TY - JOUR
T1 - Barriers to cervical cancer screening among middle-aged and older rural appalachian women
AU - Studts, Christina R.
AU - Tarasenko, Yelena N.
AU - Schoenberg, Nancy E.
PY - 2013/6
Y1 - 2013/6
N2 - Although cervical cancer rates in the United States have declined sharply in recent decades, certain groups of women remain at elevated risk, including middle-aged and older women in central Appalachia. Cross-sectional baseline data from a community-based randomized controlled trial were examined to identify barriers to cervical cancer screening. Questionnaires assessing barriers were administered to 345 Appalachian women aged 40-64, years when Papanicolaou (Pap) testing declines and cervical cancer rates increase. Consistent with the PRECEDE/PROCEED framework, participants identified barriers included predisposing, enabling, and reinforcing factors. Descriptive and bivariate analyses are reported, identifying (a) the most frequently endorsed barriers to screening, and (b) significant associations of barriers with sociodemographic characteristics in the sample. Recommendations are provided to decrease these barriers and, ultimately, improve rates of Pap tests among this traditionally underserved and disproportionately affected group.
AB - Although cervical cancer rates in the United States have declined sharply in recent decades, certain groups of women remain at elevated risk, including middle-aged and older women in central Appalachia. Cross-sectional baseline data from a community-based randomized controlled trial were examined to identify barriers to cervical cancer screening. Questionnaires assessing barriers were administered to 345 Appalachian women aged 40-64, years when Papanicolaou (Pap) testing declines and cervical cancer rates increase. Consistent with the PRECEDE/PROCEED framework, participants identified barriers included predisposing, enabling, and reinforcing factors. Descriptive and bivariate analyses are reported, identifying (a) the most frequently endorsed barriers to screening, and (b) significant associations of barriers with sociodemographic characteristics in the sample. Recommendations are provided to decrease these barriers and, ultimately, improve rates of Pap tests among this traditionally underserved and disproportionately affected group.
KW - Appalachia
KW - Barriers
KW - Cervical cancer
KW - Middle-aged
KW - Screening
UR - http://www.scopus.com/inward/record.url?scp=84877926128&partnerID=8YFLogxK
U2 - 10.1007/s10900-012-9639-8
DO - 10.1007/s10900-012-9639-8
M3 - Article
SN - 0094-5145
VL - 38
SP - 500
EP - 512
JO - Journal of Community Health
JF - Journal of Community Health
IS - 3
ER -