title: Knowledge of cervical cancer risk factors among Chinese immigrants in Seattle.
abstract: Chinese American immigrants are a growing part of the United States population. Cervical cancer is a significant cause of morbidity and mortality among Chinese Americans. Pap smear testing is less common in Chinese American immigrants than in the general population. During 1999, we conducted a community-based survey of Chinese American women living in Seattle. We assessed knowledge of cervical cancer risk factors and history of Pap smear testing along with socioeconomic and acculturation characteristics. The overall estimated response rate was 64%, and the cooperation rate was 72%. Our study sample included 472 women. Most cervical cancer risk factors were recognized by less than half of our participants. Factors independently associated with knowledge of cervical cancer risk factors included marital status, employment, and education. Respondents with the highest knowledge had greater odds of ever receiving a Pap smear, compared to those respondents with the lowest knowledge (OR 2.5; 95% CI: 1.1,5.8). Our findings suggest a need for increased recognition of cervical cancer risk factors among Chinese American immigrants. Culturally and linguistically appropriate educational interventions for cervical cancer risk factors should be developed, implemented and evaluated.
authors.affiliation: Department of Medicine at the University of Washington, Seattle, USA. jralston@u.washington.edu
authors.forename: James D
authors.initials: JD
authors.lastname: Ralston
authors.forename: Victoria M
authors.initials: VM
authors.lastname: Taylor
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Yasui
authors.forename: Alan
authors.initials: A
authors.lastname: Kuniyuki
authors.forename: J Carey
authors.initials: JC
authors.lastname: Jackson
authors.forename: Shin-Ping
authors.initials: SP
authors.lastname: Tu
mesh_terms: D000328:Adult; D000704:Analysis of Variance; D002681:China / Q000208:ethnology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016013:Likelihood Functions; D008875:Middle Aged; D065006:Papanicolaou Test; D012044:Regression Analysis; D012307:Risk Factors; D012959:Socioeconomic Factors; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D014626:Vaginal Smears / Q000706:statistics & numerical data; D014861:Washington