"Black Women Don't Always Put Our Healthcare First": Facilitators and Barriers to Cervical Cancer Screening and Perceptions of Human Papillomavirus Self-Testing Among Church-Affiliated African American Women.

Autor:	Christensen, Kelsey, Bauer, Alexandria G., Burgin, Tacia, Williams, Joah, McDowd, Joan, Sutkin, Gary, Bennett, Kymberly, Bowe Thompson, Carole, Berkley-Patton, Jannette Y.
Předmět:	PAPILLOMAVIRUS disease diagnosis PLANNED behavior theory STATISTICS HEALTH services accessibility FOCUS groups RESEARCH methodology PHYSICIAN-patient relations EARLY detection of cancer PATIENTS' attitudes SURVEYS COMPARATIVE studies DESCRIPTIVE statistics RESEARCH funding QUESTIONNAIRES CERVIX uteri tumors SENSITIVITY & specificity (Statistics) HEALTH equity THEMATIC analysis WOMEN'S health AFRICAN Americans PATIENT self-monitoring CHURCH buildings
Zdroj:	Community Health Equity Research & Policy; Jan2024, Vol. 44 Issue 2, p137-150, 14p
Abstrakt:	Background: African American women are at greater risk for cervical cancer incidence and mortality than White women. Up to 90% of cervical cancers are caused by human papillomavirus (HPVs) infections. The National Institutes of Health (NIH) co-developed HPV self-test kits to increase access to screening, which may be critical for underserved populations. Purpose/Research Design: This mixed methods study used the Theory of Planned Behavior to examine attitudes, barriers, facilitators, and intentions related to receipt of cervical cancer screening and perceptions of HPV self-testing among church-affiliated African American women. Study Sample/Data Collection: Participants (N = 35) aged 25–53 participated in focus groups and completed a survey. Results: Seventy-four percent of participants reported receipt of cervical cancer screening in the past 3 years. Healthcare providers and the church were supportive referents of screening. Past trauma and prioritizing children's healthcare needs were screening barriers. Concerns about HPV self-testing included proper test administration and result accuracy. Conclusions: Strategies to mitigate these concerns (e.g., delivering HPV self-test kits to the health department) are discussed. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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