title: Cervical cancer screening adherence among Somali immigrants and refugees to the United States.
abstract: Somali women have lower cervical cancer screening (CCS) rates than non-Somali women in the United States. We examined clinical and administrative data associated with CCS adherence among Somali women seen at a large primary care practice over 2 years. Fifty-one percent of 310 women were adherent to CCS, and adherence was associated with more overall health care system visits. Patients saw male providers 65.8% of the time; however, only 20.4% of the CCS tests were performed by male providers. Future interventions that enhance cancer prevention, health literacy, and patient-provider gender concordance may improve rates of CCS among Somali women.
authors: a Division of Cardiovascular Medicine , Vanderbilt University Medical Center , Nashville , Tennessee , USA.
authors: T Ben
authors: TB
authors: Morrison
authors: Priscilla M
authors: PM
authors: Flynn
authors: Amy L
authors: AL
authors: Weaver
authors: Mark L
authors: ML
authors: Wieland
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D054242:Emigrants and Immigrants / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000208:ethnology* / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D011320:Primary Health Care / Q000458:organization & administration; D012036:Refugees / Q000523:psychology / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012998:Somalia / Q000208:ethnology; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000208:ethnology* / Q000517:prevention & control*; D055815:Young Adult