title: Abnormal pap tests among women living in a Hispanic migrant farmworker community: A narrative of health literacy.
abstract: This study explored narrative responses following abnormal Pap tests among Hispanic migrant farmworkers ( N = 18; ages 22-50 years) via in-depth interviews in Florida. Qualitative analyses utilized health literacy domains (obtain/process/understand/communicate) as a conceptual framework. Participants described how they (1) obtained information about getting a Pap test, (2) processed positive and negative reactions following results, (3) understood results and recommended health-promoting behaviors, and (4) communicated and received social support. Women had disparate reactions and understanding following an abnormal Pap result. Health literacy was a meaningful conceptual framework to understand assets and gaps among women receiving an abnormal Pap test result. Future interventions should incorporate health literacy domains and facilitate patient-provider communications and social support to assist women in decision-making and health-promoting behaviors, ultimately decreasing cancer disparities.
authors.affiliation: 1 University of South Florida, USA.
authors.forename: Cheryl A
authors.initials: CA
authors.lastname: Vamos
authors.affiliation: 1 University of South Florida, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Lockhart
authors.affiliation: 1 University of South Florida, USA.
authors.forename: Coralia
authors.initials: C
authors.lastname: Vázquez-Otero
authors.affiliation: 1 University of South Florida, USA.
authors.forename: Erika L
authors.initials: EL
authors.lastname: Thompson
authors.affiliation: 2 Catholic Charities Diocese of St. Petersburg, Inc., USA.
authors.forename: Sara
authors.initials: S
authors.lastname: Proctor
authors.affiliation: 3 San Diego State University, USA.
authors.forename: Kristen J
authors.initials: KJ
authors.lastname: Wells
authors.affiliation: 1 University of South Florida, USA.
authors.forename: Ellen M
authors.initials: EM
authors.lastname: Daley
mesh_terms: D000328:Adult; D000368:Aged; D000067565:Farmers / Q000523:psychology*; D005260:Female; D005431:Florida; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D057220:Health Literacy; D006293:Health Promotion; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D033262:Narration; D065006:Papanicolaou Test / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology; D036301:Qualitative Research; D012944:Social Support; D014171:Transients and Migrants / Q000523:psychology*; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000208:ethnology / Q000523:psychology; D014626:Vaginal Smears / Q000523:psychology*
keywords: cancer; community health promotion; culture; health promotion; health psychology; women’s health