title: Predictors of cervical cancer screening for Chinese American women.
abstract: Research on Chinese American women's cervical cancer screening behaviours is limited and there are few studies that examine factors associated with obtaining regular Pap tests. The purpose of this study was to use the transtheoretical model (TTM) as a framework to examine correlates of Pap testing and stages of change. Chinese American women (N = 121) were recruited to complete a cross-sectional, self-report survey. Survey items assessed stages of change, self-efficacy, perceived benefits and barriers, and demographic variables including screening and family history for cervical cancer. Eighty-one per cent of women reported that they had ever had a Pap test. Most participants were in the maintenance stage (55%), with 10% in each action and pre-contemplation, 8% in contemplation, 1% in preparation and 16% in the relapse stage. Women in the action/maintenance stage were more likely to be older, married and have a higher education level. Women in the action/maintenance stage had significantly lower perceived barrier scores compared to women in both the contemplation/preparation and pre-contemplation/relapse stages. Findings partially support the use of TTM for cervical cancer screening among this population and indicate the importance of perceived barriers. Results may inform interventions to increase screening rates among Chinese American women.
authors.affiliation: Orvis School of Nursing, University of Nevada, Reno, NV, USA.
authors.forename: W-C
authors.initials: WC
authors.lastname: Tung
authors.affiliation: School of Community Health Sciences, University of Nevada, Reno, NV, USA.
authors.forename: M
authors.initials: M
authors.lastname: Granner
authors.affiliation: School of Community Health Sciences, University of Nevada, Reno, NV, USA.
authors.forename: M
authors.initials: M
authors.lastname: Lu
authors.affiliation: University of California, Davis, CA, USA.
authors.forename: X
authors.initials: X
authors.lastname: Qiu
mesh_terms: D000328:Adult; D000368:Aged; D001213:Asian / Q000523:psychology*; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology; D006801:Humans; D008403:Mass Screening / Q000523:psychology / Q000706:statistics & numerical data; D008875:Middle Aged; D065006:Papanicolaou Test / Q000523:psychology / Q000706:statistics & numerical data; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology; D020377:Self Efficacy; D002583:Uterine Cervical Neoplasms / Q000208:ethnology / Q000517:prevention & control*; D014626:Vaginal Smears / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Chinese women; cervical cancer; perceived barriers; perceived benefits; self-efficacy; transtheoretical model