Screening for cervical and breast cancer among Caribbean immigrants.
The yield of abnormal Pap tests was 13.3/1000 women screened; the yield of breast cancer was 2.2/1000 women examined. Approximately half of the Haitian immigrants (N = 361) had no prior Pap test, compared to one-quarter of the English-speaking Caribbean immigrants (N = 228) and one-tenth of the U.S.-born Black women (N = 264). Only 47% of Haitian women had a regular source of health care compared to 74% of the English speaking Caribbean women and 83% of the U.S.-born Black women. Haitian women were much less likely to practice breast self-examination or to use contraception than were U.S.-born Black women. This program reveals significant needs for preventive health services among low-income Caribbean immigrant women, and demonstrates that selective neighborhood-site programs can be effective in reaching those in need.
D001943:Breast Neoplasms / Q000517:prevention & control*; D004641:Emigration and Immigration; D005260:Female; D006801:Humans; D008403:Mass Screening; D009519:New York City; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D014626:Vaginal Smears; D014900:West Indies / Q000208:ethnology