School of Health Promotion and Kinesiology, Texas Woman's University, 304 Administration Drive, Denton, TX, 76204, USA.
Department of Psychology and Philosophy, Texas Woman's University, 304 Administration Drive, Denton, TX, 76204, USA.
J Cancer Educ. 2022 Jun;37(3):798-805. doi: 10.1007/s13187-020-01884-1. Epub 2020 Sep 29.
Cervical cancer prevention disparities between Black and White women have been researched extensively, but less is known about disparities among Black subpopulations, despite increased risk, distinct cultures, and rapidly increasing numbers of Black immigrant women to the USA. A 74-item survey was used to conduct a cross-sectional descriptive study. Independent sample t tests, logistic multiple regressions, and chi-square tests were used to carry out all comparative analyses. The survey was administered via Psychdata from January 2020 to February 2020. The final sample included 450 eligible participants (African American women [AAW] = 335; Black immigrant women [BIW] from either West, Central, East Africa, or the Caribbean = 115). Compared to AAW, BIW demonstrated much lower knowledge of cervical cancer, AAW were more likely to visit a gynecologist, and to have had a well-woman exam every 3 years or less. A greater percentage of BIW reported not getting Pap smear test because they had no symptoms or because they feared bad results while AAW reported not receiving a Pap smear because it was not convenient, they did not trust any doctor/gynecologist, and lacked access to a gynecologist. Doctor and family advising had a much larger effect on cervical screening among BIW compared to AAW. This study provides evidence of crucial differences in CC knowledge, attitudes, and screening behaviors among BIW and AAW. Funding agencies, program planners and evaluators, and health policymakers are encouraged to require disaggregation of Black women in healthcare research to tease out specific ways interventions can be most effective.
黑人和白人女性的宫颈癌预防差距已经得到了广泛研究，但对于黑人亚群体之间的差距却知之甚少，尽管黑人的风险更高，文化独特，以及越来越多的黑人移民女性涌入美国。本研究采用了 74 项调查进行了横断面描述性研究。独立样本 t 检验、逻辑多元回归和卡方检验用于进行所有比较分析。调查于 2020 年 1 月至 2 月通过 Psychdata 进行。最终样本包括 450 名符合条件的参与者（非裔美国女性[AAW] = 335；来自西非、中非、东非或加勒比地区的黑人移民女性[BIW] = 115）。与 AAW 相比，BIW 对宫颈癌的认识要低得多，AAW 更有可能去看妇科医生，并且每 3 年或更短时间进行一次妇科检查。更多的 BIW 报告说不做巴氏涂片检查，因为她们没有症状，或者因为害怕结果不好，而 AAW 则表示不做巴氏涂片检查，因为不方便，她们不信任任何医生/妇科医生，也无法获得妇科医生的服务。与 AAW 相比，医生和家人的建议对 BIW 的宫颈癌筛查有更大的影响。这项研究提供了证据，证明 BIW 和 AAW 之间在宫颈癌知识、态度和筛查行为方面存在显著差异。鼓励资金机构、项目规划者和评估者以及卫生政策制定者在医疗保健研究中对黑人女性进行分类，以找出干预措施最有效的具体方式。
