Pap smear use in a population of older Mexican-American women

Whitney M. Randolph, Daniel H. Freeman, Jean L. Freeman

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Background: Hispanic women and older women (age ≥ 50 years) in general have been identified as populations of women who often underutilize Papanicolaou (Pap) smears. Objective: To report the rates of cervical cancer screening in a group of older Mexican American women and to identify the correlates of having a Pap smear in the past three years. Data Source: The Mammography Use by Older Mexican-American Women Survey, a stratified area probability sample of 452 women ages 50-74 from three southeast Texas counties. Self-report data was collected with in-person interviews from 1997 to 1999. Results: We found that 93.1% of the women reported at least one Pap smear in their lifetime and that 64.1% reported a Pap smear in the past three years. Odds of reporting a recent Pap smear was lower for older women (OR 0.51, 95% CI 0.32-0.82) and those below the poverty line (OR 0.52, 95% CI 0.33-0.82). The odds were higher for women who had a regular doctor for female care (OR 6.49, 95% CI 2.96-14.23) or a regular clinic or hospital source for female care (OR 5.50, 95% CI 2.55-11.89). Among these older Mexican-American women, cultural factors (language of interview, acculturation, fatalism) did not have a significant effect on screening use. Conclusion: Recent Pap smear use (64.1%) falls well below the year 2010 goal of 90%. Efforts need to be made to overcome barriers to Pap smear utilization for these women, such as providing access to female medical care.

Original languageEnglish (US)
Pages (from-to)21-31
Number of pages11
JournalWomen and Health
Volume36
Issue number1
DOIs
StatePublished - 2002

Fingerprint

Papanicolaou Test
Population
Interviews
fatalism
Acculturation
Sampling Studies
Information Storage and Retrieval
Mammography
Poverty
interview
acculturation
cultural factors
Early Detection of Cancer
Hispanic Americans
Uterine Cervical Neoplasms
Self Report
medical care
cancer
Language
utilization

Keywords

  • Health services accessibility
  • Hispanic Americans
  • Mass screening
  • Mexico
  • Neoplasms
  • Vaginal smears

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Gender Studies

Cite this

Randolph, W. M., Freeman, D. H., & Freeman, J. L. (2002). Pap smear use in a population of older Mexican-American women. Women and Health, 36(1), 21-31. https://doi.org/10.1300/J013v36n01_02

Pap smear use in a population of older Mexican-American women. / Randolph, Whitney M.; Freeman, Daniel H.; Freeman, Jean L.

In: Women and Health, Vol. 36, No. 1, 2002, p. 21-31.

Research output: Contribution to journalArticle

Randolph, WM, Freeman, DH & Freeman, JL 2002, 'Pap smear use in a population of older Mexican-American women', Women and Health, vol. 36, no. 1, pp. 21-31. https://doi.org/10.1300/J013v36n01_02
Randolph, Whitney M. ; Freeman, Daniel H. ; Freeman, Jean L. / Pap smear use in a population of older Mexican-American women. In: Women and Health. 2002 ; Vol. 36, No. 1. pp. 21-31.
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