Taylor, Victoria M and Nguyen, Tung T and Jackson, J Carey and McPhee, Stephen J (2008) Cervical cancer control research in Vietnamese American communities. Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 17 (11). pp. 2924-2930. ISSN 1055-9965
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Abstract
Census data show that the U.S. Vietnamese population now exceeds 1,250,000. Cervical cancer among Vietnamese American women has been identified as an important health disparity. Available data indicate the cervical cancer disparity may be due to low Papanicolaou (Pap) testing rates rather than variations in human papillomavirus infection rates and/or types. The cervical cancer incidence rates among Vietnamese and non-Latina White women in California during 2000 to 2002 were 14.0 and 7.3 per 100,000, respectively. Only 70% of Vietnamese women who participated in the 2003 California Health Interview Survey reported a recent Pap smear compared with 84% of non-Latina White women. Higher levels of cervical cancer screening participation among Vietnamese women are strongly associated with current/previous marriage, having a usual source of care/doctor, and previous physician recommendation. Vietnamese language media campaigns and lay health worker intervention programs have been effective in increasing Pap smear use in Vietnamese American communities. Cervical cancer control programs for Vietnamese women should address knowledge deficits, enable women who are without a usual source of care to find a primary care doctor, and improve patient-provider communication by encouraging health-care providers to recommend Pap testing as well as by empowering women to ask for testing.
| Item Type: | Article or Abstract |
|---|---|
| Additional Information: | This article is available to subscribers only for at the URL above for the first 12 months after publication. |
| DOI: | 10.1158/1055-9965.EPI-08-0386 |
| PubMed ID: | 18990732 |
| NIHMSID: | NIHMS94381 |
| PMCID: | PMC2665877 |
| Grant Numbers: | U01-CA-114640, U50-CCU-922156, R01-CA-115564, U48-DP-000050 |
| Keywords or MeSH Headings: | Adult Aged Asian Americans/statistics & numerical data* Biomedical Research California/epidemiology Female Health Status Disparities Humans Incidence Middle Aged Risk Factors United States/epidemiology Uterine Cervical Neoplasms/epidemiology Uterine Cervical Neoplasms/ethnology* Uterine Cervical Neoplasms/prevention & control* Vaginal Smears/utilization* Vietnam/ethnology |
| Subjects: | Health Care > Risk and Preventive Health Services > Screening Diseases > Solid tumors > Cervical cancer Research Methodologies > Epidemiology |
| Depositing User: | Library Staff |
| Date Deposited: | 10 Feb 2009 19:15 |
| Last Modified: | 14 Feb 2012 14:42 |
| URI: | http://authors.fhcrc.org/id/eprint/249 |
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