title: Repeated Pap smear screening among Mexican-American women.
abstract: The factors that influence repeated cervical cancer screening among Latina women are not well understood. Studies of compliance in this population over-emphasize initial or recent screening and under-emphasize how this practice is repeated over time. The purpose of this study was to identify the demographic and psychosocial factors associated with repeated Pap smear screening among low-income Mexican-American women living in two urban communities in Texas. A total of 1804 Mexican-American women were interviewed as part of a community survey. Multiple regression results indicate that demographic characteristics such as age, marital status, level of acculturation and health insurance were associated with the total number of Pap smears reported for the 5 years prior to the interview. Pap smear beliefs were the strongest predictor of repeated screening, while global beliefs about cancer did not significantly explain the results. Health promotion interventions should take into consideration the cultural and psychosocial needs of Mexican-American women, placing emphasis on their specific screening-related beliefs, if they are to succeed in promoting repeated compliance with Pap smear screening guidelines.
authors.affiliation: Center for Health Promotion and Prevention Research, University of Texas-Houston School of Public Health, Houston, TX 77030, USA. maru@sph.uth.tmc.edu
authors.forename: M E
authors.initials: ME
authors.lastname: Fernández-Esquer
authors.forename: P
authors.initials: P
authors.lastname: Espinoza
authors.forename: A G
authors.initials: AG
authors.lastname: Ramirez
authors.forename: A L
authors.initials: AL
authors.lastname: McAlister
mesh_terms: D000328:Adult; D003955:Diagnostic Tests, Routine / Q000706:statistics & numerical data; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006302:Health Services Research; D006801:Humans; D017058:Mexican Americans / Q000523:psychology*; D065006:Papanicolaou Test; D010349:Patient Compliance / Q000208:ethnology*; D013781:Texas; D014505:Urban Population; D014626:Vaginal Smears / Q000706:statistics & numerical data*