Cervical cancer screening: knowledge, attitudes, and behavior of American Indian women

Authors: Hodge FS, Stubbs HA, Gurgin V., Fredericks L.
Publication Year: 1998
Last Updated: 2010-05-18 09:37:41
Journal: Cancer Supplement
Keywords: Adolescence; Adult; Aged; Cervix Neoplasms/Prevention & Control; Female; Health Education/Methods; Knowledge, Attitudes, Practice; Patient Acceptance of Health Care; Program Evaluation; Questionnaires

Short Abstract: Cervical cancer is a significant problem among American Indian women. Studies report very high mortality and poor 5-year survival rates as compared to other ethnic groups. This paper reports on the impact of a culturally framed cervical cancer educational project on knowledge, attitudes and behaviors toward cervical cancer screening among American Indian women in California.

Abstract: Cervical cancer is a significant problem among American Indian women. Studies report very high mortality and poor 5-year survival rates as compared to other ethnic groups. This paper reports on the impact of a culturally framed cervical cancer educational project on knowledge, attitudes and behaviors toward cervical cancer screening among American Indian women in California. Eight Indian clinic centers, four urban and four rural, were randomly assigned to intervention and control sites (n=414). A culturally sensitive educational approach was used as a vehicle to provide cancer education to improve adherence to cancer screening recommendations. Pre- and post-test questionnaires were administered and the data analyzed. Clinic charts were abstracted. Study results indicated significant statistical differences in knowledge levels between women from the intervention and control centers. The analysis of changes in attitude statements resulted in only modest changes. Behavioral changes require additional analysis as the self-administered questionnaire conflict with the participant's chart review. This study has shown the effectiveness of a culturally appropriate approach and methodology for teaching about recommended preventive health techniques for cancer control.

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Code: 3059
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