School of Public Administration, University of New Mexico, Albuquerque, NM, USA.
Comprehensive Cancer Center, University of New Mexico, Albuquerque, NM, USA.
J Cancer Educ. 2023 Oct;38(5):1531-1538. doi: 10.1007/s13187-023-02295-8. Epub 2023 Apr 13.
American Indian women experience cervical cancer disparities, including later-stage diagnosis and a higher cervical cancer mortality rate. These disparities are interconnected and linked to cervical cancer screening disparities. Cervical cancer when identified early is highly treatable. Individual- and health system-level factors often contribute to gaps in cervical cancer screening. To better understand the source of these inequities experienced by American Indian women, specifically Zuni women, this paper examines how knowledge about cervical cancer and related risk factors is linked to cervical cancer screening for Zuni women using primary data gathered by the Zuni Health Initiative in 2020 and 2021. We find that of the women who completed the survey (n = 171), women with greater cervical cancer knowledge are statistically significantly more likely to have received cervical cancer screening. Closer examination of knowledge on the specific risk factors for cervical cancer provides evidence upon which to develop a cervical cancer education intervention.
美国印第安妇女在宫颈癌方面存在差异，包括晚期诊断和更高的宫颈癌死亡率。这些差异相互关联，并与宫颈癌筛查差异有关。早期发现的宫颈癌高度可治疗。个人和卫生系统层面的因素往往导致宫颈癌筛查方面存在差距。为了更好地了解美国印第安妇女（特别是祖尼妇女）所经历的这些不平等现象的根源，本文利用祖尼健康倡议在 2020 年和 2021 年收集的原始数据，研究了宫颈癌和相关风险因素方面的知识与祖尼妇女宫颈癌筛查之间的关系。我们发现，在完成调查的妇女中（n=171），宫颈癌知识较多的妇女接受宫颈癌筛查的可能性要大得多。对宫颈癌具体风险因素的知识进行更仔细的检查为制定宫颈癌教育干预措施提供了依据。
