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Thomas-Purcell K, Bailey A, Sealy DA, Song G, Ashing KT. Cervical Cancer Stigma Among Caribbean Population: A Descriptive Paper. Int J Public Health 2024; 69:1606725. [PMID: 38660496 PMCID: PMC11039822 DOI: 10.3389/ijph.2024.1606725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 03/28/2024] [Indexed: 04/26/2024] Open
Abstract
Objectives: Cervical cancer prevention practices are desperately low in the Caribbean. This study aims to describe the cervical cancer stigma and to evaluate the influence of the prevention practices among the Caribbean non-patient population in Jamaica, Grenada, Trinidad and Tobago. Methods: A cross-sectional study involving 1,207 participants was conducted using a culturally trans-created Cancer Stigma Scale for the Caribbean context and supplemented with questions on cervical cancer and HPV/HPV vaccine knowledge and beliefs. Data collection took place online from October 2022 to March 2023. Results: Participants are young, single, well-educated, and have stable financial resources. Over a quarter (26.4%) agreed women with cervical cancer are more isolated in their country. Almost half (47%) of respondents agreed cultural background plays a big part in how they feel about illness and getting well. One in six participants believe women with cervical cancer are treated with less respect than usual by others in their country. Conclusion: Cancer stigma of cervical cancer exists in Jamaica, Trinidad and Tobago, and Grenada. Particularly, cultural background and social norms are closely linked to stigma.
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Affiliation(s)
- Kamilah Thomas-Purcell
- Department of Health Science, Nova Southeastern University, Ft. Lauderdale, FL, United States
| | - Althea Bailey
- Department of Community Health and Psychiatry, University of the West Indies Mona, Kingston, Jamaica
| | - Diadrey-Anne Sealy
- School of Public Health, Loma Linda University, Loma Linda, CA, United States
| | - Gaole Song
- Department of Population Sciences, Beckman Research Institute, City of Hope, CA, United States
| | - Kimlin Tam Ashing
- Department of Population Sciences, Beckman Research Institute, City of Hope, CA, United States
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Romli R, Mohd Hashim S, Abd Rahman R, Chew KT, Mohamad EMW, Mohammed Nawi A. Understanding cervical cancer screening motivations from women and health practitioners' perspectives: A qualitative exploration. Gynecol Oncol Rep 2024; 52:101349. [PMID: 38435346 PMCID: PMC10909600 DOI: 10.1016/j.gore.2024.101349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Revised: 02/17/2024] [Accepted: 02/19/2024] [Indexed: 03/05/2024] Open
Abstract
Purpose Cervical cancer (CC) screening remains challenging, where the motivational focus towards utilizing CC screening services is rarely highlighted. This study aimed to understand the motivation to undergo CC screening from women and healthcare practitioners' perspectives based on Protection Motivation Theory (PMT). Method This qualitative study used the nominal group technique (NGT) and in-depth interview (IDI), where the NGT participants were healthcare practitioners from various disciplines (n = 12). Nominal group discussions were conducted via Zoom and involved one moderator, facilitator and observer. The IDI was conducted via Google Meet among seven women who had been included based on purposive sampling. All nominal group discussions and interviews were transcribed, verbatim and underwent deductive thematic analysis. Results Healthcare practitioners emphasized input on CC knowledge of epidemiology, risk, etiology, nature, and outcome to encourage motivation. Women underlined their important role in the family, and reducing the negative perception as a motivational focus. Having living example of witnessing the CC patient dying and fear of stigma of cancer could be the driven force to undergo screening. Emphasis on the important of sufficient knowledge and correct the misconceptions towards screening could impart the motivation among women. Conclusions The motivational focus was enriched by the differing perspectives of the healthcare practitioners and women. The findings can guide intervention program development towards enhancing CC screening in the future.
