title: The influence of cultural adaptation and sexual risk behaviors on cervical cytology in a Hispanic population.
abstract: OBJECTIVE
  To determine whether the level of cultural adaptation (acculturation) of Hispanic women is associated with increased sexual risk behaviors and cervical cytological abnormalities.
  
  
  METHODS
  Hispanic women 18-55 years of age (mean, 30.5 ± 8.32 years) underwent routine Papanicoulaou testing and completed a comprehensive survey (n = 3149). Acculturation (cultural adaptation) was measured using the Short Acculturation Scale for Hispanics. Structural equation modeling was used to test a mediation model.
  
  
  RESULTS
  Highly acculturated women engaged in a greater number of sexual risk behaviors and were more likely to have an abnormal Papanicoulaou test when compared to less acculturated Hispanic women (P < .001).
  
  
  CONCLUSIONS
  Acculturation is related to sexual risk taking and abnormal cervical cytology. Determination of acculturation level as part of culturally competent health care will aid in tailoring patient communication and counseling on the prevention of cervical cancer among Hispanic women.
authors.affiliation: Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, TX 77555-0587, USA. kristy.kay.ward@gmail.com
authors.forename: Kristy K
authors.initials: KK
authors.lastname: Ward
authors.forename: Angelica M
authors.initials: AM
authors.lastname: Roncancio
authors.forename: Carmen Radecki
authors.initials: CR
authors.lastname: Breitkopf
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D017533:Marital Status; D008875:Middle Aged; D011237:Predictive Value of Tests; D018570:Risk Assessment; D012309:Risk-Taking; D012725:Sexual Behavior / Q000208:ethnology*; D012959:Socioeconomic Factors; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000208:ethnology* / Q000517:prevention & control; D014626:Vaginal Smears; D055815:Young Adult