Physician-related determinants of cervical cancer screening among Caribbean women in Toronto.
BACKGROUND
Minority women in Canada are less likely to be screened for cervical cancer than their counterparts in the general population, despite the fact that the proportion of these women who consult a general practitioner about their health each year is similar to minority women. This study examined the physician and practice characteristics associated with Pap testing and perceived barriers to Pap testing of family physicians serving the Caribbean community of Toronto.


METHODS
A mail-back questionnaire was sent to Toronto family physicians practicing in neighborhoods with a high proportion of Caribbean Canadians.


RESULTS
Although 79.7% of the 64 participating physicians reported that they were 'very likely" to include Pap testing during an annual check-up, nearly half did not believe that the majority of Caribbean patients were actually screened. The amount of time a physician spent on patient education was significantly associated with his/her likelihood of screening. Male physicians who reported a high proportion of Caribbean female patients in their practices were significantly less likely to screen for cervical cancer than those who saw fewer Caribbean patients.


CONCLUSIONS
These findings suggest that an increased emphasis on patient education is important to increase screening practice and that physician gender may be of major importance to the Caribbean community.
Hyman
Ilene
I
Centre for Research in Women's Health, Sunnybrook and Women's College Health Sciences Centre, Department of Public Health Science, University of Toronto, Ontario. ilene.hyman@swchsc.on.ca
Singh
Punam Mony
PM
Meana
Marta
M
George
Usha
U
Wells
Lilian M
LM
Stewart
Donna E
DE
D000328:Adult; D000368:Aged; D017691:Caribbean Region / Q000208:ethnology; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D009864:Ontario / Q000453:epidemiology; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D002583:Uterine Cervical Neoplasms / Q000208:ethnology* / Q000517:prevention & control*; D014626:Vaginal Smears / Q000706:statistics & numerical data*