This work was supported by the National Cancer Institute (NCI) under Barriers to Cervical Cancer Prevention in Hispanic Women: A Multilevel Approach awarded to the University of Southern California [grant number R01CA155326.
Journal of Health Communication
Health education -- methods, Papillomaviruses, Health promotion -- Hispanic American women, Cervix uteri -- Cancer -- Diagnosis, Narratives -- Health promotion
This study explored how structural and cultural forces work together with psychological and communication factors in influencing Pap test compliance among Latinas in Los Angeles County, a group who face health disparities related to cervical cancer screening, incidence and mortality. By adopting a multilevel approach to obtain a grounded understanding of this issue, this work revealed that structural barriers, fatalism, religious service attendance, perceived susceptibility, perceived costs, and cues to action from health care providers are all associated with Pap test compliance. Financial barriers also influence compliance, with underinsurance having a stronger negative impact compared to no insurance at all. These findings provide insights into how communication efforts can be strategically designed to address both individual- and system-level barriers to promote health-seeking behaviors among Latinas, and potentially among other population groups experiencing health disparities due to similar reasons.
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Published as: Chen, N. N. T., Moran, M. B., Frank, L. B., Ball-Rokeach, S. J., & Murphy, S. T. (2018). Understanding Cervical Cancer Screening Among Latinas Through the Lens of Structure, Culture, Psychology and Communication. Journal of health communication, 23(7), 661-669.