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Racial and ethnic differences in cervical cancer screening barriers and intentions: The My Body My Test-3 HPV self-collection trial among under-screened, low-income women

Under-screened women are more likely to be diagnosed with invasive cervical cancer at later stages and have worse survival outcomes. Under- or un-insured women, low-income women, and minoritized groups face barriers to screening. Intention to screen is an indicator of future screening behavior, yet...

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Autores principales: Zeno, Erica E., Brewer, Noel T., Spees, Lisa P., Des Marais, Andrea C., Sanusi, Busola O., Hudgens, Michael G., Jackson, Sarah, Barclay, Lynn, Wheeler, Stephanie B., Smith, Jennifer S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9562154/
https://www.ncbi.nlm.nih.gov/pubmed/36227948
http://dx.doi.org/10.1371/journal.pone.0274974
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author Zeno, Erica E.
Brewer, Noel T.
Spees, Lisa P.
Des Marais, Andrea C.
Sanusi, Busola O.
Hudgens, Michael G.
Jackson, Sarah
Barclay, Lynn
Wheeler, Stephanie B.
Smith, Jennifer S.
author_facet Zeno, Erica E.
Brewer, Noel T.
Spees, Lisa P.
Des Marais, Andrea C.
Sanusi, Busola O.
Hudgens, Michael G.
Jackson, Sarah
Barclay, Lynn
Wheeler, Stephanie B.
Smith, Jennifer S.
author_sort Zeno, Erica E.
collection PubMed
description Under-screened women are more likely to be diagnosed with invasive cervical cancer at later stages and have worse survival outcomes. Under- or un-insured women, low-income women, and minoritized groups face barriers to screening. Intention to screen is an indicator of future screening behavior, yet is understudied among low-income, under-screened women. Participants were 710 low-income, uninsured or publicly insured women ages 25–64 years in North Carolina who were not up to date on cervical cancer screening according to national guidelines. Participants were asked about barriers to screening and intention to screen. We estimated reported barriers to cervical cancer screening stratified by race and ethnicity (categorized as White, Black, and Hispanic) and assessed predictors of intention to screen. Sixty-one percent of all participants reported 5 or more barriers to screening. The most commonly reported reasons for not getting screened were lack of insurance (White: 71%, Black: 62%, Hispanic/Latina: 63%) and cost (White: 55%, Black: 44%, Hispanic/Latina: 61%). Women were more likely to have an intention to screen if they reported “it was not hard to get screening” (OR: 1.47 (1.00, 2.15)). Older women reported being less likely to intend to screen. Black women reported being more likely to intend to screen than White women. Lack of health insurance and cost were frequently reported barriers to cervical cancer screening. Increasing knowledge of affordable clinics and expanding access to Medicaid may reduce barriers and increase cervical cancer screening uptake.
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spelling pubmed-95621542022-10-15 Racial and ethnic differences in cervical cancer screening barriers and intentions: The My Body My Test-3 HPV self-collection trial among under-screened, low-income women Zeno, Erica E. Brewer, Noel T. Spees, Lisa P. Des Marais, Andrea C. Sanusi, Busola O. Hudgens, Michael G. Jackson, Sarah Barclay, Lynn Wheeler, Stephanie B. Smith, Jennifer S. PLoS One Research Article Under-screened women are more likely to be diagnosed with invasive cervical cancer at later stages and have worse survival outcomes. Under- or un-insured women, low-income women, and minoritized groups face barriers to screening. Intention to screen is an indicator of future screening behavior, yet is understudied among low-income, under-screened women. Participants were 710 low-income, uninsured or publicly insured women ages 25–64 years in North Carolina who were not up to date on cervical cancer screening according to national guidelines. Participants were asked about barriers to screening and intention to screen. We estimated reported barriers to cervical cancer screening stratified by race and ethnicity (categorized as White, Black, and Hispanic) and assessed predictors of intention to screen. Sixty-one percent of all participants reported 5 or more barriers to screening. The most commonly reported reasons for not getting screened were lack of insurance (White: 71%, Black: 62%, Hispanic/Latina: 63%) and cost (White: 55%, Black: 44%, Hispanic/Latina: 61%). Women were more likely to have an intention to screen if they reported “it was not hard to get screening” (OR: 1.47 (1.00, 2.15)). Older women reported being less likely to intend to screen. Black women reported being more likely to intend to screen than White women. Lack of health insurance and cost were frequently reported barriers to cervical cancer screening. Increasing knowledge of affordable clinics and expanding access to Medicaid may reduce barriers and increase cervical cancer screening uptake. Public Library of Science 2022-10-13 /pmc/articles/PMC9562154/ /pubmed/36227948 http://dx.doi.org/10.1371/journal.pone.0274974 Text en © 2022 Zeno et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Zeno, Erica E.
Brewer, Noel T.
Spees, Lisa P.
Des Marais, Andrea C.
Sanusi, Busola O.
Hudgens, Michael G.
Jackson, Sarah
Barclay, Lynn
Wheeler, Stephanie B.
Smith, Jennifer S.
Racial and ethnic differences in cervical cancer screening barriers and intentions: The My Body My Test-3 HPV self-collection trial among under-screened, low-income women
title Racial and ethnic differences in cervical cancer screening barriers and intentions: The My Body My Test-3 HPV self-collection trial among under-screened, low-income women
title_full Racial and ethnic differences in cervical cancer screening barriers and intentions: The My Body My Test-3 HPV self-collection trial among under-screened, low-income women
title_fullStr Racial and ethnic differences in cervical cancer screening barriers and intentions: The My Body My Test-3 HPV self-collection trial among under-screened, low-income women
title_full_unstemmed Racial and ethnic differences in cervical cancer screening barriers and intentions: The My Body My Test-3 HPV self-collection trial among under-screened, low-income women
title_short Racial and ethnic differences in cervical cancer screening barriers and intentions: The My Body My Test-3 HPV self-collection trial among under-screened, low-income women
title_sort racial and ethnic differences in cervical cancer screening barriers and intentions: the my body my test-3 hpv self-collection trial among under-screened, low-income women
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9562154/
https://www.ncbi.nlm.nih.gov/pubmed/36227948
http://dx.doi.org/10.1371/journal.pone.0274974
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