title: Factors Affecting Hispanic Women's Participation in Screening for Cervical Cancer.
abstract: Hispanic women's cervical cancer rates are disproportionately high. The Health Belief Model (HBM) was used as a theoretical framework to explore beliefs, attitudes, socio-economic, and cultural factors influencing Hispanic women's decisions about cervical cancer screening. A cross-sectional survey was conducted among Hispanic women 18-65 years old (n = 205) in the Upstate of South Carolina. Generalized Linear Modeling was used. Across all models, perceived threats (susceptibility and severity), self-efficacy, and the interaction of benefits and barriers were significant predictors. Significant covariates included age, marital status, income, regular medical care, and familism. A modified HBM was a useful model for examining cervical cancer screening in this sample of Hispanic women. The inclusion of external, or social factors increased the strength of the HBM as an explanatory model. The HBM can be used as a framework to design culturally appropriate cervical cancer screening interventions.
authors.affiliation: Institute on Family and Neighborhood Life, Clemson University, 2038 Barre Hall, Clemson, SC, 29634, USA, ared@clemson.edu.
authors.forename: Arelis
authors.initials: A
authors.lastname: Moore de Peralta
authors.forename: Bonnie
authors.initials: B
authors.lastname: Holaday
authors.forename: James R
authors.initials: JR
authors.lastname: McDonell
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006630:Hispanic or Latino; D006801:Humans; D008875:Middle Aged; D020377:Self Efficacy; D013022:South Carolina; D011795:Surveys and Questionnaires; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D055815:Young Adult