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Affiliation(s)
- Rodziah Romli
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
- Institut Latihan Kementerian Kesihatan Malaysia (Pembantu Perubatan) Alor Setar, Ministry of Health, Alor Setar, Kedah, Malaysia
| | - Syahnaz Mohd Hashim
- Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
| | - Rahana Abd Rahman
- Department of Obstetrics and Gynecology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
| | - Kah Teik Chew
- Department of Obstetrics and Gynecology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
| | - Emma Mirza Wati Mohamad
- Centre for Research in Media and Communication (MENTION), Faculty of Social Sciences and Humanities, Universiti Kebangsaan Malaysia, Bangi, Selangor, Malaysia
| | - Azmawati Mohammed Nawi
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
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Lee JJ, Chepkorir J, Alharthi A, Adeleye KK, Warren NE. Health Service Utilization of Black Immigrant Women Residing in the United States: A Systematic Review. J Racial Ethn Health Disparities 2024:10.1007/s40615-024-01945-x. [PMID: 38416293 DOI: 10.1007/s40615-024-01945-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Revised: 02/02/2024] [Accepted: 02/07/2024] [Indexed: 02/29/2024]
Abstract
Black immigrants constitute a rapidly growing population group in the U.S. A comprehensive understanding of health services used by Black immigrant women is necessary to support the complex needs of this population. We conducted a systematic review to (1) understand the types of health services used by Black immigrant women living in the U.S. and (2) examine barriers and motivators to using health services. Relevant studies were identified in the following databases: PubMed, PsychInfo, CINAHL, and Embase. Articles published until October 2022 were included in the review. From a total of 15,245 records, 47 articles that reported on health service utilization practices of Black immigrant women were included in the review. A variety of different health services were accessed by Black immigrant women, such as hepatitis screening, reproductive health services, cancer screenings, substance abuse treatment, mental health services, HIV services, dental services, genetic testing, cardiovascular risk testing, and general health services/ hospitalizations. Motivators for using health services included possession of health insurance, knowledge of health resources and conditions, and positive experiences with providers. Barriers to using health services included challenges navigating the health system, language barriers, and cultural beliefs. Factors that positively influence health service utilization must be expanded at the institutional, societal, and policy levels to improve access to health services for Black immigrant women.
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Affiliation(s)
- Jennifer J Lee
- Johns Hopkins University School of Nursing, Baltimore, MD, USA.
| | | | - Abeer Alharthi
- Johns Hopkins University School of Nursing, Baltimore, MD, USA
| | - Khadijat K Adeleye
- University of Massachusetts Amherst College of Nursing, Amherst, MA, USA
| | - Nicole E Warren
- Johns Hopkins University School of Nursing, Baltimore, MD, USA
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Ansa BE, Datta B, Ibrahim S, Islam KMM, Saucier A, Coffin J. Role of Social Support in Screening Colonoscopy/Sigmoidoscopy Uptake among U.S. Adults. Healthcare (Basel) 2024; 12:344. [PMID: 38338228 PMCID: PMC10855932 DOI: 10.3390/healthcare12030344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2023] [Revised: 01/25/2024] [Accepted: 01/26/2024] [Indexed: 02/12/2024] Open
Abstract
Colorectal cancer (CRC) is a major clinical and public health burden. Screening has been shown to be effective in preventing CRC. In 2021, less than 72% of adult Americans had received CRC screening based on the most recent guidelines. This study examined the relationship between social support and screening colonoscopy or sigmoidoscopy uptake among U.S. adults and the socioeconomic factors that impact the relationship. We conducted a cross-sectional study using the 2021 National Health Interview Survey (NHIS) data for 20,008 U.S. adults to assess the weighted rates of screening colonoscopy or sigmoidoscopy among individuals with strong, some, and weak social support. Adjusted binary logistic regression models were utilized to obtain the weighted odds of receiving a screening colonoscopy or sigmoidoscopy among adults with different levels of social support and socioeconomic status. About 58.0% of adults who reported having colonoscopy or sigmoidoscopy had strong social support, compared to 52.0% who had some or weak social support. In addition, compared to adults with weak social support, the weighted adjusted odds of having colonoscopy or sigmoidoscopy were 1.0 (95% C.I. = 0.994, 0.997; p < 0.001) and 1.3 (95% C.I. = 1.260, 1.263; p < 0.001) for adults with some and strong social support, respectively. Socioeconomic differences were observed in the odds of colonoscopy or sigmoidoscopy uptake based on having strong social support. Having strong social support is an important factor in increasing colonoscopy or sigmoidoscopy screening uptake. Policies and interventions that enhance social support among adults for screening colonoscopy or sigmoidoscopy are warranted.
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Affiliation(s)
- Benjamin E. Ansa
- Institute of Public and Preventive Health, Augusta University, Augusta, GA 30912, USA; (B.D.); (S.I.); (K.M.I.)
- Department of Health Management, Economics and Policy, Augusta University, Augusta, GA 30912, USA
| | - Biplab Datta
- Institute of Public and Preventive Health, Augusta University, Augusta, GA 30912, USA; (B.D.); (S.I.); (K.M.I.)
- Department of Health Management, Economics and Policy, Augusta University, Augusta, GA 30912, USA
| | - Samah Ibrahim
- Institute of Public and Preventive Health, Augusta University, Augusta, GA 30912, USA; (B.D.); (S.I.); (K.M.I.)
- Department of Biostatistics, Data Science and Epidemiology, Augusta University, Augusta, GA 30912, USA
| | - KM Monirul Islam
- Institute of Public and Preventive Health, Augusta University, Augusta, GA 30912, USA; (B.D.); (S.I.); (K.M.I.)
- Department of Biostatistics, Data Science and Epidemiology, Augusta University, Augusta, GA 30912, USA
| | - Ashley Saucier
- Department of Family and Community Medicine, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA; (A.S.); (J.C.)
| | - Janis Coffin
- Department of Family and Community Medicine, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA; (A.S.); (J.C.)
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