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Barriers and facilitators of cervical cancer screening among women of Hmong origin

TitleBarriers and facilitators of cervical cancer screening among women of Hmong origin
Publication TypeJournal Article
Year of Publication2013
AuthorsFang, DM, Baker, DL
JournalJ Health Care Poor UnderservedJ Health Care Poor Underserved
Volume24
Pagination540-55
Date PublishedMay
ISBN Number1548-6869 (Electronic)<br/>1049-2089 (Linking)
Accession Number23728027
KeywordsAdolescent, Adult, Asian Continental Ancestry Group/ psychology, Community-Based Participatory Research, Culture, Early Detection of Cancer/ methods, Fear, Female, Focus Groups, Health Education/organization & administration, Health Knowledge, Attitudes, Practice/ethnology, Humans, Language, Medicine, East Asian Traditional, Middle Aged, Patient Acceptance of Health Care/ethnology, Social Stigma, Socioeconomic Factors, Time Factors, Uterine Cervical Neoplasms/ diagnosis/ ethnology, Young Adult
AbstractThis qualitative study explored the barriers and facilitators of cancer screening among women of Hmong origin. Using a community-based participatory research approach, we conducted focus groups (n=44) with Hmong women who represented four distinct demographic groups among the Hmong community. The participants described sociocultural barriers to screening, which included a lack of accurate knowledge about the causes of cervical cancer, language barriers, stigma, fear, lack of time, and embarrassment. Structural barriers included attitudes and practices of health care providers, lack of insurance, and negative perceptions of services at clinics for the uninsured. Health care providers may require additional training and increased time per visit to provide culturally sensitive care for refugee groups such as the Hmong. Health-related social marketing efforts aimed at improving health literacy may also help to reduce health inequities related to cancer screening among the Hmong.
Ethno Med: