Catherine E Elmore1,2, Emma McKim Mitchell3, Katrina Debnam4, Jessica Keim-Malpass5, Kathryn Laughon3, Kawai O Tanabe6,7, Fern R Hauck8. 1. College of Nursing, University of Utah, 10 S. 2000 E., Salt Lake City, UT, 84112, USA. Catherine.Elmore@nurs.utah.edu. 2. School of Nursing, University of Virginia, Charlottesville, VA, USA. Catherine.Elmore@nurs.utah.edu. 3. Department of Family, Community & Mental Health Systems, School of Nursing, University of Virginia, Charlottesville, VA, USA. 4. School of Nursing & School of Education and Human Development, University of Virginia, Charlottesville, VA, USA. 5. Department of Acute and Specialty Care, School of Nursing, and Department of Pediatrics, School of Medicine, University of Virginia, Charlottesville, VA, USA. 6. Division of Student Affairs, Department of Student Health & Wellness, University of Virginia, Charlottesville, VA, USA. 7. Department of Family Medicine, University of Virginia, Charlottesville, VA, USA. 8. Department of Family Medicine and Department of Public Health Sciences, School of Medicine, University of Virginia, Charlottesville, VA, USA.
Abstract
PURPOSE: Cervical cancer screening (CCS) rates are lower for foreign-born women in the United States (U.S.) compared with the overall population. This study aimed to determine the CCS rate and predictors among refugees who were identified as female attending a family medicine clinic. METHODS: A retrospective chart review included refugee individuals aged 21+, seen in the previous 3 years (3/23/2015-3/20/2018), without hysterectomy (n = 525). Lab results determined CCS rate. Chi-square and logistic regression models explored predictors of CCS. RESULTS: Overall, 60.0% were up-to-date (UTD) on CCS. Individuals aged 30-49, married, and with [Formula: see text] 1 child had higher odds of being UTD. Ten or more years living in the U.S. was a significant bivariate predictor of CCS, and approached significance in the multivariate model. CONCLUSION: This study begins to fill gaps in knowledge about cervical cancer control among individuals who resettled in the U.S. as refugees and, given that CCS rates are suboptimal, informs clinical practice improvements and directions for future research.
PURPOSE: Cervical cancer screening (CCS) rates are lower for foreign-born women in the United States (U.S.) compared with the overall population. This study aimed to determine the CCS rate and predictors among refugees who were identified as female attending a family medicine clinic. METHODS: A retrospective chart review included refugee individuals aged 21+, seen in the previous 3 years (3/23/2015-3/20/2018), without hysterectomy (n = 525). Lab results determined CCS rate. Chi-square and logistic regression models explored predictors of CCS. RESULTS: Overall, 60.0% were up-to-date (UTD) on CCS. Individuals aged 30-49, married, and with [Formula: see text] 1 child had higher odds of being UTD. Ten or more years living in the U.S. was a significant bivariate predictor of CCS, and approached significance in the multivariate model. CONCLUSION: This study begins to fill gaps in knowledge about cervical cancer control among individuals who resettled in the U.S. as refugees and, given that CCS rates are suboptimal, informs clinical practice improvements and directions for future research.
Authors: Patricia Y Miranda; Nengliang Yao; S Amy Snipes; Rhonda BeLue; Eugene Lengerich; Marianne M Hillemeier Journal: Cancer Causes Control Date: 2017-03-31 Impact factor: 2.506
Authors: Sarah M Temkin; B J Rimel; Amanda S Bruegl; Camille C Gunderson; Anna L Beavis; Kemi M Doll Journal: Gynecol Oncol Date: 2018-04 Impact factor: 5.482
Authors: Arica White; Trevor D Thompson; Mary C White; Susan A Sabatino; Janet de Moor; Paul V Doria-Rose; Ann M Geiger; Lisa C Richardson Journal: MMWR Morb Mortal Wkly Rep Date: 2017-03-03 Impact factor: 17.586
Authors: Susan A Sabatino; Mary C White; Trevor D Thompson; Carrie N Klabunde Journal: MMWR Morb Mortal Wkly Rep Date: 2015-05-08 Impact factor: 17.586
Authors: Catherine E Elmore; Jeffrey M Tingen; Kelly Fredgren; Sarah N Dalrymple; Rebekah M Compton; Elizabeth L Carpenter; Claudia W Allen; Fern R Hauck Journal: Fam Med Community Health Date: 2019-07-11