title: Factors associated with receiving Pap tests among married immigrant women of Vietnamese origin in southern Taiwan.
abstract: The purpose of this study was to explore the factors associated with Pap testing among married immigrant women of Vietnamese origin residing in Taiwan, including demographics, knowledge of cervical cancer, knowledge of Pap tests, fatalism, attitudes toward cervical cancer, and barriers to receiving Pap tests. A cross-sectional correlational design was used. Data were collected from July 2012 to January 2013. Participants were recruited through snowball sampling in two communities in Southern Taiwan. A total of 451 married immigrant women of Vietnamese origin aged 30 years and over were invited to participate in the study and 427 participated. Data analysis included descriptive statistics and multivariate logistic regression. Participants with no children were significantly less likely to have received a Pap test (odds ratio = 0.278, 95% confidence interval [CI] = 0.135-0.569); each additional point of knowledge about Pap tests increased the likelihood of having a Pap test by 19% (odds ratio = 1.190, 95% CI = 1.093-1.297), and each additional point in barriers to receiving Pap tests decreased the chances of having received a Pap test (odds ratio = 0.714, 95% CI = 0.637-0.800). The results can provide governments with a reference for developing policies for cervical cancer prevention among married immigrant Vietnamese women.
authors.affiliation: a Department of Nursing , Chung Hwa University of Medical Technology , Tainan , Taiwan.
authors.forename: Fang-Hsin
authors.initials: FH
authors.lastname: Lee
authors.affiliation: b College of Nursing , Kaohsiung Medical University , Kaohsiung , Taiwan.
authors.forename: Hsiu-Hung
authors.initials: HH
authors.lastname: Wang
authors.affiliation: c Department of Nursing , Chang Gung University of Science and Technology , Taoyuan , Taiwan.
authors.forename: Hsiu-Min
authors.initials: HM
authors.lastname: Tsai
authors.affiliation: d Health Management Division , Kaohsiung City Government Department of Health , Taiwan.
authors.forename: Miao-Ling
authors.initials: ML
authors.lastname: Lin
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008393:Marriage; D065006:Papanicolaou Test; D010342:Patient Acceptance of Health Care; D013624:Taiwan / Q000453:epidemiology; D002583:Uterine Cervical Neoplasms / Q000208:ethnology / Q000517:prevention & control*; D014626:Vaginal Smears / Q000706:statistics & numerical data*; D014744:Vietnam / Q000208:ethnology
keywords: Cervical cancer; Papanicolaou tests; Taiwan; immigrants; nurses