Tung T Nguyen1, Stephen J McPhee, Thoa Nguyen, Tram Lam, Jeremiah Mock. 1. Vietnamese Community Health Promotion Project, Division of General Internal Medicine, University of California, San Francisco, San Francisco, California 94102, USA. tung@itsa.ucsf.edu
Abstract
BACKGROUND: Compared with white women, Vietnamese women in the United States have a higher rate of cervical cancer and lower Papanicolau (Pap) test utilization. We evaluated factors associated with awareness of the Pap test, intention to obtain it, and its receipt in Vietnamese-American women. METHODS: In 2000, we conducted a telephone survey of Vietnamese-American women aged >or=18 years living in Santa Clara County, California, and Harris County, Texas. We collected data on sociodemographics, healthcare system access and attitudes, as well as Pap test awareness, attitudes, intentions, and practices. RESULTS: Of 1566 subjects, 74% had heard of the Pap test, and 76% had had at least one. Only 42% of those who never had a Pap test had considered obtaining one. There were no significant differences between the two sites. Women aged >or=65 had the lowest rates for all three outcomes. For all women, younger age, being married, having requested a Pap test, physician recommendation, and preferring a female standby if the doctor was male were associated with Pap test intention. Being married, higher level of education, having a female doctor, having a respectful doctor, having requested the test, and physician recommendation were associated with Pap test receipt. CONCLUSION: Vietnamese-American women have low rates of Pap test awareness, intention, and receipt. The patient-doctor interaction is an important determinant. Efforts to increase Pap test utilization in this population need to be directed at encouraging physicians to offer the Pap test and empowering women to ask for the test.
BACKGROUND: Compared with white women, Vietnamese women in the United States have a higher rate of cervical cancer and lower Papanicolau (Pap) test utilization. We evaluated factors associated with awareness of the Pap test, intention to obtain it, and its receipt in Vietnamese-American women. METHODS: In 2000, we conducted a telephone survey of Vietnamese-American women aged >or=18 years living in Santa Clara County, California, and Harris County, Texas. We collected data on sociodemographics, healthcare system access and attitudes, as well as Pap test awareness, attitudes, intentions, and practices. RESULTS: Of 1566 subjects, 74% had heard of the Pap test, and 76% had had at least one. Only 42% of those who never had a Pap test had considered obtaining one. There were no significant differences between the two sites. Women aged >or=65 had the lowest rates for all three outcomes. For all women, younger age, being married, having requested a Pap test, physician recommendation, and preferring a female standby if the doctor was male were associated with Pap test intention. Being married, higher level of education, having a female doctor, having a respectful doctor, having requested the test, and physician recommendation were associated with Pap test receipt. CONCLUSION: Vietnamese-American women have low rates of Pap test awareness, intention, and receipt. The patient-doctor interaction is an important determinant. Efforts to increase Pap test utilization in this population need to be directed at encouraging physicians to offer the Pap test and empowering women to ask for the test.
Authors: Judith M E Walsh; Celia P Kaplan; Bang Nguyen; Ginny Gildengorin; Stephen J McPhee; Eliseo J Pérez-Stable Journal: J Gen Intern Med Date: 2004-02 Impact factor: 5.128
Authors: Jeremiah Mock; Stephen J McPhee; Thoa Nguyen; Ching Wong; Hiep Doan; Ky Q Lai; Kim H Nguyen; Tung T Nguyen; Ngoc Bui-Tong Journal: Am J Public Health Date: 2007-02-28 Impact factor: 9.308
Authors: Powell Perng; Wei Perng; Twalib Ngoma; Crispin Kahesa; Julius Mwaiselage; Sofia D Merajver; Amr S Soliman Journal: Int J Gynaecol Obstet Date: 2013-09-04 Impact factor: 3.561
Authors: Cynthia D O'Malley; Sarah J Shema; Lisa S Clarke; Christina A Clarke; Carin I Perkins Journal: Am J Public Health Date: 2006-10-31 Impact factor: 9.308
Authors: Victoria M Taylor; Tung T Nguyen; J Carey Jackson; Stephen J McPhee Journal: Cancer Epidemiol Biomarkers Prev Date: 2008-11 Impact factor: 4.254