Factors associated with cervical cancer screening behavior among Vietnamese women.

The purpose of this study was to gather information on the prevalence of pap smear testing among Vietnamese women and to identify predictive factors that influence women to engage in early cervical cancer detection behavior. One hundred and forty-one (141) Vietnamese women ages 18 years and older and living in Western Massachusetts were surveyed by telephone. The overall socioeconomic status of these women was low. Survey results showed that among these women, the use of pap tests was lower than for the U.S. female population in general. Approximately one-half of the respondents reported having had a pap smear. Bivariate and multivariate methods, including logistic regression, were used to analyze the differences between users and nonusers. Bivariate analysis revealed that age, marital status, number of children, religion, regular physician care, and income were significantly related to a prior pap smear experience. The multivariate model for pap test included: age, income, length of residence in the U.S., and marital status. Compared to women who had never had a pap test, women who had were older, married, had higher incomes, and lived in the U.S. longer. It was concluded that this model is useful for screening cancer behavior in Vietnamese women 18 years and older and living in Western Massachusetts, but, in general, should not be used as a cancer screening tool in other populations, at least until similar assessments have been done for these populations.