PMID- 15066927
OWN - NLM
STAT- MEDLINE
DCOM- 20050214
LR  - 20221207
IS  - 1055-9965 (Print)
IS  - 1055-9965 (Linking)
VI  - 13
IP  - 4
DP  - 2004 Apr
TI  - Pap testing adherence among Vietnamese American women.
PG  - 613-9
AB  - OBJECTIVES: Vietnamese American women are five times more likely to be diagnosed 
      with cervical cancer than their White counterparts. Previous research has 
      demonstrated low levels of Papanicolaou (Pap) testing among Vietnamese. Our study 
      objective was to examine factors associated with interval Pap testing adherence. 
      METHODS: A population-based, in-person survey of Vietnamese women aged 18-64 
      years was conducted. Questionnaire content was guided by the Health Behavior 
      Framework (HBF). The study sample was randomly selected from 1639 south Seattle 
      households. Statistical methods included chi(2) tests and logistic regression. 
      RESULTS: The response rate among eligible households was 82%, and the study 
      included 352 women. Sixty-eight percent of the participants had been screened 
      during the preceding 3 years. The following HBF factors were associated (P < 
      0.05) with interval Pap testing in bivariate comparisons: believing Pap tests 
      decrease the risk of cervical cancer and believing cervical cancer is curable if 
      detected early (perceived effectiveness); knowing testing is necessary for women 
      who are asymptomatic, sexually inactive, or postmenopausal (knowledge); reporting 
      concern about pain/discomfort as a barrier to screening (barriers); family 
      member(s) and friend(s) had suggested testing (social support); doctor(s) had 
      recommended testing; and had asked doctor(s) for testing (communication with 
      provider). In a multivariate analysis, being married, knowing Pap testing is 
      necessary for asymptomatic women, doctor(s) had recommended testing, and had 
      asked doctor(s) for testing were independently associated (P < 0.05) with 
      screening participation. CONCLUSION: Our results confirm low levels of Pap 
      testing among Vietnamese women and demonstrate the importance of 
      physician-patient communication in increasing screening adherence. Health 
      education efforts should target unmarried women and reinforce the importance of 
      Pap testing for all Vietnamese women.
FAU - Taylor, Victoria M
AU  - Taylor VM
AD  - Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, PO 
      Box 19024, Seattle, WA 98109-1024, USA. vtaylor@fhcrc.org
FAU - Yasui, Yutaka
AU  - Yasui Y
FAU - Burke, Nancy
AU  - Burke N
FAU - Nguyen, Tung
AU  - Nguyen T
FAU - Acorda, Elizabeth
AU  - Acorda E
FAU - Thai, Hue
AU  - Thai H
FAU - Qu, Pingping
AU  - Qu P
FAU - Jackson, J Carey
AU  - Jackson JC
LA  - eng
GR  - CA 82326/CA/NCI NIH HHS/United States
GR  - CA 86322/CA/NCI NIH HHS/United States
GR  - U01 CA086322-01/CA/NCI NIH HHS/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - Cancer Epidemiol Biomarkers Prev
JT  - Cancer epidemiology, biomarkers & prevention : a publication of the American 
      Association for Cancer Research, cosponsored by the American Society of 
      Preventive Oncology
JID - 9200608
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Asian/*psychology/statistics & numerical data
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - *Papanicolaou Test
MH  - Patient Compliance/*ethnology
MH  - Surveys and Questionnaires
MH  - Uterine Cervical Neoplasms/*ethnology/*prevention & control
MH  - Vaginal Smears/*statistics & numerical data
MH  - Vietnam/ethnology
MH  - Washington/epidemiology
EDAT- 2004/04/07 05:00
MHDA- 2005/02/16 09:00
CRDT- 2004/04/07 05:00
PHST- 2004/04/07 05:00 [pubmed]
PHST- 2005/02/16 09:00 [medline]
PHST- 2004/04/07 05:00 [entrez]
PST - ppublish
SO  - Cancer Epidemiol Biomarkers Prev. 2004 Apr;13(4):613-9.