Factors Influencing Follow-Up Cervical Cancer Screening Among Low-Income Minority Women

2.50
Hdl Handle:
http://hdl.handle.net/10755/165469
Category:
Abstract
Type:
Presentation
Title:
Factors Influencing Follow-Up Cervical Cancer Screening Among Low-Income Minority Women
Author(s):
Lee, M.; Chen, S.
Author Details:
M. Lee, Hunter-Bellvue School of Nursing, Hunter College, City University of New York, New York, New York, USA; S. Chen
Abstract:
Advance practice nurses have important roles in preventing and reducing health risks associated with cervical cancer by identifying major barriers and motivators in cervical cancer screening and by implementing ethno-culturally appropriate interventions in community. Purpose: Cervical cancer is preventable and curable with the 5-year relative survival rate of nearly 100% if diagnosed in precancer stage with a Pap test. Korean-American women showed low rates of initial screening rate using Pap test and substantial number not returning for annual follow up. The purpose of the study is to explore influencing factors in these women’s decision process of not to return for follow-up as well as to return for follow-up. Theoretical/Scientific Framework: Conceptual Framework is derived from the Health Belief Model. The HBM hypothesizes that health-related actions depend on the simultaneous occurrence of a few factors including the existence of sufficient motivation. It emphasizes that one needs to believe the benefits of the preventive action to be greater than overcoming important barriers. Methods: The qualitative design using focus group approach with purposeful sampling method was used. The sample was drawn from the Korean women, who participated in either annual Korean Health Fair or Cervical Cancer Early Detection Program during 2000. Seven focus groups -- 4 nonfollow-ups (n=20) and 3 follow-ups (n=9) were conducted by Korean facilitator using 12 guiding questions based on HBM. All sessions were taped after obtaining the consents. Data Analysis: The seven taped sessions were transcribed, translated and analyzed thematically using Nudist Vivo software, and triangulated by another consultant making conceptual maps. Findings and Implications: All participants are immigrants, 40 or older, have low income and no health insurance. The findings revealed that the major barriers were service quality at clinics- long waits and crowds and humility, embarrassments, no time and money, lack of knowledge, and low concern for preventive health. Motivators were free cost, reminder card, illness experiences of self or others, peer involvements, and high concern for health. The findings will help advance practice nurses to design and implement appropriate interventions for these women to participate in annual cervical cancer screening, thus leading to maintain good health and better quality of life.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
29th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Anaheim, California, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleFactors Influencing Follow-Up Cervical Cancer Screening Among Low-Income Minority Womenen_GB
dc.contributor.authorLee, M.en_US
dc.contributor.authorChen, S.en_US
dc.author.detailsM. Lee, Hunter-Bellvue School of Nursing, Hunter College, City University of New York, New York, New York, USA; S. Chenen_US
dc.identifier.urihttp://hdl.handle.net/10755/165469-
dc.description.abstractAdvance practice nurses have important roles in preventing and reducing health risks associated with cervical cancer by identifying major barriers and motivators in cervical cancer screening and by implementing ethno-culturally appropriate interventions in community. Purpose: Cervical cancer is preventable and curable with the 5-year relative survival rate of nearly 100% if diagnosed in precancer stage with a Pap test. Korean-American women showed low rates of initial screening rate using Pap test and substantial number not returning for annual follow up. The purpose of the study is to explore influencing factors in these women’s decision process of not to return for follow-up as well as to return for follow-up. Theoretical/Scientific Framework: Conceptual Framework is derived from the Health Belief Model. The HBM hypothesizes that health-related actions depend on the simultaneous occurrence of a few factors including the existence of sufficient motivation. It emphasizes that one needs to believe the benefits of the preventive action to be greater than overcoming important barriers. Methods: The qualitative design using focus group approach with purposeful sampling method was used. The sample was drawn from the Korean women, who participated in either annual Korean Health Fair or Cervical Cancer Early Detection Program during 2000. Seven focus groups -- 4 nonfollow-ups (n=20) and 3 follow-ups (n=9) were conducted by Korean facilitator using 12 guiding questions based on HBM. All sessions were taped after obtaining the consents. Data Analysis: The seven taped sessions were transcribed, translated and analyzed thematically using Nudist Vivo software, and triangulated by another consultant making conceptual maps. Findings and Implications: All participants are immigrants, 40 or older, have low income and no health insurance. The findings revealed that the major barriers were service quality at clinics- long waits and crowds and humility, embarrassments, no time and money, lack of knowledge, and low concern for preventive health. Motivators were free cost, reminder card, illness experiences of self or others, peer involvements, and high concern for health. The findings will help advance practice nurses to design and implement appropriate interventions for these women to participate in annual cervical cancer screening, thus leading to maintain good health and better quality of life.en_GB
dc.date.available2011-10-27T12:19:06Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:19:06Z-
dc.conference.date2004en_US
dc.conference.name29th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationAnaheim, California, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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