Predictors of regular Pap smears among Korean-American women

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 t...

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Bibliographic Details
Published in:Preventive medicine 2003-12, Vol.37 (6), p.585-592
Main Authors: Juon, Hee-Soon, Seung-Lee, Christine, Klassen, Ann C
Format: Article
Language:English
Subjects:
Access to health care
Adult
Asian Americans
Barriers
Cross-Sectional Studies
Female
Health Knowledge, Attitudes, Practice
Humans
Knowledge
Korea - ethnology
Korean American
Logistic Models
Mass Screening
Middle Aged
Multivariate Analysis
Pap smears
Papanicolaou Test
Physician recommendation
Predictive Value of Tests
Uterine Cervical Neoplasms - prevention & control
Vaginal Smears
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Summary: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.
ISSN:0091-7435
1096-0260
DOI:10.1016/j.ypmed.2003.09.006