reference Slovic B. Chop shop. Willamette Week 2007; Sect. Cover Story (col. May 2). Slovic B. Chop shop. Willamette Week 2007; Sect. Cover Story (col. May 2).
29.
go back to reference Guttman M. Fixing men: sex, birth control, and AIDS in Mexico. Berkeley: University of California Press; 2007. Guttman M. Fixing men: sex, birth control, and AIDS in Mexico. Berkeley: University of California Press; 2007.
30.
go back to reference Bletzer KV. Use of ethnography in the evaluation and targeting of HIV-AIDS education among Latino farm workers. AIDS Educ Prev. 1995;7:178–91.PubMed Bletzer KV. Use of ethnography in the evaluation and targeting of HIV-AIDS education among Latino farm workers. AIDS Educ Prev. 1995;7:178–91.PubMed
31.
go back to reference Hirsch JS, Higgins J, Bentley ME, Nathanson CA. The social constructions of sexuality: marital infidelity and sexually transmitted disease—HIV risk in a Mexican migrant community. Am J Public Health. 2002;92(8):1227–37.PubMedCrossRef Hirsch JS, Higgins J, Bentley ME, Nathanson CA. The social constructions of sexuality: marital infidelity and sexually transmitted disease—HIV risk in a Mexican migrant community. Am J Public Health. 2002;92(8):1227–37.PubMedCrossRef
32.
go back to reference Apgar BS, Kittendorf AL, Bettcher CM, Wong J, Kaufman AJ. Update on ASCCP consensus guidelines for abnormal cervical screening tests and cervical histology. Am Fam Physician. 2009;80(2):147–55.PubMed Apgar BS, Kittendorf AL, Bettcher CM, Wong J, Kaufman AJ. Update on ASCCP consensus guidelines for abnormal cervical screening tests and cervical histology. Am Fam Physician. 2009;80(2):147–55.PubMed
33.
go back to reference Watkins MM. Barriers to cervical cancer screening in rural Mexico. Int J Gynecol Cancer. 2002;12(5):475–9.PubMedCrossRef Watkins MM. Barriers to cervical cancer screening in rural Mexico. Int J Gynecol Cancer. 2002;12(5):475–9.PubMedCrossRef
34.
go back to reference Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.CrossRef Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.CrossRef
35.
go back to reference Goldman RE, Risica PM. Perceptions of breast and cervical cancer risk and screening among Dominicans and puerto ricans in Rhode Island. Ethn Dis. 2004;14(1):32–42.PubMed Goldman RE, Risica PM. Perceptions of breast and cervical cancer risk and screening among Dominicans and puerto ricans in Rhode Island. Ethn Dis. 2004;14(1):32–42.PubMed
36.
go back to reference McMullin JM, De Alba I, Chavez LR, Hubbell FA. Influence of beliefs about cervical cancer etiology on Pap smear use among Latina immigrants. Ethn Health. 2005;10(1):3–18.PubMedCrossRef McMullin JM, De Alba I, Chavez LR, Hubbell FA. Influence of beliefs about cervical cancer etiology on Pap smear use among Latina immigrants. Ethn Health. 2005;10(1):3–18.PubMedCrossRef
37.
go back to reference Scarinci IC, Beech BM, Kovach KW, Bailey TL. An examination of sociocultural factors associated with cervical cancer screening among low-income Latina immigrants of reproductive age. [article]. J Immigr Health. 2003;5(3):119–28.PubMedCrossRef Scarinci IC, Beech BM, Kovach KW, Bailey TL. An examination of sociocultural factors associated with cervical cancer screening among low-income Latina immigrants of reproductive age. [article]. J Immigr Health. 2003;5(3):119–28.PubMedCrossRef
38.
go back to reference del Carmen MG, Findley M, Muzikansky A, et al. Demographic, risk factor, and knowledge differences between Latinas and non-Latinas referred to colposcopy. Gynecol Oncol. 2007;104(1):70–6.PubMedCrossRef del Carmen MG, Findley M, Muzikansky A, et al. Demographic, risk factor, and knowledge differences between Latinas and non-Latinas referred to colposcopy. Gynecol Oncol. 2007;104(1):70–6.PubMedCrossRef
39.
go back to reference Hubbell FA, Chavez LR, Mishra SI, Valdez RB. Beliefs about sexual behavior and other predictors of Papanicolaou smear screening among Latinas and Anglo women. Arch Intern Med. 1996;156(20):2353–8.PubMedCrossRef Hubbell FA, Chavez LR, Mishra SI, Valdez RB. Beliefs about sexual behavior and other predictors of Papanicolaou smear screening among Latinas and Anglo women. Arch Intern Med. 1996;156(20):2353–8.PubMedCrossRef
40.
go back to reference Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. 2006 disease profile. 2008; 9–27. Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. 2006 disease profile. 2008; 9–27.
41.
go back to reference Erwin DO, Johnson VA, Trevino M, Duke K, Feliciano L, Jandorf L. A comparison of African American and Latina social networks as indicators for culturally tailoring a breast and cervical cancer education intervention. Cancer. 2007;109(2 Suppl):368–77.PubMedCrossRef Erwin DO, Johnson VA, Trevino M, Duke K, Feliciano L, Jandorf L. A comparison of African American and Latina social networks as indicators for culturally tailoring a breast and cervical cancer education intervention. Cancer. 2007;109(2 Suppl):368–77.PubMedCrossRef
42.
go back to reference Wallerstein N. Empowerment to reduce health disparities. Scand J Public Health. 2002;30:72–7. Wallerstein N. Empowerment to reduce health disparities. Scand J Public Health. 2002;30:72–7.
43.
go back to reference Rappaport J. In praise of paradox: a social policy of empowerment over prevention. Am J Community Psychol. 1981;9(1):1–25.PubMedCrossRef Rappaport J. In praise of paradox: a social policy of empowerment over prevention. Am J Community Psychol. 1981;9(1):1–25.PubMedCrossRef
44.
go back to reference Israel BA, Checkoway B, Schulz A, Zimmerman M. Health education and community empowerment: conceptualizing and measuring perceptions of individual, organizational, and community control. Health Educ Q. 1994;21(2):149–70.PubMed Israel BA, Checkoway B, Schulz A, Zimmerman M. Health education and community empowerment: conceptualizing and measuring perceptions of individual, organizational, and community control. Health Educ Q. 1994;21(2):149–70.PubMed
45.
go back to reference Romero L, Wallerstein N, Lucero J, Fredine HG, Keefe J, O’Connell J. Woman to woman: coming together for positive change—using empowerment and popular education to prevent HIV in women. AIDS Educ Prev. 2006;18:390–405.PubMedCrossRef Romero L, Wallerstein N, Lucero J, Fredine HG, Keefe J, O’Connell J. Woman to woman: coming together for positive change—using empowerment and popular education to prevent HIV in women. AIDS Educ Prev. 2006;18:390–405.PubMedCrossRef
Metadata
Title
Beliefs About the Pap Smear Among Mexican Immigrants
Authors
Jessica Gregg
Tatiana Centurion
Raquel Aguillon
Julio Maldonado
Rosemary Celaya-Alston
Publication date
01-10-2011
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 5/2011
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-009-9301-4

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